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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$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

Yesterday

  •   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

$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 2 weeks 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

2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$132K - $153K *

Join a team that's redefining care management by leading strategic initiatives in utilization and appeals processes. Drive high-quality, cost-effective care while ensuring compliance and fostering a c...

United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $95K *

Transform customer relationships by leveraging expertise in automotive technology and solutions. Drive product adoption, retention, and growth across dealer accounts to achieve measurable outcomes and...

RemoteRemote

Reposted today

  •   Less than 5 years exp.  •   Consumer Technology

$134K - $230K *

Drive innovative medical contracting strategies to enhance payer access, boost reimbursements, and expand covered lives. Lead negotiations and build strategic relationships with healthcare partners to...

Atlanta, GARemote

Reposted 2 days ago

  •   5 - 7 years exp.  •   Healthcare

$211K - $235K *

Drive patient access initiatives by leveraging oncology expertise to navigate reimbursement landscapes, educate stakeholders, and resolve complex access issues, ensuring timely therapy access for pati...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$110K - $120K *

Drive sourcing strategies and supplier relationships, enhancing construction procurement efficiency while delivering actionable insights and fostering collaboration across operational teams...

Chicago, ILRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Real Estate & Construction

$125K - $150K *

Shape the future of insurance sales by leveraging high-intent leads and a proven system. Enjoy the flexibility of remote work while helping families secure financial protection and achieving your inco...

Mckinney, TXRemote

1 week ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$88K - $105K *

Join a dynamic team to oversee the implementation of technology programs, ensuring alignment with client needs and regulatory requirements. Collaborate with cross-functional teams to manage documentat...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Transportation

$90K - $110K *

Join a team that's shaping the future of marine underwriting by assessing risks, negotiating policies, and mentoring junior underwriters to ensure profitability and compliance while delivering excepti...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $175K *

Transform your career with a dynamic role driving growth in automotive finance. Engage daily with dealerships to foster partnerships, analyze market trends, and elevate brand visibility. Bring your pa...

Riverside, CARemote

4 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $95K *

Advance your career by leading incident response efforts in a dynamic IT environment. Coordinate multi-team activities to restore operations efficiently, ensuring compliance with best practices and dr...

United StatesRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$110K - $130K *

Develop strategic relationships with Oncology departments to enhance education on product benefits, drive sales growth, and improve resource utilization. Collaborate with healthcare professionals to a...

Rochester, NYRemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$102K - $171K *

Lead and mentor a team of ProAssure Specialists, ensuring effective administration of Vocera solutions for strategic customers. Collaborate across functions to enhance service delivery and drive conti...

Kalamazoo, MIRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

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.