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Entry Level Claims Examiner Jobs (NOW HIRING)

Claims Examiner 2

Irvine, CA

$29.33 - $36.54/hr

Provides assistance in special projects and guidance to entry level staff as required. ESSENTIAL ... Previous experience as a medical claims examiner or auditor preferred. * Or the combination of ...

New

This is an entry-level position which will support the Claims Operations Team as well as the Claims Examiners. The ideal applicant will be a motivated individual who is interested in performing basic ...

This is an entry-level position which will support the Claims Operations Team as well as the Claims Examiners. The ideal applicant will be a motivated individual who is interested in performing basic ...

Workers' Compensation Claim Representative

New Haven, CT · On-site

$23.50 - $32.25/hr

Technical Skills & Competencies: * Entry-level Medical Only Claim Examiner position. * Knowledge of insurance, claims, and workers' compensation statutes, regulations, and compliance is a plus, but ...

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Entry Level Claims Examiner information

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$15

$29

$45

How much do entry level claims examiner jobs pay per hour?

As of Jul 3, 2026, the average hourly pay for entry level claims examiner 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 Entry Level Claims Examiner vs Claims Adjuster?

AspectEntry Level Claims ExaminerClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance licensesHigh school diploma; licensing often required
Work EnvironmentOffice setting, analyzing claims, data entryField and office work, inspecting damages, interviewing claimants
Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Common Search/ComparisonYesYes

Entry Level Claims Examiners typically handle initial claim reviews and data entry within an office environment, requiring basic insurance knowledge. Claims Adjusters often inspect damages in the field and may need licensing. Both roles are common in the insurance industry, but Claims Adjusters usually have more fieldwork and licensing requirements. Understanding these differences helps job seekers find the right position based on their skills and career goals.

What are some common challenges faced by entry level claims examiners, and how can they effectively manage them?

Entry level claims examiners often encounter challenges such as learning to interpret complex policy language, managing a high volume of claims, and maintaining accuracy under tight deadlines. Effective time management, attention to detail, and leveraging mentorship or training resources within the team can help new examiners navigate these challenges. Collaborating with more experienced team members and regularly seeking feedback are also key strategies for building confidence and competence in this role.

Is claim adjusting a dying field?

Claim adjusting is a stable profession with ongoing demand, especially as insurance companies require adjusters to evaluate claims accurately. While automation and technology are increasingly used, many claims still require human judgment, making entry-level claims examiner roles relevant and necessary in the industry.

Can I get a claims adjuster job with no experience?

Entry level claims examiner positions often do not require prior experience, as employers typically provide on-the-job training. However, having relevant skills such as attention to detail, communication, and basic knowledge of insurance policies can improve your chances. Certifications like the Claims Handling Certification can also be beneficial for entry-level applicants.

What are the key skills and qualifications needed to thrive as an Entry Level Claims Examiner, and why are they important?

To thrive as an Entry Level Claims Examiner, you need strong analytical skills, attention to detail, and a foundational understanding of insurance principles, often supported by a high school diploma or associate degree. Familiarity with claims management software and basic proficiency in Microsoft Office Suite are typically required. Excellent communication, organizational skills, and the ability to handle sensitive information with discretion help set candidates apart. These skills are vital to accurately process claims, ensure compliance, and deliver timely service to clients.

What does an Entry Level Claims Examiner do?

An Entry Level Claims Examiner reviews and processes insurance claims to determine their validity and accuracy. They examine supporting documents, such as medical records or police reports, to verify claims and ensure compliance with policy guidelines. They may communicate with claimants, policyholders, and other parties to gather additional information, and often work under the supervision of senior examiners. Their goal is to make fair decisions about claim approvals or denials while minimizing fraudulent or erroneous payments.

How to get a job as a claims examiner?

To become an entry-level claims examiner, candidates typically need a high school diploma or equivalent, with some roles preferring post-secondary education or relevant certifications. Gaining experience in customer service, insurance, or administrative roles can be beneficial, and familiarity with claims processing software is often required. Applying through insurance companies, government agencies, or staffing agencies and demonstrating strong attention to detail and communication skills are key steps in securing a position.

Is a claims examiner a stressful job?

A claims examiner role can be stressful due to the need to review complex cases accurately and meet deadlines. The job often involves handling sensitive information and making critical decisions, which can contribute to work-related stress, especially in high-volume or high-pressure environments.
More about Entry Level Claims Examiner jobs
What cities are hiring for Entry Level Claims Examiner jobs? Cities with the most Entry Level Claims Examiner job openings:
What are the most commonly searched types of Claims Examiner jobs? The most popular types of Claims Examiner jobs are:
What states have the most Entry Level Claims Examiner jobs? States with the most job openings for Entry Level Claims Examiner jobs include:
Infographic showing various Entry Level Claims Examiner job openings in the United States as of June 2026, with employment types broken down into 95% Full Time, and 5% Part Time. 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.
Liability Claims Careers - Assistant, Associate, Representative, Examiner & Team Leads

Liability Claims Careers - Assistant, Associate, Representative, Examiner & Team Leads

Sedgwick

Remote

$19.25 - $24.25/hr

Other

Medical, Dental, Vision, Retirement

This job post has expired today. Applications are no longer accepted.


Sedgwick rating

7.5

Company rating: 7.5 out of 10

Based on 312 frontline employees who took The Breakroom Quiz

198th of 277 rated insurance


Job description

Liability Claims Careers

Sedgwick is growing! As we support a newly acquired dedicated client, we are building a pipeline of talented claims professionals across multiple career levels—from entry-level Claims Assistants to experienced Claims Examiners and supervisory positions. This is an exciting opportunity to join a growing team and play a key role in delivering high-quality claims service for a new client partnership.

We are hiring across several levels. Placement will be determined based on your experience, skills, and career progression:

Claims Assistant (Entry-Level)
  • Provide administrative support to claims staff and perform other office tasks depending on the client program. Responsibilities include setting up new claims, managing documentation, and maintaining accurate records.

Experience:

  • Six (6) months of clerical or customer service experience
Claims Associate (Entry-Level)
  • Analyze lower-level medical-only workers' compensation claims to determine benefits due and ensure ongoing adjudication within company standards and industry best practices. Review documentation for completeness and accuracy.

Experience:

  • One (1) year of general office experience
Claims Representative
  • Process low-level general liability claims to determine benefits due; ensure ongoing adjudication within company standards and industry best practices; identify subrogation opportunities; and negotiate settlements with general supervision. Review coverage, assess damages, and determine liability within authority limits.

Experience:

  • Two (2) years of liability claims management experience
  • Georgia (GA) licensing required
Claims Examiner (Advanced Level)
  • Analyze complex or technically difficult general liability claims to determine benefits due. Handle high-exposure claims involving litigation and rehabilitation. Ensure ongoing adjudication within service expectations, industry best practices, and specific client requirements. Identify subrogation opportunities and negotiate settlements. Conduct in-depth investigations and make coverage determinations.

Experience:

  • Five (5) years of liability claims management experience
  • Georgia (GA) licensing required
Claims Team Lead (Supervisory)
  • Supervise multiple teams of examiners and technical staff for liability claims. Monitor workloads, provide training, and oversee individual claim activities. Offer technical and jurisdictional guidance on claims adjudication. Maintain diaries for team claims, including frequent updates on complex or high-exposure cases.

Experience:

  • Six (6) years of liability claims experience, including two (2) years in a supervisory role
  • Georgia (GA) licensing required

Why Join Us

  • Flexible work schedule
  • Referral incentive program
  • Career development and advancement opportunities
  • Comprehensive benefits package, including medical, dental, vision, and a 401(k) starting on day one

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.


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