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Insurance Claim Examiner Jobs (NOW HIRING)

At Chubb, our mission is to provide superior insurance solutions that foster resilience and ... Evaluate claim details critically and negotiate settlements effectively. * Build and maintain ...

Senior Auto Claim Examiner

Phoenix, AZ · On-site

$31 - $42/hr

Analyze first reports and promptly contact insured/claimants within hours. * Effectively evaluate ... Effectively evaluate claim facts and negotiate claim settlements. * Develop and maintain strong ...

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Insurance Claim Examiner information

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$40K

$61.6K

$92K

How much do insurance claim examiner jobs pay per year?

As of Jul 20, 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.

Is a claims examiner a stressful job?

A claims examiner role can be stressful due to the need to review complex insurance claims accurately and efficiently, often under tight deadlines. The job requires attention to detail, strong decision-making skills, and sometimes handling difficult or emotional claimants, which can contribute to workplace stress.

How do I become a claims examiner?

To become a claims examiner, typically one needs a high school diploma or equivalent, with some positions preferring an associate's or bachelor's degree in fields like insurance, finance, or business. Relevant skills include attention to detail, strong communication, and knowledge of insurance policies; obtaining industry certifications such as the Certified Claims Professional (CCP) can enhance job prospects. On-the-job training is common, and familiarity with claims processing software is beneficial.

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.

How much do claims examiners make in the US?

Claims examiners in the US typically earn a median annual salary of around $45,000 to $65,000, depending on experience, location, and employer. Entry-level positions may start lower, while experienced examiners with specialized skills can earn higher wages, often supplemented with benefits and opportunities for advancement.

What does an insurance claims examiner do?

An insurance claims examiner reviews insurance claims to determine their validity and the appropriate payout. They analyze policy details, investigate claims, and ensure compliance with company policies, often using specialized software and documentation. The role requires attention to detail and knowledge of insurance policies and regulations.

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 July 2026, with employment types broken down into 81% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $61,600 per year, or $29.6 per hour.
Claim Examiner - General Liability and Product Liability | Jurisdiction: Mutli State | Licensing...

Claim Examiner - General Liability and Product Liability | Jurisdiction: Mutli State | Licensing...

Sedgwick

Downers Grove, IL • Remote

$65K - $85K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago


Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 316 frontline employees who took The Breakroom Quiz

190th of 281 rated insurance


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

Claim Examiner - General Liability and Product Liability | Jurisdiction: Mutli State | Licensing: Required - Hybrid

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

  • Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

ARE YOU AN IDEAL CANDIDATE? To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

WORK LOCATION: Hybrid to any Sedgwick Office Nation Wide

PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Responsible for endtoend management of complex general liability claims, from investigation through resolution, ensuring accurate liability assessment and timely outcomes

  • Oversees reserve strategy, settlement negotiations, payments, and statutory filings while maintaining compliance with authority levels and regulatory requirements

  • Manages litigation, vendor partnerships, excess carrier reporting, and recovery efforts to drive costeffective claim resolution

  • Serves as a primary point of contact for claimants and clients, maintaining clear communication, strong relationships, and welldocumented claim files

  • Collaborates with leadership to escalate complex matters appropriately and support strategic claim handling decisions

  • Ensures adherence to internal quality standards, regulatory compliance, and best practices while contributing to continuous improvement initiatives

QUALIFICATIONS

Education and Licensing

Bachelor's degree from an accredited college or university preferred. Licenses as required.Professional certifications as applicable to line of business preferred.

Experience

Five (5) years of claims management experience or equivalent combination of education and experience required.

TAKING CARE OF YOU

Flexible work schedule.

Referral incentive program.

Career development and promotional growth opportunities.

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

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,travel as required

Auditory/Visual: Hearing, vision and talking

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is($65,000.00 - 85,000.00 USD Annual). A comprehensive benefits package is offeredincludingbut not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always accepting applications.

#claimsexaminer#claims #hybrid#LI-REMOTE

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.

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