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Claims Examiner Jobs in Reno, NV (NOW HIRING)

CCMSI

Workers' Compensation Claim Representative I

Reno, NV · On-site

$60K - $72K/yr

We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees ...

CCMSI

Workers' Compensation Claim Representative I

Reno, NV · On-site

$60K - $72K/yr

We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees ...

Disabled American Veterans

NSO Apprentice Interest

Reno, NV · On-site

$20.18 - $31.39/hr

... claims and other benefits from the United States Department of Veterans Affairs and, on occasion ... examining witnesses. * Learn to develop specific goals and plans to prioritize, organize, and ...

CCMSI

Claim Representative, Medical Only

Carson City, NV · On-site

$22 - $25/hr

We don't just process claims-we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees ...

CCMSI

Claim Representative, Medical Only

Carson City, NV · On-site

$22 - $25/hr

We don't just process claims-we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees ...

CCMSI

Claim Representative, Medical Only

Carson City, NV · On-site

$22 - $25/hr

We don't just process claims-we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees ...

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Showing results 21-40

All JobsClaims Examiner JobsClaims Examiner Jobs in Reno, NV

Claims Examiner information

See Reno, NV salary details

$15

$29

$45

How much do claims examiner jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for claims examiner in Reno, NV is $29.32, according to ZipRecruiter salary data. Most workers in this role earn between $22.31 and $35.00 per hour, depending on experience, location, and employer.

What is a claims examiner?

A claims examiner evaluates claim files that have been submitted by an insurance adjuster. They decide whether to authorize or deny payments and refer suspicious or complicated claims to insurance investigators. This job is a risk management position. In health insurance, examiners may have to decide if medical procedures are worth the patient’s prognosis, if someone's cause of death warrants incidental fees, or if witness interviews waive the insurance company’s liability.

What does a claims examiner do?

A Claims Examiner is responsible for reviewing insurance claims to determine their validity and whether they should be approved or denied. They carefully examine claim forms, supporting documents, and sometimes conduct interviews to gather additional information. Claims Examiners ensure that claims comply with policy terms and legal requirements, and may calculate the amount to be paid out. Their work helps prevent fraudulent claims and ensures fair processing for all parties involved.

What are the key skills and qualifications needed to thrive as a claims examiner, and why are they important?

To thrive as a Claims Examiner, you need strong analytical skills, attention to detail, and a background in insurance, finance, or a related field, often supported by relevant certifications or a degree. Familiarity with claims management software, regulatory compliance systems, and industry-specific databases is typically required. Excellent communication, problem-solving abilities, and good judgment help you stand out in this position. These skills and qualities are crucial for ensuring accurate claim evaluations, minimizing risk, and maintaining customer trust.

What are some common challenges faced by claims examiners, and how can they be managed effectively?

Claims Examiners often encounter challenges such as reviewing complex or incomplete documentation, managing a high volume of claims, and balancing the need for accuracy with efficiency. Effective organization, strong attention to detail, and clear communication with claimants and other team members are essential for overcoming these obstacles. Additionally, staying current with industry regulations and using claims management software can help streamline the process and reduce errors.

What is the difference between Claims Examiner vs Claims Processor?

AspectClaims ExaminerClaims Processor
Required credentialsHigh school diploma or equivalent; often some insurance or claims experienceHigh school diploma or equivalent; may have basic insurance knowledge
Work environmentOffice setting, reviewing claims, making determinationsOffice setting, processing claims data, data entry
Employer and industry usageInsurance companies, government agenciesInsurance companies, third-party administrators
Common search intentUnderstanding roles, career differences, job requirementsEntry-level position, processing claims, job duties

Claims Examiners review insurance claims to determine coverage and approve or deny payments, requiring analytical skills and some insurance knowledge. Claims Processors handle the data entry and processing of claims, focusing on accuracy and efficiency. While both roles work in insurance settings and may require similar credentials, Claims Examiners have more decision-making responsibilities, whereas Claims Processors focus on data handling.

How much do claims examiners make in the US?

Claims examiners in the US typically earn a median annual salary of around $45,000 to $65,000, depending on experience, location, and employer. Entry-level positions may start lower, while experienced examiners or those with specialized skills can earn higher wages, often supplemented with benefits and opportunities for advancement.

Is being a claims examiner hard?

Claims examiners review insurance claims to determine coverage and payment, which can involve detailed analysis and attention to accuracy. The job often requires strong organizational skills, knowledge of policies, and sometimes certification, but the difficulty varies based on experience and the complexity of claims handled.
More about Claims Examiner jobs

What are the most commonly searched types of Claims Examiner jobs in Reno, NV?

The most popular types of Claims Examiner jobs in Reno, NV are:

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For Claims Examiner jobs in Reno, NV, the most frequently searched job titles are:

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The top searched job categories for Claims Examiner jobs in Reno, NV are:

What cities near Reno, NV are hiring for Claims Examiner jobs?

Cities near Reno, NV with the most Claims Examiner job openings:

Claims Examiner jobs near you
Infographic showing various Claims Examiner job openings in Reno, NV as of August 2026, with employment types broken down into 87% Full Time, 10% Part Time, 1% Temporary, and 2% Contract. Highlights an 84% Physical, 4% Hybrid, and 12% Remote job distribution, with an average salary of $60,977 per year, or $29.3 per hour.

Sr Insurance and Claims Specialist

Renown Health

Reno, NV • On-site

Full-time

This job post has expired 2 days ago. Applications are no longer accepted.

Renown Health rating

7.3

Company rating: 7.3 out of 10

Based on 99 frontline employees who took The Breakroom Quiz

301st of 898 rated healthcare providers

Job description

Position Purpose:

The Senior Insurance and Claims Specialist is responsible for compliant billing and system operations to ensure timely and accurate claim submission and prevention of denials per regulatory and payor requirements, as well as improved payment turnaround. 

Nature and Scope:

The Senior Insurance and Claim Specialist is responsible for:

·         Optimization of system that will ensure accurate claim submission and follow-up resulting in timely reimbursement per payor and regulatory guidelines.    

·         Complete detailed appeal of denial or payment variance to payor, incorporating contract terms, clinical or regulatory justification for reconsideration or additional reimbursement.

·         Recommend system changes for clean claim submission to aid in the prevention of denials.

·         Work with the Renown Contracting Department or payor representatives to resolve billing issues due to payor or regulatory changes affecting the billing of healthcare claims.  

·         Assisting with testing and troubleshooting of system for payor or regulatory changes.

·         Maintaining expertise for all payor, HIPAA and other regulatory changes affecting the billing of healthcare claims.

·         Working hand in hand with Operations Analysts and Information Technology to maintain and improve business system changes based on payor or regulatory changes.

·         Acts as a resource for staff on all areas relating to edit and denial/rejection resolution.

·         Identify trends in payor non-compliance and inform management if not able to resolve with payor.

·         Demonstrates a thorough knowledge of all department functions, processes, and procedures.

This position does not provide patient care.  

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications:  Requirements - Required and/or Preferred

Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English.  Associates Degree Preferred.

Experience:

Three years healthcare billing office experience with extensive knowledge of healthcare billing, government and third party payor requirements.

License(s):

Certification(s):

Coding Certification Preferred for Professional Billing.

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

What Renown Health employees say

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Hours and flexibility

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About Renown Health

Sourced by ZipRecruiter

Renown Health is a leading and respected player in the healthcare industry, based in Reno, NV, US. Established in 1862, the company has a deep-rooted history in providing high-quality healthcare services to the community. Renown Health offers a wide array of services including urgent care centers, lab services, x-ray and imaging services, primary care doctors and specialists. Its central values include excellence in quality and service, caring for people first, being proactive in the community, fiscal responsibility, integrity, and respecting every person.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Reno, NV, US

Year founded

1862

Social media

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