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Claim Reviewer Jobs (NOW HIRING)

Home Care Delivered

Revenue Claim Reviewer I

Glen Allen, VA · On-site

$76.70K - $77.20K/yr

Must demonstrate experience in Microsoft office and proficiency in claim management systems. EDUCATION/EXPERIENCE * High School Diploma and/or GED required. Associates Degree, strongly preferred.

Amentum

Senior Paralegal

Washington, DC · On-site

Claim Review Assessor Position Description AMENTUM Job Title: Senior Paralegal MEGA V Labor Category: Paralegal/Legal Assistant II General The September 11th Victim Compensation Fund ("VCF") was ...

Pae

Senior Paralegal

Washington, DC

Working closely with respective claim review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation ...

Pae

Senior Paralegal

Washington, DC

Claim Review Assessor Position Description AMENTUM Job Title: Senior Paralegal MEGA V Labor Category: Paralegal/Legal Assistant II General The September 11th Victim Compensation Fund ("VCF") was ...

Pae

Senior Paralegal

Washington, DC · On-site

$31.69/hr

Working closely with respective claim review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation ...

Amentum

Senior Paralegal

Washington, DC · On-site

Working closely with respective claim review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation ...

Chubb

Claim Examiner

Los Angeles, CA

$62.20K - $105.80K/yr

Reviews claim and policy information to provide background for investigation. * Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured, claimant and ...

Chubb

Claim Representative

Los Angeles, CA · On-site

$57.20K - $83.30K/yr

Review and assess new medical-only claims to determine eligibility and coverage under workers ... Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss ...

Chubb

Claim Representative

Los Angeles, CA · On-site

$57.20K - $83.30K/yr

Review and assess new medical-only claims to determine eligibility and coverage under workers ... Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss ...

Chubb

Claim Representative

Los Angeles, CA

$57.20K - $80.30K/yr

Review and assess new medical-only claims to determine eligibility and coverage under workers ... Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss ...

Chubb

Claim Representative

Los Angeles, CA

$57.20K - $80.30K/yr

Review and assess new medical-only claims to determine eligibility and coverage under workers ... Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss ...

Chubb

Claim Representative

Los Angeles, CA · On-site

$57.20K - $80.30K/yr

Review and assess new medical-only claims to determine eligibility and coverage under workers ... Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss ...

Chubb

Senior Claim Examiner

Los Angeles, CA · On-site

$72.40K - $123.10K/yr

Reviews claim and policy information to provide background for investigation. * Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured, claimant and ...

PGBA, LLC

Reviewer I, Medical

Myrtle Beach, SC · On-site

Performs medical claim reviews and makes a reasonable charge payment determination. Monitors process's timeliness in accordance with contractor standards. Performs authorization process, ensuring ...

Ourhrconnect

Reviewer I, Medical

Myrtle Beach, SC

Performs medical claim reviews and makes a reasonable charge payment determination. Monitors process's timeliness in accordance with contractor standards. Performs authorization process, ensuring ...

Ourhrconnect

Reviewer I, Medical

Myrtle Beach, SC

Performs medical claim reviews and makes a reasonable charge payment determination. Monitors process's timeliness in accordance with contractor standards. Performs authorization process, ensuring ...

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How much do claim reviewer jobs pay per hour?

As of May 30, 2026, the average hourly pay for claim reviewer in the United States is $19.85, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.63 per hour, depending on experience, location, and employer.

What is a Claim Reviewer job?

A Claim Reviewer is responsible for evaluating insurance claims to determine their validity and compliance with policy terms. They review documentation, investigate details, and assess whether claims should be approved, denied, or require further information. Claim Reviewers work closely with policyholders, healthcare providers, or other relevant parties to ensure accurate claim processing. Their role helps prevent fraud, control costs, and ensure fair payouts.

What are the key skills and qualifications needed to thrive in the Claim Reviewer position, and why are they important?

To thrive as a Claim Reviewer, you need a strong understanding of insurance policies, claims processing procedures, and attention to detail, often supported by relevant experience or education in insurance or a related field. Familiarity with claims management software, document imaging systems, and occasionally industry certifications (such as AIC or CPCU) are valuable assets. Strong analytical thinking, clear communication, and organizational skills help Claim Reviewers manage case loads and coordinate with different teams. Possessing these skills ensures accurate evaluations, timely processing, and maintains compliance and customer satisfaction in the claims process.

What does a typical workday look like for a Claim Reviewer?

As a Claim Reviewer, your day typically involves reviewing submitted claims to verify accuracy, completeness, and compliance with policy guidelines. You'll analyze supporting documentation, collaborate with adjusters or other team members for additional information, and ensure decisions are well-documented and justified. Expect to handle multiple cases simultaneously, requiring good time management and organizational skills. Communication with customers or policyholders may occur when clarifications or follow-ups are needed. The work is often structured yet dynamic, offering meaningful variety and opportunities to develop knowledge within the insurance industry.
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Claim Reviewer jobs near you
Infographic showing various Claim Reviewer job openings in the United States as of May 2026, with employment types broken down into 97% Full Time, 1% Part Time, and 2% Contract. Highlights an 94% Physical, and 6% Remote job distribution, with an average salary of $41,287 per year, or $19.8 per hour.
Revenue Claim Reviewer I

Revenue Claim Reviewer I

Home Care Delivered

Glen Allen, VA • On-site

$76.70K - $77.20K/yr

Full-time

Posted 6 days ago

Home Care Delivered rating

7.4

Company rating: 7.4 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Home Care Delivered, Inc. was founded by Gordy Fox in 1996 as a result of his own personal experience with family members aging and living with chronic medical conditions. He found that it wasn't easy for people in the home health setting to get the information or the supplies they needed to care for themselves or to follow their physician's treatment plans properly. HCD provides only the highest quality medical supplies and products. We carry thousands of items from leading providers in the industry and deliver them within 48 hours to your door.
JOB SUMMARY
Ensures that Home Care Delivered, Inc. is properly reimbursed on claims it has submitted for payment. Communicates effectively with key decision makers within the company. Undertakes all work in accordance with law, regulation, payer requirements, and company requirements and polices.
** This role is 100% remote but EST is preferable.**
ESSENTIAL DUTIES
  • Researches and resolves issues with claims, including denials and appears for assigned payer group.
  • Identifies discrepancies and effectively works toward their resolution or communicates to other personnel for resolution as appropriate.
  • Effectively communicates with other revenue management staff and management, including potential changes to PayerPro, changes in fee schedule, need for prior authorization, etc.
  • Maintains appropriate level of communication and confidentiality.
  • Performs all other duties assigned, which may vary at any time with our without notice.

COMPETENCIES
  • Able to complete tasks in specified time frame.
  • Demonstrates strong organization skills and proven ability to multi-task and manage time in order to meet frequently changing deadlines in a fast-paced environment.
  • Demonstrates superior professional ethics and commitment to working appropriately with and managing highly confidential and sensitive information and personal situations with ability to effectively ensure complete security.
  • Demonstrates excellent interpersonal, oral, and written communication skills.
  • Demonstrates excellent organizational skills as well as strong attention to detail.
  • Demonstrates a flexible helpful attitude and willingness to take on additional responsibility during periods of lighter workload.
  • Must demonstrate experience in Microsoft office and proficiency in claim management systems.

EDUCATION/EXPERIENCE
  • High School Diploma and/or GED required. Associates Degree, strongly preferred. Degree can be in general studies, accounting, finance or similar course of study.
  • Experience with insurance billing and/or collections required.

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