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Insurance Claim Examiner Jobs (NOW HIRING)

Chubb is currently seeking a Workers' Compensation Lost Time Senior Claim Examiner for our West ... Prior insurance, legal or corporate business experience is a plus but not required * AIC, RMA, or ...

Claim Examiner

Berwyn, PA ยท Remote

$50K/yr

Job Summary The Claim Examiner is responsible for managing, investigating, and processing Accident & Health insurance claims. The ideal candidate should be highly detail-oriented, precise, and able ...

Chubb is currently seeking a Senior Claim Examiner to join its Fidelity team based in Whitehouse ... insurance coverage and contracts, investigating claims and setting timely and accurate reserves ...

When you think of a job handling insurance claims, you may think about storm damage or auto ... Provide coaching and guidance to new claim examiners * BA/BS College Degree Preferred. JD is ...

Senior Claim Examiner

Philadelphia, PA ยท On-site

$31.25 - $42.50/hr

When you think of a job handling insurance claims, you may think about storm damage or auto ... Provide coaching and guidance to new claim examiners * BA/BS College Degree Preferred. JD is ...

Senior Claim Examiner

Simsbury, CT

$33.25 - $45.25/hr

When you think of a job handling insurance claims, you may think about storm damage or auto ... Assume part of Training responsibilities for New claim examiners * Provide coaching and guidance to ...

Chubb is currently seeking a Workers' Compensation Lost Time Senior Claim Examiner for our West ... Prior insurance, legal or corporate business experience is a plus but not required * AIC, RMA, or ...

A Personal lines Auto Claim Examiner at Chubb Insurance is responsible for handling 1st and 3rd party ADP claims. * Commercial Auto Claims: A Commercial Auto Examiner at Chubb Insurance is ...

A Personal lines Auto Claim Examiner at Chubb Insurance is responsible for handling 1st and 3rd party ADP claims. * Commercial Auto Claims: A Commercial Auto Examiner at Chubb Insurance is ...

We are proud of our tradition of success in the insurance industry of nearly 100 years. Come join ... Conduct eligibility claim reviews by evaluating claim submissions and comparing to policy benefits.

Claim Examiner I

Miami, FL ยท On-site

$19 - $23/hr

POSITION SUMMARY The Claims Examiner I is responsible for the accurate and timely adjudication of ... Minimum of 2-4 years of claims processing experience in a managed care or health insurance ...

Casualty Claim Examiner

Boston, MA ยท On-site

$90K - $115K/yr

Safety Insurance is proud to be one of the leading property and casualty insurance providers in ... Claim Manager. Duties * Interprets and determines policy coverages under the personal lines and ...

Job Title: Workers' Compensation Claim Examiner Pay Rate: $41.29/hr. Shift: 1st 8:00AM-5:00PM ... Prior insurance, legal or corporate business experience is a plus but not required * AIC, RMA, or ...

Job Title: Workers' Compensation Claim Examiner Pay Rate: $41.29/hr. Shift: 1st 8:00AM-5:00PM ... Prior insurance, legal or corporate business experience is a plus but not required * AIC, RMA, or ...

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Insurance Claim Examiner information

See salary details

$40K

$61.6K

$92K

How much do insurance claim examiner jobs pay per year?

As of Jun 7, 2026, the average yearly pay for insurance claim examiner in the United States is $61,600.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $65,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Insurance Claim Examiner, and why are they important?

To thrive as an Insurance Claim Examiner, you need a solid understanding of insurance policies, claims procedures, and investigative techniques, usually supported by a bachelor's degree in a related field. Familiarity with claims management software, regulatory compliance systems, and industry certifications like AIC (Associate in Claims) are typically required. Attention to detail, strong analytical thinking, and effective communication are standout soft skills for this role. These competencies enable accurate claim assessments, minimize fraud, and maintain trust with policyholders and stakeholders.

What does an Insurance Claim Examiner do?

An Insurance Claim Examiner reviews insurance claims to determine their validity and ensures that claims are processed accurately according to policy terms. They investigate claims by gathering information, assessing documentation, and sometimes consulting with medical or legal experts. Their goal is to confirm that claims are legitimate and to determine the appropriate payout or denial. Examiners also help prevent fraud and ensure compliance with laws and company guidelines. They play a critical role in balancing customer service with protecting the financial interests of the insurance company.

What are some common challenges faced by Insurance Claim Examiners, and how can they be managed on the job?

Insurance Claim Examiners often encounter challenges such as handling complex claims, managing tight deadlines, and ensuring compliance with ever-changing regulations. To manage these, examiners typically rely on strong organizational skills, attention to detail, and ongoing professional development to stay updated on industry standards. Collaboration with adjusters, legal teams, and policyholders is also key to resolving issues efficiently and fairly, while maintaining clear communication helps prevent misunderstandings and delays.
More about Insurance Claim Examiner jobs
What cities are hiring for Insurance Claim Examiner jobs? Cities with the most Insurance Claim Examiner job openings:
What states have the most Insurance Claim Examiner jobs? States with the most job openings for Insurance Claim Examiner jobs include:
Infographic showing various Insurance Claim Examiner job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, and 99% Full Time. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $61,600 per year, or $29.6 per hour.
Claim Examiner

Claim Examiner

Boston Mutual Life Insurance Company

Canton, MA โ€ข On-site

$26.87 - $37.61/hr

Full-time

Posted 18 days ago


Job description


All Boston Mutual employees who interact with our policyholders, our producers, and our BML associates embrace the principles of our brand and service philosophy. We are all brand ambassadors. Both our words and our behaviors matter. We share a common service philosophy and pride ourselves in living the BML brand promises every day, one interaction at a time.

The following statements represent what Boston Mutual stands โ€œFORโ€ โ€“ it is what makes us different and better in the market we serve.

  • We are FOR being a progressive life insurance company offering financial peace of mind to working Americans and their families.
  • We are FOR providing practical and affordable products designed for those we serve.
  • We are FOR making it easy to secure a level of financial protection with a portfolio of products โ€“ beginning with life insurance.
  • We are FOR providing a personalized customer experience to our policyholders and producers.
  • We are FOR acting in the best interests of our policyholders, producers, employees and the communities in which we live and serve โ€“ representing the goodness of mutuality in all we do.

We do our best to:

  • Demonstrate a desire to assist
  • Listen for understanding and respond empathetically
  • Explain things in a manner that is easy to understand
  • Be knowledgeable students of our business
  • Take full ownership to resolve questions and issues
  • Be professional, polite and courteous
  • Leave our customers and associates โ€œbetter than where we found themโ€

Statement of Position

The Life Claim Examiner reports directly to the Life Claim Manager.

The Life Claim Examiner is responsible for managing and processing all assigned claims with adherence to company policies and contract provisions in full accordance of the law while demonstrating the highest levels of service professionalism in all they do.

The Life Claim Examiner is expected to:

  • Manage their assigned caseload of Life insurance claims and ensures the accuracy and completeness of submitted claims.
  • Processes assigned claims for payment or denial in accordance with established procedures and guidelines, in a timely manner and meeting departmental quality/production standards.
  • Review and process claims, evaluate medical records, and request additional information when needed.
  • Obtains claim information by communicating effectively with internal/external stakeholders verbally and in written form while maintaining a professional demeanor. Interpret and evaluate policy/contract revisions.
  • Review pending claims on a monthly basis.
  • Perform other duties as assigned.

JOB REQUIREMENTS AND QUALIFICATIONS

Education: High School Diploma, GED or equivalent required. Medical terminology and/or insurance experience preferred.

Experience:

Claim examiner: Minimum of 1 year of business/office experience.

Sr. Claim Examiner: Minimum of 2 years life/medical claims experience required.

Knowledge Requirements:

  • Strong business knowledge
  • Excellent written/verbal communication skills.
  • Strong organizational skills that reflect ability to perform and prioritize a high volume of task.
  • Multitasks seamlessly with excellent attention to context, substance, and detail while meeting goals and strict deadlines.
  • Excellent interpersonal skills and the ability to effectively build and extend relationships.
  • Working knowledge of desktop applications such as Outlook, Word and Excel.

Hybrid Work Model
At our Canton location, most employees will be on site Monday - Thursday. At our Omaha location, employees will be on site 2 days per week
Boston Mutual is an equal opportunity employer, and does not discriminate on the basis of race, color, age, religious creed, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, disability, military service, veteran status, family status, pregnancy, or any other characteristic protected by federal or state laws. Boston Mutual is a drug-free workplace.
#LI-Hybrid