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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$99K - $138K *

Help us streamline partner diligence and change management processes, ensuring compliance and operational efficiency. Collaborate across teams to enhance partner relationships and support their lendin...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$80K - $96K *

Join a team that's dedicated to transforming client needs into effective solutions. As a Business Analyst I, you'll bridge teams, support integrations, and enhance processes within the Financial Servi...

West Des Moines, IARemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$130K - $152K *

Elevate the synergy between Sales strategy and technology delivery, translating business needs into actionable engineering specifications. Drive system enhancements and ensure seamless collaboration a...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$160K - $200K *

Join a team that's redefining customer acquisition in the P&C insurance market. Drive strategic partnerships, enhance demand management, and support innovative solutions to elevate our marketplace to...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Enterprise Technology

$350K *

Champion innovative AI solutions by driving strategic partnerships with complex accounts. Collaborate with sales teams to maximize value and ensure successful adoption of AI products, impacting indust...

RemoteRemote

2 days ago

  •   5 - 7 years exp.  •   Enterprise Technology

$97K - $193K *

Lead the charge in advancing clinical research by managing site activities throughout the study lifecycle, ensuring high-quality trial delivery, and collaborating with investigative sites and study te...

Durham, NCRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Elevate your career by collaborating with cross-functional teams to enhance business operations, streamline processes, and drive value through effective analysis and documentation. Your expertise will...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$100K - $130K *

Shape impactful B2C marketing strategies and campaigns across multiple channels, driving consumer engagement and retention. Collaborate with teams to create compelling content and optimize performance...

United StatesRemote

3 days ago

  •   Less than 5 years exp.  •   Media

$164K - $314K *

Transform your career by leading fraud strategy initiatives, overseeing analytics, and driving authentication solutions. Collaborate with teams to enhance security measures and implement innovative st...

San Antonio, TXRemote

Yesterday

  •   8 - 10 years exp.  •   Finance & Insurance

$80K - $95K *

Transform inpatient coding operations by leading a dedicated team to ensure accurate coding, compliance, and timely billing. Collaborate with clinical and administrative staff to enhance financial per...

United StatesRemote

Yesterday

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

$160K - $200K *

Shape the future of market access strategy by integrating payer, provider, and patient perspectives. Lead cross-functional teams to develop impactful strategies that enhance therapy positioning and su...

Philadelphia, PARemote

6 days ago

  •   8 - 10 years exp.  •   Healthcare

$210K - $230K *

Lead the charge in developing enterprise pricing strategies that optimize profitability and drive growth across diverse service sectors, ensuring alignment with market conditions and client needs whil...

RemoteRemote

3 days ago

  •   11 - 15 years exp.  •   Real Estate & Construction

$177K - $221K *

Empower compliance excellence by leading the NSCLC field compliance program. Collaborate with cross-functional teams to identify risks, develop scalable solutions, and ensure adherence to regulations...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$95K - $115K *

Build strong relationships and drive sales for advanced wound care products in a defined territory. Achieve revenue targets through strategic planning, customer engagement, and exceptional service in...

RemoteRemote

Reposted 2 days ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Transform financial operations by providing strategic support to business units, leading forecasting, and enhancing financial performance through collaboration and mentorship. Drive initiatives that p...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$64K - $128K *

Transform your career by delivering key system and data analysis while collaborating with diverse teams to implement impactful technology solutions that shape organizational success and enhance functi...

Baltimore, MDRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$98K - $167K *

Lead the charge in optimizing cloud costs by analyzing usage data, automating insights, and collaborating with cross-functional teams to drive efficiency and savings in cloud and containerized workloa...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$187K - $281K *

Empower our mission by leading Medicare market access strategies for genomic sequencing and genetic testing. Collaborate across teams to shape reimbursement policies and enhance beneficiary access thr...

Washington, DCRemote

Yesterday

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$110K - $150K *

Shape the future of legal operations by optimizing workflows, managing technology, and driving automation. Collaborate with cross-functional teams to enhance efficiency and support a rapidly growing g...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Consumer Technology

$100K - $120K *

Join a team that's driving innovation in cancer screening technologies. You'll engage healthcare providers, promote groundbreaking solutions, and collaborate with cross-functional teams to enhance pat...

Syracuse, NYRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K *

Lead the charge in auditing inpatient claims, ensuring coding accuracy and clinical validation. Utilize advanced coding expertise to analyze claims independently, while meeting productivity and qualit...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Shape the future of clinical documentation integrity by leading audits and compliance initiatives across facilities. Collaborate with healthcare teams to enhance operational efficiency and ensure adhe...

United StatesRemote

Today

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

$97K - $193K *

Join us to ensure the highest standards in clinical research as you manage site activities, foster relationships, and drive study success through proactive monitoring and compliance across the clinica...

RemoteRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$107K - $145K *

Drive growth by identifying and securing new business opportunities in risk management and medical education. Collaborate with teams to develop proposals, manage sales pipelines, and ensure alignment...

United StatesRemote

Reposted today

  •   5 - 7 years exp.  •   Finance & Insurance

$200K - $250K *

Champion operational excellence by supporting mechanical segment performance across regions. Collaborate with leadership to enhance execution discipline, drive improvements, and ensure effective trans...

Mclean, VARemote

3 weeks ago

  •   5 - 7 years exp.  •   Energy & Utilities

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.