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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$88K - $121K *

Empower healthcare teams by providing clinical support and training for vital sign and cardiology products. Collaborate with sales and customers to enhance product use and ensure educational goals are...

RemoteRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$114K - $120K *

Transform data into actionable insights by conducting advanced analysis and developing compelling reports. Collaborate with cross-functional teams to support leading B2B brands and enhance research qu...

RemoteRemote

6 days ago

  •   Less than 5 years exp.  •   Media

$100K - $120K *

Champion healthcare contract management by overseeing compliance, negotiation, and strategy alignment. Drive cross-functional collaboration and support market access initiatives while ensuring financi...

New York, NYRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$86K - $138K *

Unlock innovative healthcare solutions by leading product strategy and lifecycle management for clinical programs. Collaborate across teams to enhance member experiences and drive business value while...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$104K - $249K *

Unlock product potential by leading R&D initiatives from discovery to adoption. Collaborate with cross-functional teams to test and validate innovative solutions, ensuring alignment with strategic goa...

Brookfield, WIRemote

1 week ago

  •   5 - 7 years exp.  •   Legal & Accounting

$125K - $156K *

Drive data excellence by leading analytics initiatives, enhancing governance, and integrating systems. Collaborate with leadership to deliver impactful insights and ensure compliance while leveraging...

United StatesRemote

6 days ago

  •   8 - 10 years exp.  •   Staffing

$315K - $350K *

Lead the charge in transforming enterprise actuarial capabilities, providing strategic oversight across modeling, valuation, and governance. Collaborate with executives to enhance decision-making and...

United StatesRemote

Today

  •   11 - 15 years exp.  •   Finance & Insurance

$75K - $125K *

Manage day-to-day client relationships, ensuring satisfaction and retention through effective communication, performance monitoring, and cross-functional collaboration to drive business outcomes and o...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Unlock potential by leveraging your expertise in structured settlements to build strong relationships with personal injury attorneys, driving business growth and ensuring clients receive top-notch set...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $95K *

Engage with personal injury attorneys to build trust and drive settlement planning referrals. Leverage your expertise in financial planning and relationship management to generate new business opportu...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $95K *

Join a team that's dedicated to building strong relationships with personal injury attorneys. Leverage your expertise in settlement planning and wealth management to drive business growth and support...

United StatesRemote

6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$91K - $163K *

Elevate customer experiences by developing and optimizing consumer journeys within a dynamic marketing organization, leveraging technical expertise and project management skills to drive innovative so...

Minnetonka, MNRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$130K - $216K *

Lead the strategy and optimization of the Enterprise Legal Management platform. Collaborate across teams to enhance legal operations, drive user adoption, and ensure technology solutions align with bu...

Bloomfield, CTRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$163K - $220K *

Transform vendor strategies and cost management across the organization. Drive financial performance with analytics, lead sourcing events, and collaborate with cross-functional teams to optimize value...

United StatesRemote

Reposted 2 weeks ago

  •   8 - 10 years exp.  •   Hospitals & Medical Centers

$80K - $95K *

Join a team that's dedicated to enhancing child protection systems globally. This role oversees grants and compliance for a multi-country initiative, ensuring effective management and adherence to pol...

Baltimore, MDRemote

1 week ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$75K - $120K *

Grow client relationships and drive sales in diverse markets by collaborating with teams to enhance service offerings and maximize profitability through strategic account management and effective comm...

Modesto, CARemote

Today

  •   Less than 5 years exp.  •   Energy & Utilities

$110K - $135K *

Create strategic account plans and drive revenue growth by leading expansion discussions and managing a diverse portfolio of commercial accounts, ensuring alignment and collaboration with cross-functi...

United StatesRemote

4 weeks ago

  •   8 - 10 years exp.  •   Media

$150K - $180K *

Pioneer AI solutions in insurance and retirement by leading presales engagements, architecting tailored demos, and driving strategic initiatives. Collaborate with cross-functional teams to deliver imp...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Enterprise Technology

$80K - $95K *

Join our team as a National Support Engineer, where you will provide expert guidance and second-level support to enhance instrument performance, analyze service data, assist in customer training, and...

Texas, USRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Join a team that excels in providing expert support for diagnostic instruments. You will resolve complex technical issues, analyze service data, and engage with teams to enhance performance and custom...

Florida, USRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$114K - $145K *

Champion the modernization and performance of enterprise applications, ensuring reliability and security while driving innovation and operational excellence in a remote leadership role focused on stra...

RemoteRemote

Reposted today

  •   8 - 10 years exp.  •   Finance & Insurance

$70K - $105K *

Unlock potential by providing exceptional support and training in clinical software, ensuring customer satisfaction through effective communication and problem-solving in a fast-paced environment. Joi...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Business Services

$104K - $145K *

Join us to lead a dynamic team managing consumer complaints in lending operations. You'll enhance complaint resolution processes, ensure regulatory compliance, and drive continuous improvement, all wh...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$154K - $231K *

Lead the charge in driving sales strategy execution, manage product expert teams, and foster relationships with key clients. Transform innovative ideas into actionable sales initiatives for product en...

Bentonville, ARRemote

Reposted 2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$89K - $121K *

Shape the future of Configuration Management by leading CMDB operations, ensuring data accuracy, and driving continuous improvement initiatives. Collaborate with cross-functional teams to enhance gove...

Kentucky, USRemote

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.