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Insurance Claim Review Jobs (NOW HIRING)

Endeavor Health

Insurance Representative II

Skokie, IL · On-site

$20.69 - $30/hr

... insurance claim process, maximizing reimbursements, and providing top-notch support to patients and insurance providers. What you will do: * Review and process insurance claims for accuracy ...

NorthShore

Insurance Representative II

Warrenville, IL · On-site

$20.69 - $30/hr

... insurance claim process, maximizing reimbursements, and providing top-notch support to patients and insurance providers. What you will do: * Review and process insurance claims for accuracy ...

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How much do insurance claim review jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for insurance claim review in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What is insurance claim review?

Insurance claim review is the process by which insurance companies evaluate claims submitted by policyholders to determine their validity and the extent of coverage. Claims reviewers carefully examine documentation, such as medical records, police reports, or repair estimates, to ensure all policy requirements are met. This process helps prevent fraud, ensures claims are paid accurately, and maintains the integrity of the insurance system. Claim reviewers may also communicate with claimants, request additional information, or work with other professionals to make informed decisions.

What are the key skills and qualifications needed to thrive as an insurance claim review specialist?

To thrive as an Insurance Claim Review Specialist, you typically need a strong understanding of insurance policies, claims processes, and relevant regulations, often backed by a degree in business, finance, or a related field. Familiarity with claims management software, document management systems, and sometimes certifications such as AIC (Associate in Claims) are commonly required. Attention to detail, analytical thinking, and effective communication are critical soft skills for evaluating claims and interacting with policyholders. These skills ensure accurate, timely, and fair claim resolutions that uphold company standards and customer satisfaction.

What are some common challenges faced in an insurance claim review role, and how can they be managed effectively?

One of the most common challenges in Insurance Claim Review is managing a high volume of claims while maintaining accuracy and compliance with regulatory standards. Claims can often be complex, requiring careful analysis of policy terms, medical or incident documentation, and communications with policyholders or third parties. Effective time management, attention to detail, and strong communication skills are essential. Collaborating closely with other departments, such as underwriting and legal, can also help resolve ambiguous cases more efficiently. Ongoing training and keeping up with changes in industry regulations further support success in this role.

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

AspectInsurance Claim ReviewInsurance Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires licensing and adjuster certifications
Work EnvironmentOffice-based, reviewing claims remotely or on-siteFieldwork, inspecting damages, meeting clients
Employer & Industry UsageInsurance companies, third-party claims servicesInsurance companies, independent adjusting firms
Search & Comparison IntentUnderstanding claim review roles, job dutiesAssessing damage, settling claims

Insurance Claim Review professionals focus on evaluating and verifying insurance claims, often working in an office setting. Insurance Adjusters, on the other hand, inspect damages firsthand and negotiate settlements. Both roles require insurance-related certifications but differ in work environment and responsibilities.

More about Insurance Claim Review jobs

What cities are hiring for Insurance Claim Review jobs?

Cities with the most Insurance Claim Review job openings:

What states have the most Insurance Claim Review jobs?

States with the most job openings for Insurance Claim Review jobs include:

What job categories do people searching Insurance Claim Review jobs look for?

The top searched job categories for Insurance Claim Review jobs are:

Insurance Claim Review jobs near you
Infographic showing various Insurance Claim Review job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Liability Senior Claim Representative/Claims Specialist

Great American Insurance Group

Cincinnati, OH • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 10 hours ago

Great American Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

56th of 311 rated insurance

Job description

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.
At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.
This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.
Great American's Embedded Solutions group is a newly established team focused on launching innovative insurance products such as Single-Family Renters and Multi-Family Renters programs.
The Embedded Solutions Group is hiring a Senior Claim Representative! Great American's culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be onsite four days a week, with the flexibility to work one day remotely. Core in-office days are Tuesday-Thursday, with the fourth day determined by business needs.
Essential Job Functions and Responsibilities
  • Own liability claims from first notice of loss through resolution.
  • Manage a high-volume inventory of contents claims while delivering an exceptional and seamless customer experience.
  • Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages.
  • Maintain regular communication with claimants, vendors, and other parties throughout the life of the claim.
  • Review and analyze estimates, receipts, photographs, and supporting documentation to evaluate claimed damages.
  • Determines and negotiates appropriate claim settlements/reserves within prescribed authority.
  • Conveys moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
  • Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
  • Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
  • Performs other duties as assigned.

Job Requirements
Education
  • Bachelor's Degree in Business Administration, Risk Management & Insurance, Finance, or a related field; or equivalent professional experience.

Experience
  • Generally, a minimum of 5 years of experience in property and casualty claims handling
  • Previous experience handling claims and working in a fast-paced environment.

Qualifications
  • Works within significant limits and authority on assignments of higher technical complexity and coordination.
  • Demonstrates strong analytical, negotiation, and problem-solving skills.
  • Demonstrates knowledge of insurance policies, coverage, and claims handling procedures
  • Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims.
  • Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations.
  • Proven ability to handle confidential information with discretion.

Business Unit:
Embedded Solutions
Benefits:
We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.
Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.
*Excludes seasonal employees and interns.

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