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Claims Examiner Short Term Disability Jobs (NOW HIRING)

LHH US

Claims Examiner I

Sacramento, CA

$20 - $23/hr

Claims Examiner I Department: Claims Position Summary We are seeking a detail-oriented Claims ... Benefit offerings include medical, dental, vision, life insurance, short-term disability ...

Network Adjusters, Inc.

Claims Examiner

Denver, CO · On-site

$85K - $125K/yr

Network Adjusters is seeking experienced Claims Examiners to join our third-party administrative ... Supplemental life insurance and optional short-term disability * Strong work/family and employee ...

Richmond National

Claims Examiner

Glen Allen, VA · On-site

$65K - $85K/yr

Job Title: Claims Examiner Location: Full time in-office, Richmond, VA 23233 We are seeking a ... Basic Life/AD&D/Short Term/Long Term Disability coverage. * 401(k) - Company match of up to 6% * ...

Harris

Claims Examiner

New York, NY · On-site

Claims Examiner - Life, Accident, Critical Illness, LTC, and Hospital Indemnity Overview ... As a Claims Analyst specializing in Accident, Critical Illness, Short-Term Disability, and Hospital ...

Hiscox

Sr. Claims Examiner

Boston, MA · On-site

$80K - $125K/yr

The Senior Claims Examiner adjudicates assigned claims within given authority and provides ... Company paid group term life, short- term disability and long-term disability coverage * 24 Paid ...

Harris

Claims Examiner

New York, NY · Remote

Claims Examiner - Life, Accident, Critical Illness, LTC, and Hospital Indemnity Overview ... As a Claims Analyst specializing in Accident, Critical Illness, Short-Term Disability, and Hospital ...

Hiscox

Sr. Claims Examiner

Chicago, IL · On-site

$80K - $125K/yr

The Senior Claims Examiner adjudicates assigned claims within given authority and provides ... Company paid group term life, short- term disability and long-term disability coverage * 24 Paid ...

Hiscox

Sr. Claims Examiner

Atlanta, GA · On-site

$80K - $125K/yr

The Senior Claims Examiner adjudicates assigned claims within given authority and provides ... Company paid group term life, short- term disability and long-term disability coverage * 24 Paid ...

Hiscox

Sr. Claims Examiner

Scottsdale, AZ

$80K - $125K/yr

The Senior Claims Examiner adjudicates assigned claims within given authority and provides ... Company paid group term life, short- term disability and long-term disability coverage * 24 Paid ...

Harris

Claims Examiner

New York, NY · Remote

Claims Examiner - Life, Accident, Critical Illness, LTC, and Hospital Indemnity Overview ... As a Claims Analyst specializing in Accident, Critical Illness, Short-Term Disability, and Hospital ...

Hiscox

Sr. Claims Examiner

New York, NY

$80K - $125K/yr

The Senior Claims Examiner adjudicates assigned claims within given authority and provides ... Company paid group term life, short- term disability and long-term disability coverage * 24 Paid ...

Allcat Claims Service

Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims

Allcat Claims Service

Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims

Allcat Claims Service

Claims Examiner

OR · Remote

Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims

Adecco

Medical Claims Examiner

San Antonio, TX

$22.50/hr

Monday-Friday, 8:00 AM - 5:00 PM (Onsite) Adecco is seeking a detail-oriented Claims Examiner to ... short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K ...

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All JobsClaims Examiner Short Term Disability Jobs

Claims Examiner Short Term Disability information

See salary details

$15

$29

$45

How much do claims examiner short term disability jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for claims examiner short term disability 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 Claims Examiner Short Term Disability vs Claims Adjuster?

AspectClaims Examiner Short Term DisabilityClaims Adjuster
CredentialsHigh school diploma or equivalent; some roles require insurance licensesHigh school diploma or equivalent; licensing often required
Work EnvironmentOffice setting, reviewing disability claimsOffice or field, investigating and assessing claims
Industry UsageInsurance, healthcare, employee benefitsInsurance, property and casualty sectors
Primary FocusEvaluating short-term disability claims for benefitsInvestigating and settling insurance claims

While both roles involve insurance claims, Claims Examiner Short Term Disability focuses on evaluating disability benefit claims, often within healthcare or employee benefits, whereas Claims Adjusters handle a broader range of insurance claims, including property and casualty. The skills and credentials overlap, but their daily tasks and industry focus differ.

What does a claims examiner short term disability do?

A Claims Examiner for Short Term Disability is responsible for reviewing and evaluating insurance claims submitted by individuals who are temporarily unable to work due to injury or illness. They analyze medical records, employment information, and policy details to determine if the claimant meets the eligibility requirements for short term disability benefits. Claims Examiners communicate with claimants, healthcare providers, and employers to gather necessary documentation and ensure the claim is processed accurately and fairly. Their goal is to make timely and informed decisions about benefit approvals or denials while adhering to company policies and legal guidelines.

What are some common challenges faced by claims examiners short term disability, and how are they typically addressed?

Claims Examiners in Short Term Disability often encounter challenges such as interpreting complex medical documentation, managing high case volumes, and communicating sensitive decisions to claimants. To address these, examiners rely on strong organizational skills, collaboration with medical professionals, and ongoing training in regulatory compliance. Many organizations also provide mentorship and peer review structures to help examiners make consistent, fair decisions and reduce errors under tight deadlines.

What are the key skills and qualifications needed to thrive as a claims examiner short term disability?

To thrive as a Claims Examiner for Short Term Disability, you need a solid understanding of insurance policies, claims processing, and medical terminology, typically supported by relevant experience or a degree in a related field. Familiarity with claims management software, case documentation systems, and sometimes certification such as Associate in Claims (AIC) is important. Strong analytical skills, attention to detail, and effective communication help you evaluate claims accurately and interact with policyholders and healthcare providers. These skills ensure timely, fair claim decisions and maintain compliance with regulations, protecting both the company and claimants.
More about Claims Examiner Short Term Disability jobs
What cities are hiring for Claims Examiner Short Term Disability jobs? Cities with the most Claims Examiner Short Term Disability job openings:
What states have the most Claims Examiner Short Term Disability jobs? States with the most job openings for Claims Examiner Short Term Disability jobs include:
What job categories do people searching Claims Examiner Short Term Disability jobs look for? The top searched job categories for Claims Examiner Short Term Disability jobs are:
Claims Examiner Short Term Disability jobs near you
Infographic showing various Claims Examiner Short Term Disability job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Claims Examiner I

LHH US

Sacramento, CA

$20 - $23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

Claims Examiner I
Department: Claims
Position Summary
We are seeking a detail-oriented Claims Examiner I to join our Claims team. This role is responsible for reviewing, analyzing, and adjudicating medical claims accurately and within established regulatory timelines. The ideal candidate will ensure claims are processed in accordance with contractual agreements, internal policies, and applicable state and federal regulations while maintaining high standards of quality, accuracy, and productivity.
Responsibilities
  • Review and adjudicate medical claims accurately and efficiently.
  • Determine the appropriate payer based on coding, contractual agreements, service areas, and Division of Financial Responsibility (DoFR) guidelines.
  • Analyze claims and make payment determinations in accordance with company policies and regulatory requirements.
  • Process claims adjustments and corrections as needed.
  • Review and process member reimbursement requests within required turnaround times.
  • Ensure claim payments are issued at the appropriate contracted rates.
  • Maintain departmental quality and audit standards.
  • Forward misdirected claims to the appropriate payer within established timelines.
  • Meet regulatory requirements and internal service-level standards for claims processing and resolution.
  • Ensure clean, unclean, and contracted claims are processed within required timeframes.
  • Accurately document claim determinations, denials, and payment decisions.
  • Consistently meet productivity, accuracy, and timeliness goals.
  • Assist with special projects and perform additional duties as assigned.
Qualifications
  • High School Diploma or equivalent required.
  • Minimum of 1 year of medical claims adjudication experience within the healthcare industry; HMO experience preferred.
  • Working knowledge of medical claim processing practices and healthcare reimbursement methodologies.
  • Understanding of medical coding standards, including:
  • ICD (International Classification of Diseases)
  • CPT (Current Procedural Terminology)
  • Revenue Codes
  • Strong analytical and problem-solving skills.
  • Excellent attention to detail and accuracy.
  • Ability to interpret policies, procedures, contracts, and regulatory guidelines.
  • Effective verbal and written communication skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Proficiency with Microsoft Office applications, including Outlook, Word, and Excel.
  • Familiarity with state and federal healthcare regulations, including ERISA guidelines.
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Pay Details: $20.00 to $23.00 per hour
Search managed by: Savannah Mckillip
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance
Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.