ZipRecruiter

Log In

1

Claims Examiner Processor Jobs (NOW HIRING)

Americo Life, Inc.

Claims Examiner I

Kansas City, MO

The Claims Examiner processes the notification of death claims, ensures state regulations are being maintained in the follow up process, reviews and adjudicates claims, and provides assistance to the ...

Americo

Claims Examiner I

Kansas City, MO · On-site

The Claims Examiner processes the notification of death claims, ensures state regulations are being maintained in the follow up process, reviews and adjudicates claims, and provides assistance to the ...

Independent Living Systems

Claims Examiner

Miami, FL · On-site

Minimum of 2 years experience in claims examination, medical billing, or healthcare insurance processing. * Strong understanding of medical terminology, insurance policies, and healthcare billing ...

Next Step Systems

Claims Examiner

Tucson, AZ · On-site

Under general supervision from the Director of Operations, the responsibility of Claims Examiner consists of processing claim data and adjudicating medical and inpatient claims received from all ...

Independent Living Systems

Claims Examiner

Miami, FL · On-site

Minimum of 2 years experience in claims examination, medical billing, or healthcare insurance processing. * Strong understanding of medical terminology, insurance policies, and healthcare billing ...

Next Step Systems

Claims Examiner

Tucson, AZ · On-site

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Claims Examiner Responsibilities: - Submit claims and ...

Southern Mutual Church Insurance

Be Seen First

Claims Examiner

Columbia, SC · On-site

The Claims Examiner reviews insurance claims to verify that due process was followed and ensure legal compliance, approve or deny insurance claims and provide customer service to policyholders and ...

Managed Staffing

Claims Examiner

Whittier, CA · On-site

$30 - $32/hr

Accurately process, adjudicate, and pay UB-92 and HCFA-1500 claims. * Handle claims received from hospitals and affiliated medical groups for HMO patients. * Apply correct payment methodologies for ...

Texas Children's Hospital

Claims Examiner

Bellaire, TX · On-site

In this position, you will process and adjudicate claims received for reimbursement to Providers ... Examiners should process at least 14 claims per hour, or 98 claims per day. Conducts review and ...

MedPOINT Management

Claims Examiner

Sherman Oaks, CA · Remote

$20 - $25/hr

Review, analyze, and process medical claims in accordance with plan benefits and company guidelines ... claims processing or claims examination * Proficiency in ICD-10, CPT, and HCPCS coding

next page

Showing results 1-20

All JobsFinance And Insurance JobsInsurance JobsClaim Processing Specialist JobsClaims Examiner Processor Jobs

Claims Examiner Processor information

See salary details

$12

$19

$26

How much do claims examiner processor jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for claims examiner processor in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.

What does a claims examiner processor do?

A Claims Examiner Processor is responsible for reviewing, evaluating, and processing insurance claims to determine their validity and ensure compliance with policy terms. They verify claim information, investigate discrepancies, and may communicate with policyholders, medical providers, or other parties to gather necessary documentation. Their role is crucial in preventing fraudulent claims and ensuring accurate and timely payment or denial of claims. This position requires attention to detail, strong analytical skills, and knowledge of insurance regulations and procedures.

What are the key skills and qualifications needed to thrive as a claims examiner processor?

To thrive as a Claims Examiner Processor, you need strong analytical skills, attention to detail, and a solid understanding of insurance policies and claims processes, often supported by a relevant degree or professional experience. Familiarity with claims management software, document imaging systems, and sometimes industry certifications such as AIC (Associate in Claims) is typically required. Excellent organizational skills, clear communication, and the ability to manage time effectively help set top performers apart. These competencies are essential to ensure accuracy, efficiency, and compliance in processing claims, directly impacting customer satisfaction and organizational integrity.

What are some typical challenges claims examiner processors face when reviewing insurance claims?

Claims Examiner Processors often encounter challenges such as interpreting complex policy details, identifying potential fraud, and managing a high volume of claims within tight deadlines. Staying up-to-date with constantly changing regulations and insurer guidelines is essential, as is maintaining strong attention to detail to ensure accurate claim adjudication. Collaboration with adjusters, policyholders, and healthcare providers is also common, requiring strong communication and problem-solving skills.

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

AspectClaims Examiner ProcessorClaims Adjuster
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; insurance licenses or certifications often preferred
Work EnvironmentOffice setting, processing claims, reviewing documentationField and office work, investigating claims, meeting clients
Industry UsageInsurance companies, government agenciesInsurance companies, independent adjusting firms
Job FocusReviewing and processing insurance claims based on policiesEvaluating damages, determining claim validity, negotiating settlements

Claims Examiner Processors primarily review and process insurance claims within an office environment, focusing on documentation and policy compliance. Claims Adjusters often investigate claims in the field, assess damages, and negotiate settlements. While both roles require insurance knowledge, Claims Adjuster roles typically involve more investigative work and client interaction.

Is claims examiner processing a stressful job?

Claims examiner processing can be stressful due to the need for accuracy, attention to detail, and meeting deadlines while reviewing complex claims. The job often involves handling high volumes of cases and making critical decisions, which can contribute to work-related stress. However, stress levels vary depending on the workload, work environment, and individual coping skills.

What do you need to be a claims examiner processor?

To become a claims examiner processor, candidates typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Some positions may require experience with claims processing software or knowledge of insurance policies, and certifications such as the Certified Claims Professional (CCP) can be beneficial.

What cities are hiring for Claims Examiner Processor jobs?

Cities with the most Claims Examiner Processor job openings:

What states have the most Claims Examiner Processor jobs?

States with the most job openings for Claims Examiner Processor jobs include:

What are popular job titles related to Claims Examiner Processor jobs?

For Claims Examiner Processor jobs, the most frequently searched job titles are:

Claims Examiner Processor jobs near you

Claims Examiner I

Kansas City, MO

Americo Life, Inc.
Insurance Services • 51 - 200 employees
Learn more about Americo Life, Inc.external

Full-time

Re-posted 17 days ago

Job description

Job Description

We are currently looking for a Claims Examiner to join our team! The Claims Examiner processes the notification of death claims, ensures state regulations are being maintained in the follow up process, reviews and adjudicates claims, and provides assistance to the beneficiaries through calls and written correspondence.

Job Responsibilities

  • Review and process non-contestable death claims
  • Create payments and letters to settle claims
  • Correspond with claimants via phone, letter, and email
  • Follow all state regulations, being mindful of Unfair Claim Practice regulations
  • Provide excellent, prompt customer service to beneficiaries and other callers
  • Reconcile suspense items, returned mail, and other items in workflow according to service level agreements

Experience and Qualifications

  • Good understanding or ability to learn in house systems (Workflow/Imaging System, Life Insurance Policy Administration systems, Microsoft Office applications)
  • Knowledge of life and disability insurance
  • Well organized, detail oriented, uses time efficiently
  • Able to work independently and think critically
  • Excellent written and verbal communication
  • Able to operate effectively in a fast-paced environment while maintaining a professional image and positive attitude

Education Qualifications

Four year degree from an accredited college or university, or relevant industry experience

Apply