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Insurance Claim File Review Jobs (NOW HIRING)

Elevate Claims Solutions

File Reviewer

Indianapolis, IN · On-site

$14.75 - $17.75/hr

Prior file review experience in a claim handling setting. * Experience in both carrier and independent adjusting roles is preferred. * Experience in commercial and personal lines claims is required.

twoharbors

Insurance Claim Specialist

Fort Mill, SC

Responsible for reviewing a pipeline of Insurance Claims to ensure a positive borrower experience while ensuring compliance with any agency and/or investor guidelines * Process Insurance Claim ...

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Insurance Claim File Review information

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How much do insurance claim file review jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for insurance claim file review in the United States is $21.86, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $25.72 per hour, depending on experience, location, and employer.

What is an Insurance Claim File Review?

An Insurance Claim File Review is a detailed evaluation of insurance claim documents and files to ensure accuracy, compliance, and proper processing. Professionals in this role review submitted claims, verify information, assess the validity of the claim, and determine if all required documentation is present. They may also check for potential fraud, ensure adherence to company policies, and make recommendations regarding claim approval or denial. This process is critical to maintaining the integrity of the claims system and minimizing losses for the insurance provider.

What is the difference between Insurance Claim File Review vs Insurance Claims Adjuster?

AspectInsurance Claim File ReviewInsurance Claims Adjuster
Primary RoleReview and analyze insurance claim files for accuracy and completenessInvestigate, evaluate, and settle insurance claims
Required CredentialsTypically claims or insurance certifications, sometimes a background in insurance or claims processingAdjuster license, insurance certifications, relevant experience
Work EnvironmentOffice-based, primarily reviewing documents and dataField and office work, including site visits and interviews
Industry UsageCommon in insurance companies, third-party claims review firmsWidely used in insurance companies, claims departments

While both roles involve working with insurance claims, the Insurance Claim File Review focuses on analyzing claim documentation for accuracy, whereas the Insurance Claims Adjuster actively investigates and settles claims. The review role is more document-centric, often office-based, and requires specific certifications, while adjusters may work in the field and handle the entire claims process.

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

To thrive as an Insurance Claim File Reviewer, you need a keen understanding of insurance policies, claims processes, and regulatory compliance, often backed by relevant experience or an insurance-related certification. Familiarity with claims management systems, document management software, and industry-specific databases is typical for the role. Attention to detail, analytical thinking, and strong written communication are vital soft skills that help ensure accuracy and clarity in claim assessments. These skills are crucial for efficiently evaluating claims, reducing errors, and ensuring fair and prompt claim resolutions.

What are some common challenges faced by professionals in Insurance Claim File Review, and how can these be managed effectively?

Professionals in Insurance Claim File Review often encounter challenges such as interpreting complex policy language, managing large caseloads, and ensuring compliance with constantly evolving regulations. Staying organized and leveraging claim management software can help streamline the review process and reduce errors. Regular training and collaboration with legal, medical, and adjuster teams also play a key role in addressing ambiguities and maintaining accuracy in claim determinations.
What states have the most Insurance Claim File Review jobs? States with the most job openings for Insurance Claim File Review jobs include:
Insurance Claim File Review jobs near you

File Reviewer

Elevate Claims Solutions

Indianapolis, IN • On-site

$14.75 - $17.75/hr

Contractor

Posted 6 days ago

Job description

Job Description
File Reviewer
Property Claims
Commercial / Large Loss
Elevate is searching for additional contract review staff to assist with commercial claims quality file reviews.Hours are flexible within certain time parameters.
This is a part time contract position that varies with the seasons and weather events.Compensation is on a 1099 basis, per file, for work performed.
Position Duties & Responsibilities
  • Reviews claim submissions from the field staff and audits work product for accuracy, professionalism, and adherence to Elevate, carrier, and industry requirements.
  • Packages and provides interim and finished work product to the carriers and advances diaries and / or invoices and closes files as necessary.
  • Alerts management of developing or potential issues on claim files as observed.
  • Alerts management to exceptional performance on claim files as observed.
  • Provides direction and guidance to staff to ensure that they have sufficient knowledge and skill to provide exemplary customer service and resolve claims timely and equitably across all lines of business.
  • Reviews client guidelines in order to ensure adherence to client requirements and policyholder expectations.
  • Conducts closed file audits as assigned to ensure that claims are handled according to company policies and procedures.
  • Assists in design of workflows, processes, and techniques with a focus on continual process development.

Requirements & Qualifications
  • Three years minimum experience of increasing claims responsibility.
  • Prior file review experience in a claim handling setting.
  • Experience in both carrier and independent adjusting roles is preferred.
  • Experience in commercial and personal lines claims is required.
  • Demonstrated effective verbal and written communication ability.
  • Effective customer service, organization, influence, critical thinking, conflict management, and teamwork skills.
  • Demonstrated self-motivation with the ability to plan, organize, and complete tasks independently without close supervision.
  • FileTrac experience is preferred.
  • Xactimate / Xactanalysis experience is preferred.
  • Symbility experience is a plus.
  • Complex loss experience is a plus.

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