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.

Remote
caret down
Compensation
caret down
Position Level
caret down
Time Posted
caret down
Industries
caret down
More
1
caret down

$78K - $107K *

Shape the future of business processes by analyzing effectiveness and implementing measurable improvements. Collaborate with teams to enhance safety and productivity, while influencing departmental st...

RemoteRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $135K *

Explore a pivotal role in our legal team, providing contract expertise and support for U.S. sales. Collaborate with cross-functional teams to negotiate agreements, ensure compliance, and mitigate risk...

Illinois, USRemote

6 days ago

  •   5 - 7 years exp.  •   Information Technology

$78K - $107K *

Lead the charge in enhancing interoperability and medical documentation processes. As a Senior Process Improvement Professional, you'll design workflows, define operating models, and collaborate with...

Kentucky, USRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

The Data Integration Specialist at Timely will ensure seamless integration of data between school district systems and Timely's scheduling technology. This role involves collaborating with various sta...

United StatesRemote

Reposted 4 weeks ago

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

$120K - $193K *

Transform software applications through innovative development using Java and Spring Boot. Lead full-stack projects, enhance product features, uphold quality via TDD, and deploy cutting-edge Machine L...

Illinois, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$84K - $124K *

Drive the evolution of Cyber Defense by engineering and automating security operations, enhancing incident response, and maintaining enterprise security platforms to ensure robust protection and swift...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$92K - $167K *

Drive compliance and contractor support in contracting standards, regulatory adherence, and policy execution. Work collaboratively across departments to provide strategic guidance, ensuring alignment...

United StatesRemote

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$74K - $137K *

Transform creative production by integrating AI capabilities to enhance workflows, ensuring efficient content generation and delivery. Collaborate across teams to establish standards and scalable solu...

Mclean, VARemote

5 days ago

  •   Less than 5 years exp.  •   Media

$110K - $135K *

Accelerate progress at the forefront of regulatory operations, leading a dedicated team to ensure timely, compliant submissions and maintenance of Investigator Site Files, while driving process improv...

San Antonio, TXRemote

2 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$79K - $119K *

Engage with sales teams to provide technical support and presentations, driving new business and customer integration. Collaborate on sales strategies and troubleshoot products to enhance customer sat...

Tampa, FLRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Empower enterprise automation by designing, developing, and optimizing solutions using Automation Anywhere, Python, and Power Apps. Collaborate with cross-functional teams to deliver scalable, secure...

Pennsylvania, USRemote

6 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$60K - $250K *

Drive client acquisition and relationship management in allied healthcare. Engage with prospective clients through various channels, negotiate contracts, and ensure client satisfaction while meeting p...

Midvale, UTRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$160K - $200K *

Drive growth and strengthen relationships across community clinics and AICs. Develop new business and expand partnerships while collaborating with key decision-makers in a complex healthcare market. T...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$140K - $192K *

Drive demand in Dermatology by educating healthcare providers and optimizing business opportunities. Engage in clinical selling, manage accounts, and achieve sales goals while fostering relationships...

RemoteRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $95K *

Drive the success of training programs by leading daily operations, ensuring effective onboarding, and adapting training to meet evolving client and operational needs while fostering trainer developme...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Business Services

$210K - $230K *

Accelerate progress at the forefront of clinical supply chain management, leading strategic initiatives to ensure seamless delivery of investigational products for global trials while collaborating ac...

United StatesRemote

Today

  •   11 - 15 years exp.  •   Pharmaceuticals & Biotech

$80K - $95K *

Take ownership of renewal outcomes for US Promo Intel accounts, driving retention and growth through strategic execution and customer engagement. Collaborate with cross-functional teams to enhance the...

United StatesRemote

4 weeks ago

  •   Less than 5 years exp.  •   Media

$145K - $218K *

Architect innovative market access strategies to enhance U.S. reimbursement for cutting-edge healthcare solutions. Collaborate across functions to drive payer engagement, coding, and coverage initiati...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Business Services

$95K - $153K *

Analyze and optimize enterprise-scale data architectures, pipelines, and integrations. Provide technical leadership in SQL, ETL/ELT development, cloud solutions, and data governance while supporting a...

United StatesRemote

Reposted today

  •   5 - 7 years exp.  •   Finance & Insurance

$120K - $145K *

Shape the future of data protection by leading a high-performing team of analysts. Drive incident response, enhance security strategies, and collaborate with clients to mitigate risks in a fast-paced...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Information Technology

$85K - $106K *

Transform risk management by providing independent oversight and automation of risk metrics. Collaborate with teams to evaluate controls, conduct assessments, and ensure compliance, driving improvemen...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$115K - $130K *

Unlock potential by driving data analysis and interpreting clinical trial results. Collaborate with stakeholders, ensure statistical integrity, and contribute to innovative methodologies in biostatist...

United StatesRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$92K - $138K *

Lead the strategic management of accounts receivable functions, optimizing cash flow and ensuring compliance. Collaborate with teams to enhance efficiency, resolve escalations, and drive performance a...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$83K - $132K *

Deliver comprehensive oversight of utilization management activities, ensuring consistency in service delivery, regulatory compliance, and optimal member outcomes through effective team leadership and...

RemoteRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Champion regulatory strategy initiatives to advance patient treatments. Collaborate with cross-functional teams to develop regulatory pathways, support agency engagement, and ensure compliance, all wh...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

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.