Claims Examiner
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Description JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and ... PAY RANGE $28.85 - $33.65 / hourly
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Description JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and ... PAY RANGE $28.85 - $33.65 / hourly
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Description JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and ... PAY RANGE $28.85 - $33.65 / hourly
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Description: JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and ... PAY RANGE $28.85 - $33.65 / hourly
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Description: JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and ... PAY RANGE $28.85 - $33.65 / hourly
New York, NY · On-site +1
Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims
New York, NY · On-site +1
Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims
OR · On-site +1
Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims
OR · On-site +1
Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims
We are looking for a Claims Examiner, someone who's ready to grow with our company. In this ... physical disability, race, color, religion, gender, national origin, age, genetic information ...
We are looking for a Claims Examiner, someone who's ready to grow with our company. In this ... physical disability, race, color, religion, gender, national origin, age, genetic information ...
North East, PA · On-site +1
Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims
North East, PA · On-site +1
Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims
Minto, AK · On-site +1
Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims
Minto, AK · On-site +1
Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims
Florida, NY · Remote
Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims
Florida, NY · Remote
Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... disability, or status as a protected veteran. #allcatclaims
$65K - $115K/yr
We are seeking Workers' Compensation Claims Examiners and Senior Claims Examiners to join our team ... Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
$65K - $115K/yr
We are seeking Workers' Compensation Claims Examiners and Senior Claims Examiners to join our team ... Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
Bellaire, TX · On-site
We are looking for a Claims Examiner, someone who's ready to grow with our company. In this ... physical disability, race, color, religion, gender, national origin, age, genetic information ...
Bellaire, TX · On-site
We are looking for a Claims Examiner, someone who's ready to grow with our company. In this ... physical disability, race, color, religion, gender, national origin, age, genetic information ...
Walnut Creek, CA · On-site
$65K - $115K/yr
Our Claims Examiners are expected to handle claims with the utmost good faith, fully aligned with ... Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
Walnut Creek, CA · On-site
$65K - $115K/yr
Our Claims Examiners are expected to handle claims with the utmost good faith, fully aligned with ... Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
Walnut Creek, CA · On-site
$65K - $115K/yr
Our Claims Examiners are expected to handle claims with the utmost good faith, fully aligned with ... Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
Walnut Creek, CA · On-site
$65K - $115K/yr
Our Claims Examiners are expected to handle claims with the utmost good faith, fully aligned with ... Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
Tallahassee, FL · On-site
Major disability time off (MDTO) * Retirement plan * Life and AD&D insurance * Voluntary life and ... As a Claims Examiner I, you will analyze insurance claims of low to moderate difficulty to ...
Tallahassee, FL · On-site
Major disability time off (MDTO) * Retirement plan * Life and AD&D insurance * Voluntary life and ... As a Claims Examiner I, you will analyze insurance claims of low to moderate difficulty to ...
Folsom, CA · On-site
$24 - $25/hr
The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...
Folsom, CA · On-site
$24 - $25/hr
The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...
Oakland, CA · On-site
We are searching for highly motivated Claims Examiners to join our team! Under supervision of the ... disability residuals, and future medical claims. Duties and Responsibilities * Ensure proper ...
Oakland, CA · On-site
We are searching for highly motivated Claims Examiners to join our team! Under supervision of the ... disability residuals, and future medical claims. Duties and Responsibilities * Ensure proper ...
Major disability time off (MDTO) * Retirement plan * Life and AD&D insurance * Voluntary life and ... As a Claims Examiner I, you will analyze insurance claims of low to moderate difficulty to ...
Major disability time off (MDTO) * Retirement plan * Life and AD&D insurance * Voluntary life and ... As a Claims Examiner I, you will analyze insurance claims of low to moderate difficulty to ...
Glen Allen, VA · On-site
$65K - $85K/yr
Job Title: Claims Examiner Location: Full time in-office, Richmond, VA 23233 We are seeking a ... Basic Life/AD&D/Short Term/Long Term Disability coverage. * 401(k) - Company match of up to 6% * ...
Glen Allen, VA · On-site
$65K - $85K/yr
Job Title: Claims Examiner Location: Full time in-office, Richmond, VA 23233 We are seeking a ... Basic Life/AD&D/Short Term/Long Term Disability coverage. * 401(k) - Company match of up to 6% * ...
$61K - $101K/yr
Provide excellent customer service while managing approximately 95 Short-Term Disability (STD) claims. * Oversee a portfolio of complex claims, including those involving co-morbidities, behavioral ...
$61K - $101K/yr
Provide excellent customer service while managing approximately 95 Short-Term Disability (STD) claims. * Oversee a portfolio of complex claims, including those involving co-morbidities, behavioral ...
Tallahassee, FL · On-site
... disability time off (MDTO)Retirement planLife and AD&D insuranceVoluntary life and AD&D ... As a Claims Examiner I, you will analyze insurance claims of low to moderate difficulty to ...
Quick apply
Tallahassee, FL · On-site
... disability time off (MDTO)Retirement planLife and AD&D insuranceVoluntary life and AD&D ... As a Claims Examiner I, you will analyze insurance claims of low to moderate difficulty to ...
Folsom, CA · On-site
$24 - $25/hr
The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...
Folsom, CA · On-site
$24 - $25/hr
The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...
$15.38 - $18.16
8% of jobs
$18.16 - $20.94
11% of jobs
$22.09 is the 25th percentile. Wages below this are outliers.
$20.94 - $23.71
13% of jobs
$23.71 - $26.49
17% of jobs
The median wage is $26.83 / hr.
$26.49 - $29.26
8% of jobs
$29.26 - $32.04
9% of jobs
$34.50 is the 75th percentile. Wages above this are outliers.
$32.04 - $34.81
9% of jobs
$34.81 - $37.59
9% of jobs
$37.59 - $40.36
3% of jobs
$40.36 - $43.14
5% of jobs
$43.14 - $45.91
6% of jobs
$15
$29
$45
Cities with the most Hourly Disability Claims Examiner job openings:
The most popular types of Disability Claims Examiner jobs are:
States with the most job openings for Hourly Disability Claims Examiner jobs include:
The top searched job categories for Hourly Disability Claims Examiner jobs are:

$28.85 - $33.65/hr
Full-time
Re-posted 25 days ago
Description
JOB SUMMARY
The Claims Examiner is responsible for reviewing, analyzing, and adjudicating medical claims for a management services organization (MSO) supporting medical clinics and Independent Practice Association (IPA) groups. This role applies plan and contract rules, reimbursement methodologies, and medical billing/coding guidelines to ensure claims are processed accurately, timely, and in compliance with federal and California requirements. The Claims Examiner collaborates with Provider Relations/Network, Contracting, Utilization Management, Finance, Member/Patient Services, and Compliance to resolve pended claims, denials, adjustments, and provider disputes while meeting production and quality standards.
Requirements
MINIMUM & PREFERRED QUALIFICATIONS
Education
Minimum: High school diploma or equivalent, or equivalent combination of education and experience.
Experience
Minimum: Two years of healthcare claims processing or claims adjudication experience, including experience interpreting benefits and reimbursement rules. Experience working with claim denials, adjustments, and provider inquiries. Working knowledge of medical billing/coding basics (CPT, HCPCS, ICD-10, revenue codes) and how coding impacts adjudication. Experience using claims systems and/or EDI workflows preferred.
Skills, Knowledge & Abilities
Knowledge of end-to-end claims lifecycle including intake, edits, adjudication, pricing, payment, denials, adjustments, and recoveries.
Ability to interpret provider contracts, fee schedules, and reimbursement methodologies (FFS, DRG/APC, capitation, bundled payments).
Strong analytical and problem-solving skills; able to research discrepancies and determine appropriate resolution.
Attention to detail and accuracy with ability to meet production, turnaround time, and quality standards.
Effective written and verbal communication; professional customer service with providers and internal stakeholders.
Working knowledge of HIPAA transactions (837/835) and claims-related regulatory requirements including prompt pay and dispute resolution.
Proficient with claims systems, Microsoft Office/Google Workspace, and basic reporting tools.
PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS:
The physical demands described here are represented by those that must be met by an employee to successfully perform the essential functions of this job. Work is primarily performed in an office or hybrid office environment and involves prolonged periods of sitting, computer use, and data review. The role requires sustained concentration, analytical thinking, and attention to detail to ensure claims accuracy and regulatory compliance. Occasional lifting of materials up to approximately 10-20 pounds may be required. The position may require extended work hours or weekend work to meet operational and regulatory deadlines.
PAY RANGE
$28.85 - $33.65 / hourly