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Associate Claims Examiner Jobs (NOW HIRING)

Wellcove

Claims - Claims Examiner

Pensacola, FL · On-site

We are able to do this because of our dedicated associates, innovative solutions, and state-of-the-art technology. The Long-Term Care (LTC) Claims Examiner is responsible for the accurate and timely ...

Point C

Claims Examiner

Bellingham, WA · On-site

$19 - $22/hr

Point C is looking for a detail-oriented and motivated Claims Examiner to join our team. In this ... Associate Degree Preferred Individual compensation will be commensurate with the candidate ...

Brown & Brown Insurance

SR. Claims Examiner

Garden City, NY · On-site

$85K - $100K/yr

The Sr. Claims Examiner position will manage an inventory of third-party bodily injury and property ... Associates or bachelor's degree preferred. * Relevant experience handling third-party bodily injury ...

Securian

Claims Examiner

Macon, GA · Hybrid

$18.80 - $32.69/hr

The Property and Casualty (P&C) Claims team is looking for a highly motivated, energized and ... Associates get the benefit of working both virtually and in our offices. If you're in a commutable ...

Securian Financial

Claims Examiner

Macon, GA · Hybrid

$18.80 - $32.69/hr

The Property and Casualty (P&C) Claims team is looking for a highly motivated, energized and ... Associates get the benefit of working both virtually and in our offices. If you're in a commutable ...

Arrowhead Programs

SR. Claims Examiner

Garden City, NY

$85K - $100K/yr

The Sr. Claims Examiner position will manage an inventory of third-party bodily injury and property ... Associates or bachelor's degree preferred. * Relevant experience handling third-party bodily injury ...

Securian Financial

Claims Examiner

Macon, GA · On-site

$18.80 - $32.69/hr

The Property and Casualty (P&C) Claims team is looking for a highly motivated, energized and ... Associates get the benefit of working both virtually and in our offices. If you're in a commutable ...

Assuranceamerica

Casualty Claims Examiner

Tampa, FL · Remote

The Casualty Claims Examiner will work alongside claims management, providing direction and ... Skills & Competencies Communication and analytical ability at a level to interact with associates ...

Assuranceamerica

Casualty Claims Examiner

Atlanta, GA · Remote

The Casualty Claims Examiner will work alongside claims management, providing direction and ... Skills & Competencies Communication and analytical ability at a level to interact with associates ...

Wellcove

Claims - Examiner, Claims

Pensacola, FL · On-site

We are able to do this because of our dedicated associates, innovative solutions, and state-of-the-art technology. Job Summary Manage and handle all Outbound calls and adjudicate claims. Duties ...

Na Ali'i Consulting & Sales, LLC.

$80K - $95K/yr

Overview Nakupuna Consulting is seeking a detail-oriented Claims Examiner Manager to support a ... Associate's Degree or Bachelor's Degree preferred. * Minimum of 5-7 years of professional ...

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All JobsAssociate Claims Examiner Jobs

Associate Claims Examiner information

See salary details

$15

$29

$45

How much do associate claims examiner jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for associate claims examiner in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

What is the difference between Associate Claims Examiner vs Claims Adjuster?

AspectAssociate Claims ExaminerClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance certificationsHigh school diploma or equivalent; licensing or certification may be required depending on state
Work EnvironmentOffice setting, analyzing claims, reviewing documentationField or office, investigating claims, inspecting damages
Employer & IndustryInsurance companies, government agenciesInsurance companies, third-party administrators
Common Search & ComparisonYesYes

The Associate Claims Examiner and Claims Adjuster roles both involve handling insurance claims, but they differ mainly in work environment and responsibilities. The Associate Claims Examiner typically works in an office reviewing claims and documentation, while the Claims Adjuster may investigate damages in the field. Both roles require similar basic credentials, but licensing may be more common for Claims Adjusters. Understanding these differences helps job seekers find the right position in the insurance industry.

What are some common challenges faced by an Associate Claims Examiner, and how are they typically addressed?

Associate Claims Examiners often encounter challenges such as balancing high caseloads, interpreting complex policy language, and meeting tight deadlines. To address these, most organizations provide comprehensive training, access to experienced mentors, and digital tools to streamline the claims review process. Working closely with senior examiners and collaborating with other departments, such as customer service or legal teams, also helps in resolving uncertainties and ensuring timely, accurate claim decisions.

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

To thrive as an Associate Claims Examiner, you need a solid understanding of insurance policies, claims processing, and attention to detail, typically supported by a bachelor’s degree or relevant experience. Familiarity with claims management software and knowledge of regulatory compliance standards are essential technical requirements. Strong analytical thinking, effective communication, and organizational skills help you excel in investigating and resolving claims efficiently. These competencies ensure accurate claims assessment, regulatory adherence, and timely service for clients.

What are Associate Claims Examiners?

Associate Claims Examiners are entry-level professionals who review insurance claims to determine their validity and ensure they comply with company policies and legal requirements. They gather and analyze information, communicate with policyholders, and work with other departments to process claims efficiently. Their role often involves investigating details, verifying documentation, and recommending claim approvals or denials based on their findings. Associate Claims Examiners play a key part in helping insurance companies manage risk and provide quality customer service.
What cities are hiring for Associate Claims Examiner jobs? Cities with the most Associate 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 Associate Claims Examiner jobs? States with the most job openings for Associate Claims Examiner jobs include:
Associate Claims Examiner jobs near you
Infographic showing various Associate Claims Examiner job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 96% Full Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Claims - Claims Examiner

Wellcove

Pensacola, FL • On-site

Full-time

Posted 14 days ago

Job description

Who We Are
Wellcove has been recognized as the nation's leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don't stop there. Wellcove also addresses challenges faced in accident & health, disability, and supplemental health insurance programs.
Our team provides individuals and their families with peace of mind knowing their insurance needs will be met in a thoughtful, efficient manner. We are able to do this because of our dedicated associates, innovative solutions, and state-of-the-art technology.
The Long-Term Care (LTC) Claims Examiner is responsible for the accurate and timely adjudication of long-term care insurance claims. This role ensures compliance with policy provisions, regulatory requirements, and company standards while delivering a high level of customer service to policyholders, providers, and internal stakeholders.
  • Review, evaluate, and adjudicate Long Term Care claims in accordance with policy provisions and established guidelines
  • Analyze claim documentation including invoices, care plans, and provider credentials
  • Apply knowledge of Coordination of Benefits (COB), Medicare, Medicaid, and other payer sources when applicable
  • Ensure claims are processed within established turnaround times and service level agreements (SLAs)
  • Communicate effectively with policyholders, providers, and internal teams regarding claim status, requirements, and determinations
  • Identify and request additional documentation when necessary to support claim decisions
  • Maintain accurate and detailed claim notes in system of record
  • Ensure compliance with HIPAA and all applicable regulatory and privacy requirements
  • Participate in quality assurance activities and implement feedback for continuous improvement
  • Support training and mentoring of new or junior staff as needed
  • Required Qualifications
    • High school diploma or equivalent required; associate or bachelor's degree preferred
    • 2+ years of experience in insurance claims, healthcare administration, or Long-Term Care claims processing
    • Strong understanding of Long-Term Care policies, benefits, and eligibility criteria preferred
    • Knowledge of medical terminology and healthcare documentation
    • Proficiency in claims systems and Microsoft Office (Excel, Word, Outlook)
    • Strong analytical and decision-making skills
    • Excellent written and verbal communication skills
    • Ability to manage multiple priorities in a fast-paced environment

    Core Competencies
    • Attention to Detail
    • Critical Thinking & Problem Solving
    • Customer Focus
    • Time Management & Productivity
    • Compliance & Risk Awareness
    • Team Collaboration

At Wellcove, we strive to create an inclusive culture for all. We understand the importance of listening and incorporating various perspectives at every level of service. Our company does not discriminate based on gender identity, race, sexual orientation, age, religion, or disability.

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