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Insurance Claim Examiner Jobs (NOW HIRING)

Sr Claim Examiner- WC

Fairfax, VA ยท On-site

$35.59/hr

Type: Contract * Job #105653 Job Title: Sr. Claim Examiner - Workers' Compensation Location ... Professional insurance industry designations. Skills * Strong workers' compensation claims ...

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

Chesapeake, VA ยท On-site

$53K - $77K/yr

Chubb is looking to build a talent pipeline for upcoming Casualty Claims Examiner, Claim Specialist ... Minimum of 2 years of experience in liability insurance claims adjusting, including litigation.

Casualty Claim Examiner

Chesapeake, VA ยท On-site

$53K - $77K/yr

Chubb is looking to build a talent pipeline for upcoming Casualty Claims Examiner, Claim Specialist ... Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial ...

Sr Claim Examiner- WC

Folsom, CA ยท On-site

$32/hr

... Senior Claims Examiner to manage complex workers' compensation claims through the full claim ... Insurance Institute of America (IIA) * Chartered Property Casualty Underwriter (CPCU) * Experience ...

Senior Claim Examiner

Chicago, IL ยท On-site

$33.75 - $45.75/hr

... claim ... Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial ...

Analyze initial reports and promptly reach out to insured parties with a high priority on first day ... Effectively evaluate claim facts and negotiate claim settlements. * Be available for on call ...

Senior Claim Examiner

Chicago, IL ยท On-site

$33.75 - $45.75/hr

Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of ... About Us Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides ...

Senior Claims Examiner - Virtual Property Team Adjuster Description We are seeking a Property ... Analyze initial reports and promptly reach out to insured parties with a high priority on first day ...

Senior Claims Examiner - Virtual Property Team Adjuster Description We are seeking a Property ... Analyze initial reports and promptly reach out to insured parties with a high priority on first day ...

Analyze initial reports and promptly reach out to insured parties with a high priority on first day ... Effectively evaluate claim facts and negotiate claim settlements. * Be available for on call ...

Chubb is seeking a Senior Claims Examiner to join the Environmental Claims team. The Environmental ... About Us Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides ...

Showing results 21-40

Insurance Claim Examiner information

See salary details

$40K

$61.6K

$92K

How much do insurance claim examiner jobs pay per year?

As of Aug 10, 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?

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.

How much do insurance claim examiners make in the US?

Insurance claim examiners in the US typically earn a median annual salary of around $45,000 to $70,000, depending on experience, location, and employer. Those with specialized skills or certifications may earn higher wages, and the role often involves reviewing claims, assessing damages, and ensuring compliance with policies.

Is being an insurance claim examiner hard?

Being an insurance claim examiner can be challenging as it requires attention to detail, strong analytical skills, and knowledge of insurance policies. The job often involves reviewing complex claims, making accurate decisions, and working under deadlines, which can be demanding but manageable with experience and training.

How to become an insurance claim examiner?

To become an insurance claim examiner, candidates typically need a high school diploma or equivalent, with some roles requiring an associate's or bachelor's degree in fields like insurance, business, or related areas. Relevant skills include attention to detail, communication, and knowledge of insurance policies; obtaining professional certifications such as the Certified Insurance Claims Professional (CICP) can enhance job prospects. On-the-job training is common, and examiners often work in office environments with standard business hours.

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 August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $61,600 per year, or $29.6 per hour.

Sr Claim Examiner- WC

Epitec

Fairfax, VA โ€ข On-site

$35.59/hr

Contractor

Posted 7 days ago


Job description

  • Location: Fairfax, Virginia
  • Type: Contract
  • Job #105653

Job Title:
Sr. Claim Examiner - Workers' Compensation
Location:
Fairfax, Virginia
Job Type:
Full-time, 2-month On-Going Contract, W2
Schedule:
Monday - Friday, Remote, EST preferred
Pay Range:
$35.59 per hour
Visa sponsorship is not available now or in the near future.
Job Description:
Key Responsibilities:
  • Interpret policy coverages and determine claim applicability.
  • Manage complex workers' compensation claims throughout the claim lifecycle.
  • Conduct and oversee claim investigations.
  • Direct litigation and discovery strategy in partnership with legal counsel.
  • Establish appropriate reserves and authorize claim payments within authority limits.
  • Negotiate and settle claims promptly and equitably.
  • Ensure timely issuance of payments and claim disbursements.
  • Identify and pursue subrogation and third-party recovery opportunities.
  • Analyze claims activity and prepare reports for clients, carriers, and management.
  • Participate in claim reviews and provide recommendations on claim strategy.

Requirements
  • 4+ years of workers' compensation claims experience.
  • Experience handling complex and litigated workers' compensation claims.
  • Strong reserve analysis and settlement authority experience.
  • Experience with claim investigations and recovery efforts.
  • Active Workers' Compensation Adjuster License as required by jurisdiction.
  • Ability to work effectively in a remote environment.

Preferred Qualifications
  • Experience with subrogation and third-party recovery.
  • Prior experience with carriers, TPAs, or self-insured organizations.
  • Multi-state workers' compensation claim handling experience.
  • Professional insurance industry designations.

Skills
  • Strong workers' compensation claims management expertise.
  • Advanced investigative and claim resolution skills.
  • Excellent written and verbal communication skills.
  • Strong negotiation and presentation abilities.
  • Ability to work independently and make sound business decisions.
  • Advanced analytical and problem-solving capabilities.
  • Ability to prioritize and manage multiple claims simultaneously.
  • Experience collaborating with legal counsel on litigated claims.

Education
  • Bachelor's degree or equivalent experience required.

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