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Assistant Claims Examiner Jobs (NOW HIRING)

Athens Administrators

Assistant Claims Examiner

Orange, CA · On-site +1

$28.32 - $31.49/hr

Assistant Claims Examiner Department: Workers' Compensation Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 6 Career Ladder: Next step in progression could include Future Medical ...

Athens Administrators

Assistant Claims Examiner

Concord, CA · On-site +1

$28.32 - $31.49/hr

Assistant Claims Examiner Department: Workers' Compensation Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 6 Career Ladder: Next step in progression could include Future Medical ...

MedPOINT Management

Claims Examiner

Sherman Oaks, CA · Remote

$20 - $25/hr

Coordinate resolution of claims issues with other Departments. Assist Providers, Members and other Departments in claims research. Provide backup for other examiners within the Department. Assist in ...

JPS Health Network

Claims Examiner

Fort Worth, TX · On-site

Description: The Claims Examiner is responsible for assisting with development of all State ... Maintains appropriate work habits, assist in training employees. * Performs other related job ...

Montana

Claims Examiner Apprenticeship

Helena, MT · On-site

... * Assist with fact-finding interviews by asking questions, listening carefully, and recording ... Claims Examiner level. * Interest in learning how to review information, make decisions, and ...

AlphaStaffHCM

Claims Examiner

Colorado Springs, CO · Hybrid

$80K - $100K/yr

Career path planning and continuing education to assist employees with their professional goals A ... Examiner, you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM ...

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How much do assistant claims examiner jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for assistant claims examiner in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

What job makes $10,000 a month without a degree?

An Assistant Claims Examiner typically earns less than $10,000 per month, but some high-level or specialized roles in insurance claims or other industries can reach that income level through experience, certifications, or overtime. Jobs such as sales managers, real estate brokers, or certain entrepreneurial ventures may also achieve this income without requiring a degree, but they often demand significant skills, networking, or business acumen.

What are Assistant Claims Examiners?

Assistant Claims Examiners are entry-level professionals in the insurance industry who help process and review insurance claims. They support senior claims examiners by gathering information, verifying claim details, and ensuring that all documentation is complete and accurate. Their role is crucial in determining the validity of claims and assisting in the decision-making process regarding claim approval or denial. Assistant Claims Examiners often interact with policyholders, healthcare providers, and other stakeholders to collect necessary information. They also help maintain records and ensure compliance with company policies and regulatory requirements.

Is a claims examiner a stressful job?

A claims examiner role can be stressful due to the need to review complex cases accurately and meet deadlines. The job often involves handling sensitive information and making critical decisions, which can contribute to work-related pressure, especially during high workload periods or when dealing with difficult claimants.

What are the key skills and qualifications needed to thrive as an Assistant Claims Examiner, and why are they important?

To thrive as an Assistant Claims Examiner, you need strong analytical abilities, attention to detail, and a foundational knowledge of insurance principles, often supported by a relevant associate degree or coursework. Familiarity with claims management software, databases, and document imaging systems is typically required. Excellent communication, organizational skills, and a customer service mindset help you collaborate effectively and handle sensitive information. These skills and qualities are crucial for accurately processing claims, minimizing errors, and ensuring customer satisfaction.

What are some common challenges faced by Assistant Claims Examiners, and how can I prepare for them?

Assistant Claims Examiners often encounter challenges such as managing a high volume of claims, ensuring accuracy under tight deadlines, and interpreting complex policy language. To prepare, it’s helpful to develop strong organizational skills, attention to detail, and resilience when working under pressure. Familiarity with claims management software and continuous learning about industry regulations will also help you navigate these challenges and contribute effectively to your team.

How do I become a claims examiner?

To become an assistant claims examiner, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary education or relevant experience. On-the-job training is common, and knowledge of insurance policies, claims processing, and attention to detail are important skills; some positions may require certification or licensing depending on the industry and jurisdiction.

What jobs pay 2000 a day?

Jobs that can pay around $2,000 a day typically include specialized roles such as senior claims examiners, high-level consultants, or certain freelance professionals in fields like law, finance, or technology. These positions often require extensive experience, advanced skills, certifications, or working in high-demand industries with high hourly or project-based rates.
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What cities are hiring for Assistant Claims Examiner jobs? Cities with the most Assistant Claims Examiner job openings:
What are the most commonly searched types of Claims Examiner jobs? The most popular types of Claims Examiner jobs are:
What states have the most Assistant Claims Examiner jobs? States with the most job openings for Assistant Claims Examiner jobs include:
What job categories do people searching Assistant Claims Examiner jobs look for? The top searched job categories for Assistant Claims Examiner jobs are:
Assistant Claims Examiner jobs near you
Infographic showing various Assistant Claims Examiner job openings in the United States as of June 2026, with employment types broken down into 97% Full Time, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $43,783 per year, or $21 per hour.
Assistant Claims Examiner

Assistant Claims Examiner

Athens Administrators

Orange, CA • On-site, Remote

$28.32 - $31.49/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 16 days ago

Job description

ATHENS POSITION DETAILS
Position Title:
Assistant Claims Examiner
Department:
Workers’ Compensation
Reports To:
Claims Supervisor
FLSA Status:
Non-Exempt
Job Grade:
6
Career Ladder:
Next step in progression could include Future Medical Examiner or Claims Examiner Trainee
ATHENS ADMINISTRATORS
Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a “Best Place to Work.” Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property amp; Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today!
POSITION SUMMARY
Athens Administrators has an immediate need for an experienced Assistant Claims Examiner to support our Workers’ Compensation department and can be located anywhere in the state of California, however, employees who live less than 26 miles from the Concord, CA or Orange, CA offices are required to work once a week in the office on a day determined by their supervisor between Tuesday – Thursday. The remaining days can be worked remotely if technical requirements are met, and the employee resides in California. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday-Friday at 37.5 hours a week with the option of a flex schedule. The Assistant Claims Examiner will provide clerical and technical assistance to Senior Claims Examiners and administer Medical Only claims, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, and setting reserves.
PRIMARY RESPONSIBILITIES
Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned:
  • Process new claims in compliance with client’s Service Agreement
  • Issue all indemnity payments and awards on time
  • Process all approved provider bills timely
  • Prepare objection letters to providers for medical bills; delayed, denied, lacking reports.
  • Answer questions over the phone from medical providers regarding bills
  • Contact treating physician for disability status
  • Contact employer for return-to-work status or availability of modified work.
  • Contact injured worker at initial set up
  • Send DWC notices timely
  • Issue SJDB Notices timely
  • Request Job Description from Employer
  • Handle Medical Only claim files
  • Calculate wage statements and adjust disability rates as required
  • Keep diary for all delay dates and indemnity payments
  • Documents file activity on computer
  • Update information on computer, i.e., address changes, etc.
  • Schedule appointments for AME, QME evaluations
  • Send appointment letters, issue TD/mileage, send medical file
  • Schedule interpreter for appointments, depositions, etc.
  • Request Employer’s Report, DWC-1, Doctor’s First Report if needed
  • Verify mileage and dates of treatment for reimbursement to claimant
  • Subpoena records
  • File and serve documents on attorneys, WCAB, doctors
  • Serve PTP’s with medical file and Duties of Treating Physician (9785)
  • Request PD ratings from DEU
  • Draft Stipulated Awards and C amp;R’s
  • Submit C amp;R, Stipulated Awards to WCAB for approval with documentation
  • Process checks – stop payment, cancellations, void, journal payments
  • Handle telephone calls for examiner as needed
  • Complete penalty calculations and prepare penalty worksheets
  • Complete MPN, HCO and/or EDI coding
  • Complete referrals to investigators
  • Complete preparation of documents for overnight delivery
  • Work collaboratively with Senior Claims Examiners, Nurse Case Managers, and other Assistant Claims Examiners
  • Contact with clients, injured workers, attorneys, doctors, vendors, and other parties
  • Provide updates of claims status to Senior Claims Examiners and Athens management
  • Prepare professional, well written correspondence and other communications
ESSENTIAL POSITION REQUIREMENTS
The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations.
  • High School Diploma or equivalent (GED) required for all positions
    • AA/AS or BA/BS preferred but not required
  • 2+ years’ Claims Assistant experience supporting a workers compensation examiner or team preferred
  • Medical Only Adjuster designation required
  • Continuing hours must be current
  • Mathematical calculating skills
  • Completion of IEA or equivalent courses
  • Administrators Certificate from Self-Insurance Plans preferred
  • Knowledge of workers compensation laws, policies, and procedures
  • Understanding of medical and legal terminology
  • Must demonstrate accuracy and thoroughness in work product
  • Ability to sit for prolonged periods of time
  • Well-developed verbal and written communication skills with strong attention to detail
  • Excellent organizational skills and ability to multi-task
  • Ability to type quickly, accurately and for prolonged periods
  • Proficient in Microsoft Office Suite
  • Ability to learn additional computer programs
  • Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution
  • Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization
  • Seeks to include innovative strategies and methods to provide a high level of commitment to service and results
  • Ability to demonstrate care and concern for fellow team members and clients in a professional and friendly manner
  • Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor
  • Athens’ operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company.
  • Must be able to reliably commute to meetings and events as required by this position
APPLY WITH US
We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at http://www.athensadmin.com/careers/job-openings Feel free to include a cover letter if you’d like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: https://dcba.lacounty.gov/wp-content/uploads/2024/08/FCOE-Official-Notice-Eng-Final-8.30.2024.pdf
This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training.
Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.
THANK YOU!
We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don’t forget to check out our website at www.athensadmin.com as well as our LinkedIn, Glassdoor, and Facebook pages!
Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses amp; certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD amp;D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA amp; FSA options, 401k (and Roth), Company-Paid STD amp; LTD and more! Further information about our comprehensive benefits package may be found on our website at https://www.athensadmin.com/careers/why-work-here

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