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Claims Reviewer Jobs in Oregon (NOW HIRING)

$75/hr

The Claims Review Position will play a crucial role in the Florida Statewide Health Plan Claim ... Prepare documents for the clinical reviewer assigned and provide instruction as needed.

$250/wk

We are looking to build our panel of Claims Review Physicians. This is a flexible, fully remote 1099 opportunity. You will be responsible for resolving claim disputes submitted by various parties ...

Claims Examiner

OR ยท On-site +1

This is a predominantly Flood QA review position with desk adjusting possibilities. In this position you will be required to review flood claims and provide feedback to field adjusters based on your ...

Claims Specialist

Portland, OR ยท On-site

$60 - $80/hr

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 ...

Claims Specialist

Portland, OR ยท On-site

$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 ...

Claims Specialist

Portland, OR ยท Remote

$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 ...

Medical Claims COB Processor I

Milwaukie, OR ยท Remote

$18.39 - $20.58/hr

Review, analyze, and resolve claims through the utilization of available resources for complex claims. * Analyze and apply plan concepts to claims that include deductible, coinsurance, copay, COB ...

Claims Adjuster

Portland, OR ยท On-site

$47 - $52/hr

Claims Adjuster Contract Duration: 3 months, possible extension Location: Portland, OR Work ... Under limited supervision, receives assignments and reviews claim and policy information to provide ...

ESIS Claims Associate

Portland, OR ยท On-site

$18.75 - $25.25/hr

Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions. * Prepare and submit to the Team Leader any unusual or potentially undesirable exposures ...

ESIS Claims Associate

Portland, OR ยท On-site

$18.75 - $25.25/hr

Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions. * Prepare and submit to the Team Leader any unusual or potentially undesirable exposures ...

ESIS Claims Associate

Portland, OR ยท On-site

$18.75 - $25.25/hr

Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions. * Prepare and submit to the Team Leader any unusual or potentially undesirable exposures ...

ESIS Claims Associate

Portland, OR ยท On-site

$18.75 - $25.25/hr

Review progress and status of claims with the Team Leader and discuss problems and suggested remedial actions. * Prepare and submit to the Team Leader any unusual or potentially undesirable exposures ...

Claims Examiner - 4 Location: 12909 SW 68th Parkway Ste. 450, Portland, OR USA 97223 Duration: 6+ ... receives assignments and reviews claim and policy information to provide background for ...

Claims Advocate

OR ยท On-site +1

$65K - $80K/yr

As a Claims Advocate, you'll manage a portfolio of new claims, utilizing your growing expertise to ... Review and interpret policy language to align with company policies and relevant legal requirements

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Showing results 1-20

Claims Reviewer information

See Oregon salary details

$32.2K

$68.3K

$95.2K

How much do claims reviewer jobs pay per year?

As of Sep 8, 2026, the average yearly pay for claims reviewer in Oregon is $68,310.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,900.00 and $79,800.00 per year, depending on experience, location, and employer.

What is a claims reviewer?

A Claims Reviewer evaluates insurance claims to determine their validity and ensures they comply with company policies and regulations. They analyze documentation, verify details, and may consult with medical or industry experts. Their role helps prevent fraud, control costs, and ensure fair compensation for policyholders. Strong attention to detail and knowledge of insurance policies are essential for this role.

What are the daily responsibilities of a claims reviewer?

As a Claims Reviewer, your typical day involves evaluating insurance claims to determine their validity, reviewing supporting documents, and making recommendations for approval or denial based on policy guidelines. You will often collaborate with team members, adjusters, and occasionally interact with clients or healthcare providers to obtain additional information or clarification. The role frequently requires balancing multiple cases simultaneously while adhering to strict deadlines and maintaining high accuracy. Most Claims Reviewers work in an office setting, but some companies also offer remote or hybrid options, making the work environment flexible. This position offers the opportunity to develop expertise in insurance practices and can lead to advancement into supervisory or specialized claims roles.

What skills and qualifications are needed to be a claims reviewer?

To thrive as a Claims Reviewer, you need a solid understanding of insurance policies, claim evaluation procedures, and strong analytical skills, often supported by a degree in a related field or equivalent experience. Familiarity with claims management software, electronic documentation systems, and knowledge of relevant regulations or coding (such as ICD or CPT) is typically required. Attention to detail, critical thinking, and effective written and verbal communication are essential soft skills in this position. These skills are vital for accurately assessing claims, ensuring compliance, and maintaining efficiency in a detail-oriented, deadline-driven environment.

Is claims processing a stressful job?

Claims reviewers often work in a fast-paced environment where accuracy and attention to detail are essential, which can lead to stress, especially during high workloads or complex cases. The job requires strong organizational skills and knowledge of insurance policies, and some individuals may find the workload demanding at times.

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. Strong attention to detail and knowledge of insurance policies are essential for this role.

What cities in Oregon are hiring for Claims Reviewer jobs?

Cities in Oregon with the most Claims Reviewer job openings:

Infographic showing various Claims Reviewer job openings in Oregon as of September 2026, with employment types broken down into 95% Full Time, 2% Part Time, and 3% Contract. Highlights an 68% In-person, 5% Hybrid, and 27% Remote job distribution, with an average salary of $68,310 per year, or $32.8 per hour.

Claims Specialist

CorVel Enterprise Claims, Inc.

Portland, OR โ€ข Remote

$52K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago


Job description

The Workers’ Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims 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 remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Receives Workers’ Compensation 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 lost-time workers’ compensation 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
  • Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel
  • Minimum of 2 years Oregon workers’ compensation claims handling experience

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.

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