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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$129K - $162K *

Develop and lead actuarial processes for Medicare Value-Based Care, managing monthly results, payer settlements, and special projects. Collaborate with cross-functional teams to enhance analytics and...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$125K - $145K *

Champion the future of financial reporting by ensuring compliance with GAAP, overseeing audits, and mentoring a high-performing team. Drive process improvements and technical accounting expertise to e...

United StatesRemote

3 days ago

  •   8 - 10 years exp.  •   Healthcare

$95K - $135K *

Champion growth by leading nationwide sales for innovative thixomolding technology. Drive new business, cultivate relationships, and manage the sales cycle to achieve ambitious revenue targets with a...

Stow, OHRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Staffing

$79K - $127K *

Join a team that's dedicated to advancing health research through innovative statistical analysis and mentoring. Collaborate with investigators to design studies, prepare publications, and present fin...

Ann Arbor, MIRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$350K *

Shape the future of AI-driven automation by partnering with key accounts to drive strategic sales initiatives, ensuring customers achieve maximum value from innovative solutions in a high-performance...

RemoteRemote

Today

  •   5 - 7 years exp.  •   Enterprise Technology

$220K - $255K *

Shape the future of healthcare by leading strategic payor relationships and driving reimbursement strategies. Collaborate cross-functionally to enhance patient access and optimize coverage for innovat...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Lead the charge in developing and communicating clinical evidence for innovations. Collaborate with cross-functional teams to manage research, publications, and scientific communications, ensuring imp...

New Jersey, USRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Join us to lead clinical trial monitoring, ensuring adherence to protocols and regulatory standards while fostering collaboration and quality improvement across multiple sites in the oncology field...

Burlington, ONRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $138K *

Join a team that's dedicated to delivering high-quality clinical trial outcomes while ensuring compliance and patient safety. Collaborate with stakeholders and investigators to drive efficient study m...

RemoteRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $138K *

Champion clinical trial excellence by overseeing monitoring activities, ensuring compliance with protocols and regulations, and fostering collaboration across teams to drive successful trial execution...

RemoteRemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Lead clinical trial monitoring efforts, ensuring compliance with protocols and regulations while fostering collaboration across teams to enhance data integrity and site performance...

Blue Bell, PARemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Lead the charge in developing global compensation strategies that attract talent, ensuring compliance and alignment with business goals while managing a team of compensation professionals across regio...

Pittsburgh, PARemote

2 days ago

  •   5 - 7 years exp.  •   Information Technology

$225K - $285K *

Champion supplier performance and governance frameworks in a dynamic supply chain environment. Collaborate cross-functionally to design metrics, conduct reviews, and enhance supplier relationships, dr...

San Francisco, CARemote

6 days ago

  •   8 - 10 years exp.  •   Information Technology

$80K - $95K *

Drive customer success by managing key accounts, ensuring satisfaction, and expanding revenue through upselling. Collaborate with internal teams to align customer needs with solutions, while leveragin...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$125K - $150K *

Manage diverse legal matters in a dynamic industrial environment, providing strategic support across commercial contracts, regulatory compliance, and corporate governance while collaborating closely w...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Energy & Utilities

$150K - $210K *

Lead the charge in driving business growth by cultivating relationships and securing new opportunities in industrial refrigeration. Collaborate cross-functionally to deliver exceptional customer exper...

RemoteRemote

3 days ago

  •   5 - 7 years exp.  •   Manufacturing & Automotive

$110K - $130K *

Drive success by educating healthcare providers on ZYNLONTA® in the Michigan/Ohio territory. Leverage insights to foster relationships, achieve sales goals, and enhance patient experiences through eff...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$73K - $110K *

Drive coding quality and compliance by analyzing data, supporting audits, and enhancing documentation practices. Collaborate with teams to ensure accurate coding and adherence to regulatory standards...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$125K - $225K *

Champion risk management strategies for a large-scale industrial project, collaborating with multidisciplinary teams to identify and mitigate risks, ensuring informed decision-making and project succe...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Real Estate & Construction

$225K - $281K *

Join a team that's pushing the boundaries of oncology research! This key role involves designing and leading clinical trials, ensuring data integrity, and collaborating with global experts to advance...

United StatesRemote

1 month ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$225K - $281K *

Explore your career in clinical development as you design and lead innovative oncology studies, ensuring data integrity and compliance while collaborating with cross-functional teams and cultivating r...

United StatesRemote

1 month ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$110K - $138K *

Join a team that's dedicated to overseeing clinical trial activities, ensuring compliance with protocols and regulations while fostering quality and continuous improvement across multiple sites in the...

RemoteRemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$105K - $129K *

Elevate client engagement through data-driven insights! As a Senior Analyst, you'll analyze performance metrics, enhance marketing strategies, and drive client retention, ensuring impactful decisions...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Legal & Accounting

$150K - $180K *

Shape the future of financial services by driving sales growth, building relationships, and expanding market share. Collaborate with partners and clients to identify opportunities and close complex de...

Connecticut, USRemote

3 weeks ago

  •   8 - 10 years exp.  •   Enterprise Technology

$100K - $120K *

Transform billing operations by leading a team to optimize healthcare revenue cycle processes, ensuring timely and accurate claims submission while driving performance improvements and fostering stron...

United StatesRemote

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.