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Fmla Claims Examiner Jobs (NOW HIRING)

HR Generalist

San Jose, CA · On-site

$86K - $95K/yr

  • Medical

  • Dental

Addresses employee questions/claims related to all health/welfare benefits; when necessary, liaises ... Must successfully pass color/vision examinations as required by the position. * Must be able to ...

HR Generalist

San Jose, CA · On-site

$86K - $95K/yr

  • Medical

  • Dental

Addresses employee questions/claims related to all health/welfare benefits; when necessary, liaises ... Must successfully pass color/vision examinations as required by the position. * Must be able to ...

Occupational Health Nurse - 3rd Shift

Austin, TX · On-site

$70K - $97K/yr

Evaluate and interpret weekly sick disability claims to ensure appropriate recovery time and return ... Must have knowledge of FMLA, Texas Workers' Compensation guidelines, HIPAA and Privacy Act laws and ...

Client Coordinator (32545)

Norwood, MA · Remote

$17/hr

  • Retirement

  • PTO

The Client Coordinator is responsible for coordinating and preparing medical claims, records ... MES Solutions , a respected pioneer of the independent medical examination (IME) and peer review ...

Occupational Health Nurse - 3rd Shift

Austin, TX · On-site

$70K - $97K/yr

... disability claims to ensure appropriate recovery time and return to work. Oversee disability ... knowledge of FMLA, Texas Workers' Compensation guidelines, HIPAA and Privacy Act laws and ...

Client Coordinator (32687)

Norwood, MA · Remote

$17/hr

  • Retirement

  • PTO

The Client Coordinator is responsible for coordinating and preparing medical claims, records ... MES Solutions , a respected pioneer of the independent medical examination (IME) and peer review ...

Showing results 41-51

Fmla Claims Examiner information

See salary details

$15

$29

$45

How much do fmla claims examiner jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for fmla 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 an FMLA Claims Examiner?

FMLA Claims Examiners are professionals responsible for reviewing, processing, and managing requests for leave under the Family and Medical Leave Act (FMLA). They evaluate documentation submitted by employees, determine eligibility, ensure compliance with federal and company policies, and communicate decisions to all parties involved. Their role helps ensure that employees receive the protections provided by FMLA while maintaining organizational compliance with legal requirements.

What are the key skills and qualifications needed to thrive as an FMLA Claims Examiner?

To thrive as an FMLA Claims Examiner, you need a solid understanding of federal and state leave laws, attention to detail, and experience in claims processing, often supported by a degree in business, human resources, or a related field. Familiarity with claims management software, HRIS systems, and regulatory compliance platforms is typically required. Exceptional communication, empathy, and problem-solving skills help you effectively interact with employees and employers while managing sensitive cases. These skills are crucial for ensuring legal compliance, accurate claims handling, and a supportive experience for all stakeholders.

What are some common challenges faced by FMLA Claims Examiners when managing leave requests?

FMLA Claims Examiners often encounter challenges such as interpreting complex medical documentation, ensuring compliance with federal and state regulations, and balancing a high volume of cases. Effective communication with employees, healthcare providers, and HR teams is essential to clarify eligibility and resolve discrepancies. Staying organized and up-to-date with evolving legal requirements is key to success in this role, as is maintaining confidentiality and empathy during sensitive situations.

What is the difference between Fmla Claims Examiner vs Disability Claims Specialist?

AspectFmla Claims ExaminerDisability Claims Specialist
CredentialsTypically requires claims processing experience, knowledge of FMLA regulationsRequires claims processing experience, knowledge of disability insurance policies
Work EnvironmentOffice setting, handling FMLA claims for employeesOffice setting, managing disability insurance claims
Industry UsageCommon in HR, insurance, and healthcare sectorsCommon in insurance, healthcare, and employee benefits sectors
Search & Comparison IntentOften compared for roles involving employee leave and benefitsCompared for roles managing disability insurance claims

The Fmla Claims Examiner and Disability Claims Specialist roles share similarities in claims processing and industry settings but differ mainly in their focus areas. The Fmla Claims Examiner specializes in employee leave under FMLA regulations, while the Disability Claims Specialist handles disability insurance claims. Both roles require claims knowledge and office work environments, but their specific regulatory and policy expertise distinguishes them.

How to get a job as a Fmla Claims Examiner?

To become a FMLA Claims Examiner, candidates typically need a high school diploma or equivalent, with some roles preferring a bachelor's degree in a related field such as healthcare, human resources, or insurance. Relevant skills include knowledge of FMLA regulations, claims processing, and strong attention to detail; certifications like the Certified Claims Professional (CCP) can be advantageous. Job opportunities are often found in insurance companies, healthcare organizations, or government agencies, with roles requiring proficiency in claims management software and good communication skills.

Is claims processing a stressful job?

Fmla Claims Examiners are responsible for reviewing and processing family and medical leave claims, which can involve tight deadlines and detailed documentation. The job can be stressful due to the need for accuracy, adherence to regulations, and managing multiple cases simultaneously, especially during high-volume periods. Strong organizational skills and knowledge of relevant laws help manage workload effectively.
More about Fmla Claims Examiner jobs

What cities are hiring for Fmla Claims Examiner jobs?

Cities with the most Fmla Claims Examiner job openings:

What states have the most Fmla Claims Examiner jobs?

States with the most job openings for Fmla Claims Examiner jobs include:

Infographic showing various Fmla Claims Examiner job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 40% In-person, and 60% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 10 days ago


Job description

Objective

Under limited supervision, the HR Generalist will ensure that HR Department's operations run smoothly and effectively in a way that promotes and enhances the company core values and adds benefit to its team members and the organization.

The role is far from one-dimensional, undertaking a wide range of HR tasks such as organizing training, administering benefits and leaves and crafting HR policies. The HR Generalist will use Human Resource Information Systems (HRIS) to ensure all team member records are up-to-date and confidential. The HR Generalist will also act as the main point of contact for team members' queries on HR-related topics.

Responsibilities/Expectations

Compliance & Human Resources Administration

  • Develop and maintain a thorough understanding of federal, state, and local employment laws and regulations, working closely with the Human Resources Director to ensure company policies and practices remain compliant.
  • Assist in the development, implementation, and maintenance of HR policies, procedures, and best practices.
  • Maintain accurate and confidential employee records, personnel action forms, licenses, certifications, and required documentation remain current within the Human Resources Information System.
  • Process employee status changes, including personnel action forms, internal transfers, promotions, and other employee updates.
  • Prepare correspondence, presentations, announcements, flyers, and other company communications as requested.
  • Generate HRIS and management reports for internal departments and leadership.
  • Respond to employee and former employee inquiries in a professional and timely manner.
  • Process employment verification requests.
  • Manage HR-related administrative assignments delegated to the receptionist, assist and cover as needed.

Talent Acquisition & Onboarding

  • Assist with talent acquisition and recruitment efforts from requisition through onboarding.
  • Review and process employment applications and monitor candidate progress throughout the hiring process.
  • Schedule, coordinate and participate in internal and external interviews.
  • Coordinate and track pre-employment requirements, including background checks, drug screens, physical examinations, motor vehicle records, and any additional pre-employment testing.
  • Prepare orientation materials and assist to facilitate new hire orientation programs.
  • Update new hire personnel records and onboarding documentation.

Benefits Administration

  • Administer employee benefit programs including medical, dental, vision, life insurance, disability insurance, accident insurance, and the 401(k) retirement plan.
  • Coordinate benefit enrollments, changes, qualifying life events, and terminations utilizing the HRIS system.
  • Lead annual Open Enrollment activities, including employee education, enrollment support, and benefit maintenance.
  • Verify monthly insurance premium invoices and reconcile discrepancies with benefit carriers.
  • Resolve benefit-related issues with insurance providers and HRIS carrier feeds.
  • Assist employees with benefit questions, claims, Short-Term Disability, and Family and Medical Leave (FMLA) administration.
  • Maintain documentation and compliance with all applicable leave and disability regulations.
  • Administer the personnel functions of the Company's 401(k) plan in coordination with the Accounting Department.

Employee Relations & Performance Management

  • Serve as a resource for employees regarding HR policies, procedures, compensation, benefits, and employment-related concerns.
  • Foster positive employee relations through proactive communication and timely issue resolution.
  • Participate in corrective action meetings and performance discussions.
  • Review performance documentation for consistency and policy compliance.
  • Coordinate and conduct employee exit interviews.
  • Prepare employee separation documentation, including termination letters.
  • Promote Team Cone Core Values to create a positive, respectful, and conflict-free workplace.

Safety, Workers' Compensation & DOT Compliance

  • Coordinate workers' compensation claims from initial injury through claim resolution.
  • Triage workplace injuries and coordinate post-accident drug screens and medical treatment.
  • Manage employee out-of-work injury and illness documentation and return-to-work processes.
  • Coordinate vehicle accident reporting and insurance claim follow-up.
  • Maintain OSHA recordkeeping and prepare annual OSHA reporting as required.
  • Monitor Department of Transportation (DOT) compliance, including driver's license and medical certificate expirations.
  • Coordinate DOT random testing authorizations and employee notification monthly.

Reporting & Operational Support

  • Gather, analyze, and report HR metrics including turnover, time-to-fill, and other workforce analytics.
  • Review HR and compliance alerts, investigate discrepancies, and complete required follow-up.
  • Process monthly vendor invoices, coding, and departmental billing as assigned.
  • Maintain company communication platforms and employee information displays.
  • Prepare departmental reports, including referral tracking reports and other operational reports.
  • Provide timely HR support to all departments, with particular emphasis on Operations and Sales.

Position Requirements

  • Five years proven experience as an HR Generalist with a desire to work as a team with a "results driven" approach, including clerical and administrative knowledge pertaining to benefits, company and departmental policies and procedures.
  • Good computer skills including Excel, Word, PowerPoint and Outlook, experience with Paycom preferred.
  • Must be able to communicate and interact effectively (both orally and written) with team members, management, upper management and outside providers with diplomacy, tact and discretion, ensuring confidentiality of team member and company information.
  • Ability to handle most HR related issues in the absence of the HR Director or communicate issue to HR Director for timely resolution.
  • Must be an active member of the local HR Chapter & National SHRM.

Education Requirements

  • BS/BA in Business Administration or relevant field preferred; additional HR experience a plus.
  • Will consider experience plus education in the field of Human Resources in lieu of degree.