ZipRecruiter

Log In

1

Claims Review Jobs (NOW HIRING)

CorVel Enterprise Claims, Inc.

Claims Specialist

Tampa, FL · Hybrid

$52K - $85K/yr

Adheres to client and carrier guidelines and participates in claims review as needed * Assists other claims professionals with more complex or problematic claims as necessary * Additional projects ...

AnMed

Billing Specialist - Audit/ Claims Review

Anderson, SC · On-site

$16.75 - $22.50/hr

Prepares and files electronically or hard copy claims. Stays current of all Government/State/HIPPA, etc., rules and regulations pertaining to compliance in billing. Responsible for analyzing denials ...

Trustpoint.One

Claims Reviewer

Richmond, VA · On-site

$23/hr

Trustpoint.One is hiring Claims Reviewers for a temporary project ln Richmond, Virginia. This position will start in June 2026 and is anticipated to last 3 months. This is a temporary job.

Higginbotham

Captive Claims Advocate

Baton Rouge, LA · On-site

Review claims that are declined to identify E&O exposure * Coordination of claims management process to improve customer satisfaction * Participate in claims review process with producers, clients ...

1 Legacy, Inc

Manager I Claims

Miami, FL · On-site

Company Description Finance / Accounting - Claims Review and Adjusting Healthcare / Health Services Responsibilities in this senior position will include, but are not limited to: Responsible for ...

Robert Half

Medical Claims Representative

Pleasanton, CA · On-site

$31.35 - $36.30/hr

Responsibilities: • Review, evaluate, and process medical claims with close attention to accuracy, completeness, and applicable coverage details. • Enter and maintain member, enrollment ...

Bitco Corporation

Claims Specialist

Oklahoma City, OK · Hybrid

Review, analyze, and interpret policy conditions, exclusions and endorsements to resolve coverage and liability issues for assigned claims * Review and evaluate claim reserves to ensure that the ...

next page

Showing results 1-20

All JobsClaims Review Jobs

Claims Review information

See salary details

$40K

$61.6K

$92K

How much do claims review jobs pay per year?

As of Jul 7, 2026, the average yearly pay for claims review in the United States is $61,600.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $65,500.00 per year, depending on experience, location, and employer.

How to get a job as a claims examiner?

To become a claims examiner, candidates typically need a high school diploma or equivalent, with some roles requiring an associate's or bachelor's degree in fields like insurance, finance, or healthcare. Relevant skills include attention to detail, analytical thinking, and knowledge of insurance policies; certifications such as the Certified Claims Professional (CCP) can enhance prospects. Job opportunities are often found through online job boards, insurance companies, and staffing agencies, with roles usually requiring prior experience in customer service or administrative work.

Is a claims examiner a stressful job?

A claims examiner reviews insurance claims and assesses their validity, which can involve handling complex cases and meeting deadlines. The job can be stressful due to high workload, strict regulations, and the need for accuracy, but stress levels vary depending on the employer and individual workload management skills.

What does a claims reviewer do?

A claims reviewer evaluates insurance claims to determine their validity and ensure they comply with policy terms. They analyze documentation, verify information, and make decisions on claim approval or denial, often using specialized software and following company guidelines.

What jobs make $3,000 a day?

High-paying jobs that can earn $3,000 a day include specialized roles such as senior claims reviewers, certain medical professionals, high-level consultants, and some executive positions. These roles often require extensive experience, advanced certifications, or specialized skills, and may involve high-pressure environments or significant responsibility.

What is the difference between Claims Review vs Claims Adjuster?

AspectClaims ReviewClaims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires similar certifications, often with licensing depending on state
Work EnvironmentMostly office-based, reviewing claims electronically or on paperField and office-based, inspecting damages and interviewing claimants
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, public adjusters, third-party administrators
Search & Comparison IntentOften compared for claims processing rolesRelated but involves more investigation and assessment

Claims Review specialists focus on evaluating insurance claims for accuracy and completeness, primarily working in an office setting. Claims Adjusters, on the other hand, investigate claims, assess damages, and determine payouts, often working in the field. Both roles require similar certifications and are integral to the insurance industry, but they differ in responsibilities and work environment.

More about Claims Review jobs
What cities are hiring for Claims Review jobs? Cities with the most Claims Review job openings:
What states have the most Claims Review jobs? States with the most job openings for Claims Review jobs include:
Claims Review jobs near you
Infographic showing various Claims Review job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $61,600 per year, or $29.6 per hour.

Claims Specialist

CorVel Enterprise Claims, Inc.

Downers Grove, IL • Hybrid

$52K - $85K/yr

Full-time

Re-posted 19 days ago

Job description

The Claims Specialist manages within company best practices low to mid Auto and/or General Liability claims, including bodily injury and property damage within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

This is a hybrid role.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Receives auto and general liability claims, confirms policy coverage and acknowledgment of the claim
  • Determines validity and compensability of the claim
  • Establishes reserves and authorizes payments within reserving authority limits
  • Manages non-complex auto and general liability claims under close supervision
  • Communicates claim status with the customer, claimant and client
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Assists other claims professionals with more complex or problematic claims as necessary
  • Additional projects and duties as assigned

KNOWLEDGE & SKILLS:

  • Excellent written and verbal communication skills
  • Ability to learn rapidly to develop knowledge and understanding of claims practice
  • Ability to identify, analyze and solve problems
  • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
  • Strong interpersonal, time management and organizational skills
  • Ability to meet or exceed performance competencies
  • Ability to work both independently and within a team environment

EDUCATION & EXPERIENCE:

  • Bachelor's degree or a combination of education and related experience
  • Minimum of 1 year of industry experience and claims management preferred

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $52,999 – $85,473

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Hybrid