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.
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.
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.
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.
Principal AI Scientist / Director, Statistical Modeling - Remote
$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...
3 weeks ago
Analytics Lead, Full Stack (Collections & Recoveries)
$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...
Reposted 3 weeks ago
$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...
2 days ago
Manager, Strategic Client Solutions
$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...
2 days ago
Partnership Compliance Consultant
$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...
2 weeks ago
Trial Representative, Workers' Compensation (CA Bay Area)
$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...
2 days ago
Senior Life & Annuity Product Accountant
$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...
2 weeks ago
$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...
2 weeks ago
Senior Advisor, Regulatory Starting Material
$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...
Reposted 1 week ago
Associate Director, Biostatistics FSP
$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...
Today
Director, Healthcare Commissioning
$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...
Reposted 1 week ago
$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...
Today
Vice President, Finance & Operations (Remote)
$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...
3 weeks ago
$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...
3 weeks ago
Vice President - Strategic Account Management (Milwaukee, WI/Minneapolis, MN))
$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...
Yesterday
Associate Director, Medical Strategic Operations (Field)
$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...
Today
$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...
2 weeks ago
$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...
1 week ago
$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...
1 week ago
$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...
1 week ago
$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...
1 week ago
Senior Client Relationship Manager
$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...
3 weeks ago
Senior Consultant (Life Sciences)
$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...
4 weeks ago
EHR Application Analyst - Senior
$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...
Reposted 1 week ago
Senior Director, Regulatory Affairs CMC
$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...
Reposted 5 days ago
What does a Claims Specialist do?
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?
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?
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?
Yes. Ladders features vetted professional jobs paying $100,000 or more, including Claims Specialist opportunities when available.