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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$100K - $130K *

Drive strategic sourcing initiatives and manage high-stakes supplier relationships across Indirect Procurement categories. Lead negotiations, develop category strategies, and mentor junior staff to op...

Virginia, USRemote

4 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$110K - $130K *

Lead the charge in enhancing claims support and customer relationships by managing a high-performing team, ensuring service excellence, and driving operational improvements across Workforce Benefits p...

United StatesRemote

Yesterday

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

Pioneer client-centric pharmacy solutions by leveraging data to improve benefit performance, customize strategies, and foster relationships for self-funded employer clients, all while leading clinical...

Las Vegas, NVRemote

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$148K - $222K *

Drive market access strategies by educating providers on reimbursement policies and patient support services. Collaborate with cross-functional teams to enhance product accessibility and ensure compli...

RemoteRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Champion business growth by driving sales initiatives across key markets. Collaborate with teams to develop and implement strategic plans, generate leads, and maintain strong client relationships to e...

Sugar Land, TXRemote

1 month ago

  •   5 - 7 years exp.  •   Finance & Insurance

$95K - $115K *

Help us design and implement efficient business processes using Salesforce. Collaborate with users to enhance system functionality, ensure data accuracy, and support core operations while maximizing v...

Georgia, USRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$120K - $145K *

Lead the charge in driving client success by building trusted partnerships, understanding client objectives, and ensuring seamless delivery of services. Collaborate with internal teams to enhance sati...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$87K - $157K *

Lead the charge in enterprise-wide process improvement initiatives using LEAN/Six Sigma methodologies to enhance operational efficiency and support business performance across clinical operations and...

Missouri, USRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$190K - $225K *

Elevate your career by joining a dynamic Conflicts Team, where you'll analyze complex conflict reports, advise on risk management, and enhance ethical practices in a fully remote environment, ensuring...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Legal & Accounting

$170K - $220K *

Lead the charge in providing comprehensive legal support for the CHVAC segment, collaborating with global teams to ensure compliance and address complex legal matters while driving strategic initiativ...

United StatesRemote

3 days ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$75K - $158K *

Elevate enterprise testing by managing Tricentis Tosca for automated quality assurance. Collaborate with cross-functional teams to enhance testing maturity, ensure platform stability, and support miss...

United StatesRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$104K - $143K *

Unlock member engagement and satisfaction by leading initiatives that enhance the consumer experience. Drive strategies for retention and growth while collaborating across teams to optimize performanc...

South Carolina, USRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$95K - $115K *

Champion quality assurance initiatives by managing site audits, enhancing compliance, and fostering relationships with investigative teams. Utilize risk-based approaches to monitor quality indicators...

Tennessee, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $85K *

Grow your career with a dynamic team focused on client success, managing relationships, and delivering tailored solutions. Drive satisfaction and retention while collaborating across departments to en...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Elevate patient access by educating healthcare providers on reimbursement tools and processes. Collaborate with HCPs to navigate payer policies and enhance understanding of specialty medicine access c...

Nashville, TNRemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$120K - $165K *

Champion compliance excellence by guiding employee benefit consultants on laws affecting health and welfare plans. Collaborate with teams to ensure adherence to regulations while providing clear commu...

Pennsylvania, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$85K - $92K *

Join our team to enhance healthcare quality through precise coding audits, mentoring coders, and driving process improvements. Your expertise will help shape compliance and accuracy in outpatient serv...

United StatesRemote

3 days ago

  •   5 - 7 years exp.  •   Business Services

$160K - $220K *

Transform commercial contracting by leading negotiations and enhancing workflows. Collaborate with cross-functional teams to drive compliance and strategic outcomes, ensuring legal support scales effe...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Enterprise Technology

$78K - $108K *

Empower our growth by managing and negotiating sales contracts, collaborating with cross-functional teams to ensure compliance and efficiency. Your expertise will drive impactful solutions in a dynami...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Consumer Technology

$95K - $115K *

Elevate operational efficiency by leading shared service improvements and cross-functional collaboration to enhance patient and provider experiences while driving team performance and process excellen...

North Carolina, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $175K *

Transform your career by driving growth and building partnerships in the automotive finance sector. Engage with dealerships, analyze market trends, and deliver exceptional support to enhance brand vis...

Sacramento, CARemote

4 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$79K - $127K *

Innovate with us to enhance data protection strategies, ensuring robust security and compliance across diverse platforms. Collaborate on complex projects, troubleshoot incidents, and drive improvement...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$94K - $124K *

Support client relationships by optimizing campaigns to drive revenue growth, ensuring performance meets KPIs. Collaborate with teams to identify upsell opportunities and deliver strategic insights, f...

RemoteRemote

Today

  •   Less than 5 years exp.  •   Consumer Technology

$76K - $131K *

Elevate healthcare compliance by leading detailed coding audits, mentoring auditors, and implementing action plans. Drive innovation and ensure adherence to standards while fostering a culture of cont...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$110K - $130K *

Unlock potential by driving territory growth through strategic sales and account management. Collaborate with healthcare professionals to enhance customer experience and position as a leader in tumor...

South Dakota, USRemote

3 days ago

  •   Less than 5 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.