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Entry Level Claims Examiner Jobs (NOW HIRING)

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 ...

TWC Business Unit

Investigator (El Paso)

El Paso, TX · On-site

$3.7K/mo

The Investigator I position performs entry-level to routine (journey-level) investigative work ... or unemployment insurance claims examiner tasks; or gathering of information, interviewing ...

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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.

Workers Compensation Claims Associate | Medical Only Experience | Entry Level | Hybrid Schedule -...

York Risk Services

Dublin, OH • Hybrid

$17 - $23/hr

Full-time

Medical, Dental, Vision, Retirement

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Workers Compensation Claims Associate | Medical Only Experience | Entry Level | Hybrid Schedule - Dublin, OH

Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?

  • Career development and promotional growth opportunities through increasing responsibilities
  • A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs

PRIMARY PURPOSE OF THE ROLE: To analyze reported lower-level Medical Only workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.

OFFICE LOCATION/SCHEDULE

Dublin, OH

Hybrid Schedule


ARE YOU AN IDEAL CANDIDATE? We are looking for an enthusiastic candidate to fill a Workers Compensation Associate position. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused.


ESSENTIAL RESPONSIBILITIES MAY INCLUDE

  • Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.
  • Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
  • Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
  • Communicates claim action/processing with claimant, client and appropriate medical contact.
  • Ensures claim files are properly documented, and claims coding is correct.
  • May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
  • Maintains professional client relationships


QUALIFICATIONS

  • Education & Licensing: High school diploma or GED required
  • Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required
  • Experience: Medical Only Workers Compensation claims experience

TAKING CARE OF YOU

  • Flexible work schedule.
  • Ability to work in an agile environment
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • A diverse and comprehensive benefit package offering including medical, dental vision, 401K.

WORK ENVIRONMENT REQUIREMENTSINCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.

  • Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
  • Physical:Computer keyboarding
  • Auditory/Visual: Hearing, vision and talking

Sedgwickis 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.

Apply