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Claim File Reviewer Jobs (NOW HIRING)

Elevate Claims Solutions

File Reviewer

Indianapolis, IN · On-site

$15.75 - $19/hr

File Reviewer Property Claims Commercial / Large Loss Elevate is searching for additional contract ... Reviews claim submissions from the field staff and audits work product for accuracy ...

Elevate Claims Solutions

File Reviewer

Indianapolis, IN · On-site

$14.75 - $17.75/hr

File Reviewer Property Claims Commercial / Large Loss Elevate is searching for additional contract ... Reviews claim submissions from the field staff and audits work product for accuracy ...

Wallace and Graham, PA

Claim Reviewer

Salisbury, NC · Remote

$19.25 - $24.25/hr

This person would be responsible for reviewing medical documentation and exposure records against claim filing criteria to determine if claimant has a compensable disease and a qualifying exposure ...

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How much do claim file reviewer jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for claim file reviewer 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 are the key skills and qualifications needed to thrive as a Claim File Reviewer, and why are they important?

To thrive as a Claim File Reviewer, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies or claims processing, typically backed by relevant experience or a degree in a related field. Familiarity with claims management software, document management systems, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Excellent organizational skills, discretion, and effective communication are valuable soft skills for accuracy and collaboration. These capabilities ensure thorough and compliant claim reviews, minimizing errors and supporting fair outcomes for all parties.

What are some common challenges Claim File Reviewers face when evaluating complex insurance claims?

Claim File Reviewers often encounter complex cases that require careful analysis of policy details, medical records, and legal documentation. A key challenge is balancing efficiency with thoroughness, as missing critical information can lead to incorrect claim decisions. Additionally, reviewers must navigate tight deadlines while collaborating closely with adjusters, legal teams, and sometimes customers to resolve discrepancies. Staying updated on changing regulations and company policies is also essential to ensure accurate and compliant reviews.

What is the difference between Claim File Reviewer vs Claims Adjuster?

AspectClaim File ReviewerClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; insurance licenses or certifications often preferred
Work EnvironmentOffice setting, reviewing claim files and documentationOffice or field, investigating claims and interacting with claimants
Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Search & Comparison IntentUnderstanding role differences, job requirements, and career pathsComparing responsibilities, credentials, and work scope

The Claim File Reviewer primarily focuses on reviewing and verifying claim documentation within an office environment, often requiring minimal certifications. In contrast, Claims Adjusters investigate claims, sometimes in the field, and may hold insurance licenses. Both roles are integral to the insurance industry but differ in scope, responsibilities, and required credentials.

What are Claim File Reviewers?

Claim File Reviewers are professionals who evaluate insurance claims to ensure their accuracy, completeness, and compliance with policy guidelines. They review submitted documents, assess the validity of claims, and may request additional information or clarification from claimants. Their work helps insurance companies detect errors, prevent fraud, and make fair decisions regarding claim approvals or denials. Claim File Reviewers play a crucial role in maintaining the integrity of the claims process and upholding industry standards.
More about Claim File Reviewer jobs
What states have the most Claim File Reviewer jobs? States with the most job openings for Claim File Reviewer jobs include:
What job categories do people searching Claim File Reviewer jobs look for? The top searched job categories for Claim File Reviewer jobs are:
Claim File Reviewer jobs near you
Infographic showing various Claim File Reviewer job openings in the United States as of July 2026, with employment types broken down into 79% Full Time, 19% Part Time, 1% Temporary, and 1% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $43,783 per year, or $21 per hour.

File Reviewer

Elevate Claims Solutions

Indianapolis, IN • On-site

$15.75 - $19/hr

Other

Re-posted 11 days ago

Job description


File Reviewer
Property Claims
Commercial / Large Loss
Elevate is searching for additional contract review staff to assist with commercial claims quality file reviews.Hours are flexible within certain time parameters.
This is a part time contract position that varies with the seasons and weather events.Compensation is on a 1099 basis, per file, for work performed.
Position Duties & Responsibilities
  • Reviews claim submissions from the field staff and audits work product for accuracy, professionalism, and adherence to Elevate, carrier, and industry requirements.
  • Packages and provides interim and finished work product to the carriers and advances diaries and / or invoices and closes files as necessary.
  • Alerts management of developing or potential issues on claim files as observed.
  • Alerts management to exceptional performance on claim files as observed.
  • Provides direction and guidance to staff to ensure that they have sufficient knowledge and skill to provide exemplary customer service and resolve claims timely and equitably across all lines of business.
  • Reviews client guidelines in order to ensure adherence to client requirements and policyholder expectations.
  • Conducts closed file audits as assigned to ensure that claims are handled according to company policies and procedures.
  • Assists in design of workflows, processes, and techniques with a focus on continual process development.
Requirements & Qualifications
  • Three years minimum experience of increasing claims responsibility.
  • Prior file review experience in a claim handling setting.
  • Experience in both carrier and independent adjusting roles is preferred.
  • Experience in commercial and personal lines claims is required.
  • Demonstrated effective verbal and written communication ability.
  • Effective customer service, organization, influence, critical thinking, conflict management, and teamwork skills.
  • Demonstrated self-motivation with the ability to plan, organize, and complete tasks independently without close supervision.
  • FileTrac experience is preferred.
  • Xactimate / Xactanalysis experience is preferred.
  • Symbility experience is a plus.
  • Complex loss experience is a plus.

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