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Entry Level Claims Examiner Jobs (NOW HIRING)

MyFlorida

MEDICAL DISABILITY EXAMINER - 64005350

Tallahassee, FL · On-site

$41K - $78K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION LOCATION ... This is entry level professional work researching, developing, compiling, analyzing, and rendering ...

MyFlorida

MEDICAL DISABILITY EXAMINER - 64083724

Orlando, FL · On-site

$41K - $78K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION LOCATION ... This is entry level professional work researching, developing, compiling, analyzing, and rendering ...

Sedgwick

Pharmacy RN

Knoxville, TN · On-site

$17 - $19/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Communicates effectively with claims examiner, client, vendor, supervisor and other parties as ... Work environment requirements for entry-level opportunities include - Physical: Computer ...

Sedgwick

Pharmacy RN

Memphis, TN · On-site

$15.75 - $17.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Communicates effectively with claims examiner, client, vendor, supervisor and other parties as ... Work environment requirements for entry-level opportunities include - Physical: Computer ...

Sedgwick

Pharmacy RN

Nashville, TN · On-site

$17.25 - $19.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Communicates effectively with claims examiner, client, vendor, supervisor and other parties as ... Work environment requirements for entry-level opportunities include - Physical: Computer ...

Ulster County

Social Welfare Examiner Trainee

Kingston, NY · On-site

$24.60/hr

This is an entry level traineeship in the Department of Social Services. Appointees to this class ... claims for assistance, veterans or unemployment benefits, insurance or a similar program operating ...

New

Florida Jobs

ELIGIBILITY SPECIALIST II

Orlando, FL · On-site

Reviews and analyzes error-prone and complex cases to assist entry level staff. Acquires and ... or claims examining in a social insurance or social service program can substitute on a year-for ...

Kelley Kronenberg

Attorney - Insurance Defense

Sugar Land, TX · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Overview Associate Attorney - First-Party Property Insurance Defense - Entry-Level Candidates ... Communicate regularly and professionally with claims professionals and in-house counsel, providing ...

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Showing results 21-40

All JobsClaims Examiner JobsEntry Level Claims Examiner Jobs

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 Aug 14, 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.

How to start a career in entry level claims examiner?

To start a career as an entry-level claims examiner, candidates typically need a high school diploma or equivalent, with some roles preferring post-secondary education or relevant coursework. Gaining knowledge of insurance policies, claims processing, and customer service skills is important, and familiarity with claims management software can be beneficial. Entry-level positions often require strong attention to detail, communication skills, and the ability to work in a team environment.

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 be 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 basic computer proficiency. Some employers may prefer or require a relevant certification or prior experience in insurance or customer service.

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 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 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.
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What states have the most Entry Level Claims Examiner jobs?

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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 1% Internship, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

INSURANCE EXAMINER II - 43003143

State of Florida

Maitland, FL • On-site

$52K - $60K/yr

Full-time

Retirement

Posted 16 days ago

State Of Florida rating

6.5

Company rating: 6.5 out of 10

Based on 188 frontline employees who took The Breakroom Quiz

47th of 50 rated states

Job description

Requisition No: 880800
Agency: Financial Services
Working Title: INSURANCE EXAMINER II - 43003143
Pay Plan: Career Service
Position Number: 43003143
Salary: $52,000.08 - $60,000.00
Posting Closing Date: 08/13/2026
Total Compensation Estimator Tool
*****OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY*****
CLASS TITLE: INSURANCE EXAMINER II
DIVISION: WORKERS' COMPENSATION
BUREAU: MONITORING AND AUDIT
CITY: ORLANDO
COUNTY: ORANGE
Four (4) years of experience in a relevant field (claims handling, insurance, investigating, audit, accounting, medical billing, or business) is required. A post-secondary degree from an accredited college or university may be used as an alternative for years of experience on a year-for-year- basis.
Additional requirements:
  • Licensed to operate a motor vehicle.
  • This position requires extensive travel throughout the state of Florida and occasionally out-of-state.

Preferences:
  • Two (2) or more years of Microsoft Excel.
  • Two (2) or more years of Microsoft Word.
  • Two (2) or more years of professional experience in claims handling, medical billing, or insurance.

Minimum Qualifications for this position include the following REQUIRED ENTRY LEVEL KNOWLEDGE, SKILLS AND ABILITIES:
  • Knowledge of the principles and techniques of effective communication.
  • Knowledge of examining and evaluating data.
  • Knowledge of problem-solving techniques.
  • Knowledge of conducting fact-finding investigations.
  • Knowledge of preparing and maintaining records.
  • Knowledge of writing statistical reports.
  • Ability to communicate effectively.
  • Ability to understand and apply appropriate rules, regulations, policies and procedures.
  • Ability to handle telephone calls and deal with the public in a courteous and effective manner.
  • Ability to plan, organize and coordinate work assignments.
  • Ability to travel at least two weeks every month.
  • Ability to work independently.
  • Ability to establish and maintain effective working relationships with others.
  • Ability to perform the required position expectations.
  • Ability to safely operate and rent a motor vehicle.

OTHER KSAs (Incumbent may learn on job): Knowledge of the Division of Workers' Compensation data bases i.e., Integrated, EDI Warehouse, OFFIS, and the Centralized Performance System (CPS) Audit Module. Ability to write audit reports.
SPECIAL NOTES:
This position requires a security background check, including fingerprint as a condition of employment.
Employees of the Department of Financial Services are paid on a monthly pay cycle.
Responses to qualifying questions must be clearly supported by the state application and any omission, falsification, or misrepresentation in the answering of the qualifying questions will be cause for immediate elimination from the selection process.
BRIEF DESCRIPTION OF DUTIES:
This is work conducting on-site field audits, desk audits, and re-audits of insurers to ensure proper practices relating to workers' compensation claims handling procedures and monitoring the business practices of insurance companies to ensure their compliance with the workers' compensation law and administrative rules. The Insurance Examiner II is responsible for the analysis, examination and/or investigation of patterns and practices of unreasonable delay in claims handling; timeliness and accuracy of payments to injured workers and reports under sections 440.13, 440.16, 440.185, and 440.20, Florida Statutes (F.S.), and Rules 69L-3 and 69L-56, Florida Administrative Code (F.A.C.). The Insurance Examiner II is also responsible for identifying patterns and practices of harassment, coercion or intimidation of claimants as defined by Chapter 440.525(2), F.S.; ensuring compliance with medical services billing, filing and reporting under Rule 69L-7.710, F.A.C. The Insurance Examiner II assists the Workers' Compensation Administrator and Government Consultant II in conferring with insurance company personnel and management regarding practices or possible violations of the Workers' Compensation Law and determines penalties as required.
  • Monitors performance of individual insurers as required by Chapter 440, F.S. and Division Rules, using Division data systems. The Insurance Examiner II uses systems data reviews to determine timely payments of compensation to injured workers and timely filing of forms in compliance with Florida Statutes and Division Rules.
  • Investigates complaints assigned by the Workers' Compensation Administrator relating to claims administrators who are non-compliant. All parties of the specific claims administrators are contacted in an attempt to resolve the issue as well as any other existing problems. Any issues that are determined to be in violation of the workers' compensation law are documented and all parties are notified. The Insurance Examiner II continues to monitor all complaints to determine if a trend exists representing deficient claim administrator practices.
  • Investigates denied cases to determine questionable claims handling practices by claims administrators in accordance with Florida Statutes and Division Rules.
  • Investigates non-payment of orders by a judge and refers findings to the Department.

Performs other duties as required.
If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended, or deemed ineligible depending upon the date of your retirement.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
VETERANS' PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans' Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.
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