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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$100K - $110K *

Lead the charge in developing innovative insurance products that drive growth and profitability. Collaborate with cross-functional teams to analyze market trends, enhance offerings, and ensure success...

Georgia, USRemote

5 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$72K - $121K *

Join a team that's dedicated to promoting compliance while leading project initiatives. Collaborate across departments as a functional expert to establish policies and monitor compliance with regulato...

United StatesRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $150K *

Unlock potential by leading claims adjudication logic to enhance accuracy and efficiency. Drive strategic improvements, collaborate across teams, and ensure compliance while optimizing operations in a...

United StatesRemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$65K - $110K *

Elevate your career by investigating and negotiating bodily injury claims remotely. You'll assess coverage, communicate with clients and attorneys, and utilize innovative tools to ensure fair settleme...

Florida, USRemote

Today

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $151K *

Elevate your career by representing the organization in claims-related legal matters. Provide expert legal counsel, manage litigation costs, and develop effective strategies to ensure compliance and e...

United StatesRemote

4 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$122K - $183K *

Manage a diverse caseload of EPL claims, overseeing investigations, coverage analysis, and litigation strategies to ensure optimal outcomes and compliance with industry standards...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$95K - $115K *

Join a team that's shaping the future of claims management by overseeing Property loss claims, collaborating with adjusters, underwriters, and insureds to ensure effective resolution and communication...

New York, NYRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$86K - $105K *

Drive the investigation and adjustment of homeowners' claims, ensuring accurate coverage and damage assessments. Utilize your expertise to negotiate claims independently while prioritizing customer ne...

California, USRemote

Reposted 2 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $148K *

Unlock potential by determining risk acceptability and pricing for complex insurance accounts. Collaborate with brokers, analyze claims, and foster relationships to achieve production goals in a fast...

RemoteRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$87K - $157K *

Unlock compliance excellence by managing auditing, monitoring, and reporting processes to ensure adherence to regulatory standards and enhance operational efficiency across contracts and collaboration...

RemoteRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $193K *

Drive innovation as a trusted legal advisor, guiding privacy strategies in a tech-focused environment. Collaborate cross-functionally to manage legal risks, regulatory compliance, and cutting-edge dat...

RemoteRemote

4 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$96K - $116K *

Champion innovative medical policy solutions by analyzing data, ensuring quality, and collaborating across clinical operations. Drive enhancements in payment policy management while supporting diverse...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$103K - $120K *

Advance your career by reviewing and revising scientific claims for dietary supplements. Collaborate with cross-functional teams to ensure compliance and support product development while managing mul...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Food & Beverages

$130K - $170K *

Empower your career by leveraging actuarial expertise to drive strategic rate filings and innovative pricing solutions within a collaborative global team, influencing business outcomes through detaile...

RemoteRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$89K - $134K *

Engage with clients by managing strategic account plans, driving growth initiatives, and enhancing relationships. Collaborate with cross-functional teams to deliver client-focused solutions, ensuring...

North Carolina, USRemote

4 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$91K - $171K *

Transform the Occupational Risk Claims Program through strategic leadership, ensuring operational excellence and compliance while fostering a high-performing team to drive program success...

Eatontown, NJRemote

4 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$75K - $95K *

Empower customer success through strategic account management and relationship building. Collaborate closely with clients to ensure satisfaction and retention, while driving revenue and addressing uni...

United StatesRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Manufacturing & Automotive

$106K - $137K *

Join a team that's dedicated to developing profitable agency relationships. Assess agent strengths, provide training, and ensure compliance with company initiatives while driving growth and profitabil...

Arizona, USRemote

1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$90K - $95K *

Drive the successful adoption of advanced hearing solutions by providing expert clinical support and education to healthcare professionals. Collaborate closely with cross-functional teams to enhance p...

United StatesRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $86K *

Unlock potential by serving as a key revenue liaison, ensuring accurate charge capture and revenue integrity across departments. Collaborate with teams to identify trends, resolve issues, and enhance...

Melville, NYRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Drive revenue cycle optimization by enhancing Epic Professional Billing workflows, collaborating with stakeholders, and resolving claims challenges to improve overall operational efficiency and ensure...

United StatesRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$93K - $116K *

Join a team that's redefining insurance underwriting by evaluating petroleum distribution applications, determining coverage levels, and ensuring compliance with industry standards. Leverage your expe...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$100K - $250K *

Develop and manage new insurance accounts while driving sales growth through consultative approaches. Build strong client relationships, assess risk needs, and provide tailored solutions to ensure cli...

RemoteRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$87K - $119K *

Transform provider negotiations across diverse medical lines, ensuring compliance and strategic alignment. Collaborate with teams to enhance contract proposals and implement innovative payment models...

Newark, NJRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$69K - $133K *

Pioneer data-driven pricing solutions for annuities, leveraging actuarial expertise to enhance profitability while collaborating on complex analyses and modeling initiatives. Contribute to innovative...

San Antonio, TXRemote

Reposted today

  •   Less than 5 years exp.  •   Finance & Insurance

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.