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Medical Claims Examiner-Entry Level

Kalamazoo, MI · On-site

Medical Claims Examiner - Entry Level We are seeking a detail-oriented individual to join our team as a Medical Claims Examiner. Prior medical claims processing experience is not required. We provide ...

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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 Sep 4, 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 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.

What are the key skills and qualifications needed to thrive as an entry level claims examiner?

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 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.

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 do I need to become an entry level claims examiner?

To become an entry-level claims examiner, candidates typically need a high school diploma or equivalent, strong attention to detail, good communication skills, and familiarity with insurance policies and claims processing. Some employers may prefer or require a bachelor's degree or relevant certification, such as the Claims and Litigation Management (CLM) certification. Basic computer skills and the ability to analyze information are also important for success in this role.
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Entry Level Claims Examiner jobs near you
Infographic showing various Entry Level Claims Examiner job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Entry Level Claims Examiner

Zurich Insurance Company Ltd.

Stevens Point, WI • On-site

Full-time

Medical, Life, Retirement

Re-posted 5 days ago

Job description

Where will your career take you next? Let’s find out together.

About Travel Guard
This role is part of our Travel Guard team. Travel Guard is a leading travel insurance brand, serving millions of leisure and business travellers worldwide. Established in 1982 we offer a comprehensive portfolio of travel insurance solutions and global assistance services. Travel Guard operates service centres across Asia, Europe, and the Americas, ensuring 24/7 support to help travellers navigate unexpected circumstances that may disrupt their plans. Travel Guard became part of Zurich Cover-More in December 2024.

Travel Guard is seeking an Entry Level Claims Adjuster in Stevens Point, WI. We’re seeking empathetic, dependable, detailed, and service-minded individuals who are dedicated to delivering exceptional customer experiences and are excited to grow in the insurance industry. No claims or insurance experience? No problem — we’ll provide all the training you need to succeed.

What you’ll be doing:

In this role you will assess and investigate travel-related claims, applying policy guidelines, and ensuring timely resolutions within 15-25 days while maintaining clear communication with stakeholders.  

  • Provide exceptional customer support to claimants throughout the claims process 
  • Spend 50-75% of your time conversing with stakeholders to ensures claims are efficiently brought to a final resolution within 15-25 days
  • Assess new and existing claims for coverage, conduct claim investigations and establish clear claim action plan for timely claim resolutions
  • Communicate with claimants using empathy to gather necessary documentation
  • Apply policy guidelines to determine coverage and claim validity
  • Maintain detailed claim records within the internal claims systems
  • Comply with all statutory and regulatory requirements in all applicable jurisdictions 
 
What skills and experience you’ll bring on this journey:
  • A minimum of a high school diploma or equivalent
  • 1-2 years of customer service experience  
  • Be eager to learn new skills within the claims and insurance industry
  • Excellent written and verbal communication skills
  • An eye for details, supporting thorough investigations and precise documentation 
  • A willingness to obtain your State Specific Adjuster Licensing within 6 months of employment  
 
Why you’ll love working with us!

We value optimism, caring, togetherness, results-orientation, and forward-thinking.  
We have more than 3000 employees worldwide. We are a global group of digital specialists, actuaries, marketers, doctors, nurses, case managers, claims specialists, finance experts, customer service and corporate services professionals. We share a global purpose to look after travellers, at every step of their journey. 
Job flexibility. We understand the importance of making sure that work fits into your life, not the other way around. Our hybrid approach ensures you can maintain work-life balance with the flexibility of 3 days in the office and 2 days working from home. 
Career growth. This is an extremely exciting time for us at Zurich Cover-More, as we rapidly expand our business across the globe. We’re committed to helping our people thrive through a comprehensive onboarding experience, continuous professional development, and a supportive work environment that empowers growth at every stage of your career.
Take the time you need, for you and your community. We encourage you to take the time you need when you need it. We offer regular annual and personal leave benefits along with volunteer leave and a comprehensive paid parental leave scheme. 
Investing in your health and your future. We offer a competitive high-deductible health plan, EAP programs and access to health and well-being activities along with 401(k) program with employer matching to help you plan for your future.  
Diversity and inclusion. We respect who you are and thoroughly embrace diversity. Wherever life has taken you, we welcome you to bring your whole self to work. Just be you – because that’s exactly who we’re looking for. 

Apply today and let’s go to great places together!
At Zurich Cover-More, we’re proud to be one of the world’s leading travel insurance and assistance providers. Each year, we protect more than 20 million travellers worldwide, making sure we’re there every step of their journey with proactive care, personalised cover and specialist support. Zurich Cover-More partners with many of the world’s best-known brands – think major airlines, travel giants, top banks, credit card providers, and large retailers – to deliver more care, more cover, for all.
Launched in December 2024, Zurich Cover-More is the global travel brand of Zurich Insurance Group, one of the world’s leading multi-line insurers. Our family of customer-facing brands includes trusted names like Travel Guard, Cover-More Travel Insurance, Travelex Insurance, Universal Assistance, World Travel Protection, Freely, and Blue Insurance. Together, we’re redefining what it means to travel safely and with confidence. Whether it’s a long-awaited holiday, a last-minute business trip, or an unexpected detour, we deliver in the moments that matter. 

Apply