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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$180K *

Lead the charge in enhancing and monitoring statistical/ML models to detect Fraud, Waste & Abuse in high-volume prescription transactions. Collaborate with teams to drive innovation and improve busine...

Chicago, ILRemote

3 weeks ago

  •   5 - 7 years exp.  •   Staffing

$145K - $205K *

Own and drive the collections and recoveries strategy for Canada, leading initiatives across the post-delinquency lifecycle while ensuring compliance with Canadian regulations and optimizing performan...

CanadaRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$125K - $150K *

Accelerate account management strategy and execution for premier accounts. Strengthen relationships through planning, product penetration, and high-quality execution while collaborating across teams t...

United StatesRemote

2 days ago

  •   8 - 10 years exp.  •   Legal & Accounting

$100K - $120K *

Accelerate client relationships by managing strategic accounts, driving revenue growth, and expanding service lines. Collaborate with internal teams to ensure client satisfaction and deliver tailored...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Legal & Accounting

$110K - $140K *

Champion compliance excellence by conducting hands-on reviews and mock exams for investment advisers and broker-dealers, ensuring clients remain exam-ready while fostering strong relationships and men...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$85K - $130K *

Drive case strategy and representation in Workers' Compensation trials across the CA Bay Area. Collaborate with legal teams to prepare for trials, negotiate settlements, and ensure compliance with reg...

Oakland, CARemote

2 days ago

  •   Less than 5 years exp.  •   Legal & Accounting

$91K - $169K *

Transform complex accounting challenges into strategic solutions. Collaborate across finance, actuarial, and risk teams to enhance financial reporting and governance for innovative products and transa...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$93K - $140K *

Accelerate progress at defining technical requirements and solutions, collaborating with business experts to enhance operational processes. Lead projects, mentor analysts, and ensure alignment of tech...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$153K - $268K *

Join a team that's advancing regulatory strategies for drug substance manufacturing. Lead the charge in selecting and justifying Regulatory Starting Materials, ensuring compliance with global guidelin...

United StatesRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$130K - $155K *

Unlock potential as you lead statistical activities for clinical trials, collaborating with cross-functional teams to drive drug development. Utilize advanced statistical methods and oversee programmi...

Cambridge, MARemote

Today

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$165K - $195K *

Engage in technical leadership and project management for healthcare commissioning. Drive business development, mentor staff, and ensure compliance with industry standards while collaborating with div...

Atlanta, GARemote

Reposted 1 week ago

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

$110K - $130K *

Unlock potential by joining a dynamic team of actuaries to support financial examinations and regulatory projects, with opportunities to engage in diverse consulting tasks across various insurance sec...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Finance & Insurance

$160K - $200K *

Lead the charge in financial strategy and operational excellence, driving growth and sustainability for a mission-driven organization. Collaborate with leadership to implement innovative solutions and...

RemoteRemote

3 weeks ago

  •   8 - 10 years exp.  •   Legal & Accounting

$72K - $116K *

Drive quality assurance initiatives by leading data testing strategies, overseeing validation processes, and guiding technical teams in the healthcare domain. Translate complex data risks into actiona...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$180K - $220K *

Transform your career by leading strategic partnerships in precision medicine. Drive enterprise-wide adoption of molecular diagnostics while collaborating with C-suite executives and cross-functional...

RemoteRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$175K - $219K *

Help us elevate Field Medical operations by optimizing processes, enhancing communication, and driving strategic initiatives to ensure effective engagement and alignment across teams in a dynamic heal...

United StatesRemote

Today

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$149K - $248K *

Champion client engagement and operational excellence by managing consulting teams, driving quality standards, and fostering relationships within Military Health Systems. Lead new business development...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Business Services

$102K - $170K *

Accelerate progress at transforming data solutions by building production-grade assets. Leverage your expertise in data engineering and business fluency to create trusted, reusable data products that...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$102K - $170K *

Engage in building production-grade data solutions by transforming architectural designs into trusted data products. Collaborate with cross-functional teams to ensure quality and governance while deli...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$170K - $195K *

Engage in strategic account acquisition for our Legal Technologies sector, focusing on sourcing, qualifying, and closing new enterprise accounts. Drive revenue growth through complex sales cycles whil...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Legal & Accounting

$87K - $119K *

Drive growth by managing relationships with K-12 public schools, selling insurance products, and delivering tailored benefits solutions to meet client needs in a defined territory...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$110K - $130K *

Join a dynamic team to manage complex client accounts, drive satisfaction, and enhance relationships with C-level executives. Collaborate across business lines to deliver strategic solutions and ensur...

Wisconsin, USRemote

3 weeks ago

  •   11 - 15 years exp.  •   Finance & Insurance

$155K - $171K *

Lead transformative consulting projects by conducting in-depth research and presenting strategic recommendations. Collaborate with clients and junior team members to drive high-quality deliverables an...

Chicago, ILRemote

4 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$78K - $104K *

Inspire efficient EHR system performance by leading applications analysis and optimization. Drive project management and collaboration while mentoring team members and enhancing patient care through e...

United StatesRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$222K - $303K *

Champion regulatory excellence by leading CMC strategies for global drug approvals. Collaborate across teams to navigate complex regulations, ensuring compliance and successful product lifecycle manag...

New Jersey, USRemote

Reposted 5 days ago

  •   8 - 10 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.