Explore Claims Specialist Jobs

Discover Claims Specialist opportunities for experienced professionals on Ladders. Browse vetted roles with salaries of $100,000 or more across insurance, healthcare, workers’ compensation, and other industries. Claims specialists investigate claims, assess documentation, interpret policies, and help organizations reach accurate, timely resolutions.

What Does a Claims Specialist Do?

Responsibilities vary by employer and specialty, but may include reviewing claim submissions, gathering evidence, interviewing claimants or witnesses, evaluating coverage and liability, calculating payments, and documenting decisions. Senior specialists may manage complex or high-value cases, resolve escalations, identify fraud indicators, and coordinate with legal, medical, underwriting, or customer service teams.

Skills and Qualifications

Employers commonly seek strong analytical, communication, and negotiation skills; close attention to detail; and the ability to manage sensitive information and competing deadlines. Familiarity with insurance policies, claims platforms, regulatory requirements, and industry-specific practices can be valuable. Some positions require relevant licenses, certifications, or experience in a specialty such as property and casualty, medical, disability, or workers’ compensation claims.

Find Your Next Claims Specialist Role

Claims Specialist job titles and requirements differ across organizations. Explore opportunities on Ladders to compare roles, industries, and compensation, and focus your search on positions that align with your experience and career goals. Ladders features vetted professional jobs paying $100,000 or more.

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1
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$223K - $313K *

Shape the future of healthcare by leveraging your clinical expertise to review Medicare drug appeals, ensuring compliance and optimal value-based care through collaboration and analysis of complex cas...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$66K - $106K *

Join a team that's dedicated to conducting thorough medical reviews and applying clinical judgment to ensure compliance and prevent fraud in healthcare claims. Collaborate with professionals to suppor...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Aerospace & Defense

$180K - $230K *

Join a team that's dedicated to advancing hematology through scientific engagement. As a Medical Science Liaison, you'll build relationships with healthcare professionals, share critical insights, and...

Goodyear, AZRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$180K - $230K *

Advance scientific engagement by building relationships with healthcare professionals in Northern California. Leverage expertise in hematology/oncology to support clinical development and deliver impa...

Phoenix, AZRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$135K - $160K *

Drive growth and strategy for Specimen Management in key accounts, fostering relationships with executives and collaborating across teams to enhance business results and cross-selling opportunities...

Franklin Lakes, NJRemote

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$128K - $254K *

Drive the successful delivery of Phase I-IV clinical trials by leading cross-functional teams, managing project timelines, budgets, and quality standards while fostering strong client relationships an...

RemoteRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$109K - $185K *

Empower innovation in diabetes care by navigating regulatory pathways for cutting-edge medical devices, collaborating globally to ensure compliance and product success while impacting lives positively...

California, USRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Analyze and manage healthcare data, optimizing pipelines and reporting. Collaborate with stakeholders to turn data into actionable insights. Embrace growth in a dynamic environment, taking ownership o...

Earth City, MORemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Transform intelligence analysis by leveraging your expertise and analytical skills. Collaborate with a dynamic team to support critical missions, utilizing advanced technology and methodologies to dri...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Transportation

$125K - $150K *

Pioneer in radiology innovation by enhancing clinical value and technology. Join a forward-thinking team that prioritizes high-quality patient care while driving improvements in service and operationa...

United StatesRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$76K - $95K *

Advance the intake process by managing conflicts analysis, ensuring timely responses, and supporting new client matters. Collaborate with attorneys and staff to uphold high service standards across mu...

United StatesRemote

Reposted yesterday

  •   Less than 5 years exp.  •   Legal & Accounting

$100K - $275K *

Manage complex commercial litigation cases, focusing on class action and employment disputes. Collaborate with clients and colleagues, ensuring superior service while handling litigation aspects with...

Cincinnati, OHRemote

2 weeks ago

  •   Less than 5 years exp.  •   Legal & Accounting

$100K - $275K *

Join a dynamic team focusing on complex commercial litigation and class actions. Leverage your 2-5 years of litigation experience to drive impactful results while contributing to a diverse and inclusi...

Columbus, OHRemote

2 weeks ago

  •   Less than 5 years exp.  •   Legal & Accounting

$100K - $275K *

Lead the charge in complex commercial litigation, focusing on class action and employment cases. Ideal for self-starters with strong writing and analytical skills, offering flexible remote or hybrid w...

Cleveland, OHRemote

2 weeks ago

  •   Less than 5 years exp.  •   Legal & Accounting

$76K - $129K *

Join us to build strong relationships with key policyholders through proactive communication and skilled negotiation. You'll bridge clients and the home office, tackling concerns and driving improveme...

RemoteRemote

3 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$150K - $200K *

Transform the renewable energy finance landscape by supporting capital solutions across debt and equity structures. Leverage your analytical skills to drive transactions and enhance client relationshi...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$93K - $179K *

Drive the preparation and analysis of regulatory reports, ensuring compliance and accuracy. Collaborate with cross-functional teams to enhance reporting processes and support regulatory examinations w...

Charlotte, NCRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $95K *

Optimize product performance by analyzing data, managing initiatives, and collaborating with teams. Your insights will shape strategies for Motorcycle, RV, Watercraft, and Classic Car products, drivin...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$95K - $115K *

Transform self-service capabilities by managing and enhancing ServiceNow functionalities, ensuring seamless customer experiences through effective ticket routing, knowledge management, and automation...

Chicago, ILRemote

3 days ago

  •   5 - 7 years exp.  •   Enterprise Technology

$100K - $120K *

Accelerate progress at clinical sites by enhancing patient recruitment strategies and supporting Oncology studies. Collaborate with teams to optimize enrollment processes and ensure effective communic...

United StatesRemote

Yesterday

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$157K - $256K *

Shape strategic pricing and channel strategies for innovative therapies, ensuring patient access and affordability. Lead cross-functional initiatives, optimize distribution models, and drive market in...

United StatesRemote

3 days ago

  •   11 - 15 years exp.  •   Pharmaceuticals & Biotech

$215K - $408K *

Transform healthcare delivery by leading medical management and quality initiatives. Collaborate with clinical teams to enhance patient outcomes and drive cost-effective care while ensuring compliance...

Missouri, USRemote

Reposted 4 days ago

  •   Less than 5 years exp.  •   Healthcare

$180K - $240K *

Shape the future of enterprise security by leading vulnerability management initiatives. Drive strategy, execution, and collaboration across teams to enhance risk reduction and improve security outcom...

Charlotte, NCRemote

2 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$129K - $193K *

Grow your career with a leadership role overseeing clinical research pre-award activities, ensuring compliance and financial feasibility while managing a diverse portfolio of high-risk studies and col...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$89K - $148K *

Elevate financial management and audit remediation efforts for DoD clients, leveraging expertise in accounting, internal controls, and compliance to drive strategic improvements and ensure adherence t...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Business Services

Frequently Asked Questions (FAQ)

  • What does a Claims Specialist do?question toggle

    A Claims Specialist reviews and investigates claims, evaluates coverage and supporting information, documents findings, and helps determine appropriate resolutions or payments. Duties depend on the employer and claims specialty.

  • What qualifications are commonly required for Claims Specialist jobs?question toggle

    Requirements vary, but employers often value claims or insurance experience, analytical and communication skills, attention to detail, and familiarity with relevant policies and systems. Some roles may require licenses, certifications, or specialized industry knowledge.

  • Which industries hire Claims Specialists?question toggle

    Claims Specialists work in insurance and may also support healthcare, workers’ compensation, employee benefits, and other organizations that process claims.

  • Can I find Claims Specialist jobs paying $100,000 or more on Ladders?question toggle

    Yes. Ladders features vetted professional jobs paying $100,000 or more, including Claims Specialist opportunities when available.