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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$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

$175K - $210K *

Unlock potential by leading Revenue Operations to drive scalable growth. Collaborate with executives to develop strategies, oversee forecasting, and enhance commercial effectiveness through data-drive...

United StatesRemote

Today

  •   11 - 15 years exp.  •   Healthcare

$170K - $195K *

Elevate revenue growth by building strong relationships with law firms and corporations. Drive new business development through consultative sales, leveraging industry insights and collaboration with...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Legal & Accounting

$112K - $129K *

Unlock potential by leading the Insurance Financial Affairs Division, overseeing compliance, analysis, and regulatory efforts. Drive strategic initiatives, enhance consumer protection, and ensure solv...

Phoenix, AZRemote

Today

  •   8 - 10 years exp.  •   Finance & Insurance

$58K - $109K *

Partner with us to enhance patient care by facilitating specialty referrals, ensuring seamless communication between providers, and optimizing workflows within our healthcare network. Your expertise w...

Sacramento, CARemote

Today

  •   Less than 5 years exp.  •   Healthcare

$148K - $247K *

Empower growth by leading dealer operations, driving market share, and enhancing dealer satisfaction. Oversee P&L, optimize processes, and collaborate across teams to ensure operational excellence and...

United StatesRemote

Yesterday

  •   11 - 15 years exp.  •   Transportation

$81K - $108K *

Transform the Commercial Auto pricing landscape by leading analytical initiatives, collaborating with cross-functional teams, and mentoring talent to drive impactful rate recommendations and product d...

Ohio, USRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$97K - $193K *

Manage site research activities for clinical studies, including site selection, contract negotiation, training, and ensuring compliance with safety and regulatory standards throughout the study lifecy...

RemoteRemote

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$127K - $243K *

Unlock potential by leading data-driven strategies that enhance underwriting performance. Collaborate with cross-functional teams to develop metrics, influence business decisions, and optimize operati...

San Antonio, TXRemote

Today

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

Advance client relationships and team performance as a strategic leader, overseeing captive insurance operations, driving excellence, and enhancing service delivery while managing complex engagements...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$215K - $289K *

Lead the charge in driving legal strategy and contract negotiations across all business units, ensuring compliance and supporting revenue growth through effective collaboration with sales, finance, an...

RemoteRemote

4 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$160K - $192K *

Transform commercial performance by engaging healthcare providers, driving product adoption, and collaborating with cross-functional teams to ensure patient access to innovative therapies across a def...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Join a team that's defining and driving enterprise data governance for a federal agency. Collaborate with stakeholders to establish data quality frameworks and compliance protocols, ensuring best prac...

Washington, DCRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$73K - $110K *

Champion the full lifecycle of complex client accounts, ensuring timely implementations and effective communication across teams. Foster strong relationships and proactively resolve issues to enhance...

RemoteRemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $110K *

Manage the procurement lifecycle by partnering with stakeholders to develop sourcing strategies, negotiate with vendors, and oversee supplier relationships, driving strategic procurement practices in...

RemoteRemote

4 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$160K - $190K *

Empower clients by managing high-stakes Lemon Law litigation, guiding cases from strategy to trial. Collaborate with a dynamic team to deliver exceptional legal representation for manufacturers and co...

California, USRemote

Today

  •   8 - 10 years exp.  •   Legal & Accounting

$139K - $170K *

Unlock growth in pet health insurance by leading strategic partnerships and enterprise sales. Collaborate with internal teams and partners to drive revenue, optimize contracts, and enhance integration...

RemoteRemote

Yesterday

  •   5 - 7 years exp.  •   Finance & Insurance

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.