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Insurance Claims Examiner Jobs (NOW HIRING)

Insurance Claims Examiner

Lincoln, NE ยท On-site +1

$23.80/hr

JR2026-00026433 Insurance Claims Examiner (Open) Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed): 06-04-2026 An Insurance Complaint Examiner is ...

Claims Examiner MedMal

Chicago, IL ยท On-site +1

$100K - $140K/yr

Claims Examiner - Medical Malpractice - Chicago, IL Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY ...

As a leading MGA, MSI combines deep underwriting expertise with insurer risk capacity to create ... The Sr Claims Examiner is considered an expert in managing insurance claims for our policyholders ...

Claims Examiner MedMal

Chicago, IL ยท On-site +1

$100K - $140K/yr

Claims Examiner - Medical Malpractice - Chicago, IL Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY ...

Claims Examiner MedMal

Chicago, IL ยท On-site +1

$100K - $140K/yr

Claims Examiner - Medical Malpractice - Chicago, IL Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY ...

Monitor copays, deductibles, insurance verification, and authorizations. Analyze incoming and ... Claims Examiner Responsibilities: - Submit claims and encounters in a timely manner. - Review and ...

Claims Examiner MedMal

Chicago, IL ยท On-site +1

$100K - $140K/yr

Claims Examiner - Medical Malpractice - Chicago, IL Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY ...

Claims Examiner MedMal

Chicago, IL ยท On-site +1

$100K - $140K/yr

Claims Examiner - Medical Malpractice - Chicago, IL Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY ...

Claims Examiner MedMal

Chicago, IL ยท On-site +1

$100K - $140K/yr

Claims Examiner - Medical Malpractice - Chicago, IL Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY ...

Claims Examiner MedMal

Chicago, IL ยท On-site +1

$100K - $140K/yr

Claims Examiner - Medical Malpractice - Chicago, IL Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY ...

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How much do insurance claims examiner jobs pay per year?

As of Jun 11, 2026, the average yearly pay for insurance claims 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 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 claims processing software. Strong attention to detail and knowledge of insurance policies are essential for this role.

How do I become a claims examiner?

To become a claims examiner, typically a high school diploma or equivalent is required, with some positions preferring postsecondary education or relevant experience. Candidates should develop strong attention to detail, knowledge of insurance policies, and familiarity with claims processing software; obtaining industry certifications can also enhance job prospects.

What is the difference between Insurance Claims Examiner vs Insurance Adjuster?

AspectInsurance Claims ExaminerInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; some roles prefer certifications like CPCU or AICRequires similar credentials; certifications like AIC or CPCU are common
Work EnvironmentOffice-based, reviewing claims and documentationField or office-based, inspecting damages and interviewing claimants
Employer & IndustryInsurance companies, government agenciesInsurance companies, independent adjusting firms
Search & Comparison IntentOften compared for claims processing rolesRelated to claims evaluation and damage assessment

Both Insurance Claims Examiners and Insurance Adjusters work within the insurance industry, handling claims and requiring similar certifications. While Claims Examiners primarily review documentation in office settings, Adjusters often inspect damages in the field. Understanding these differences helps job seekers identify the right role based on work environment and responsibilities.

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. Salaries can vary based on the complexity of claims handled and whether the examiner has specialized certifications or skills in insurance policies and claims processing.

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 the ability to handle sensitive information, which can contribute to work-related stress.

What are some common challenges Insurance Claims Examiners face in their daily work?

Insurance Claims Examiners often encounter the challenge of balancing thorough investigation with timely claims processing. Reviewing complex documentation, communicating with claimants and other stakeholders, and detecting potential fraud can be demanding, especially when managing a high-volume caseload. Examiners must stay updated on changing regulations and policy guidelines while maintaining objectivity and empathy in sometimes stressful situations. Developing strong organizational and communication skills is key to overcoming these challenges and delivering fair, accurate outcomes.

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

To thrive as an Insurance Claims Examiner, you need a solid understanding of insurance policies, claim procedures, and investigative techniques, typically supported by a bachelor's degree in a related field. Familiarity with claims management software, regulatory compliance tools, and sometimes certifications like AIC (Associate in Claims) are commonly required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for evaluating claims and interacting with claimants and stakeholders. These skills ensure accurate claim assessments, minimize fraudulent payouts, and maintain trust with clients and insurers.
What cities are hiring for Insurance Claims Examiner jobs? Cities with the most Insurance Claims Examiner job openings:
Who are the top companies hiring for Insurance Claims Examiner jobs? The top employers for Insurance Claims Examiner jobs are:
What states have the most Insurance Claims Examiner jobs? States with the most job openings for Insurance Claims Examiner jobs include:
Infographic showing various Insurance Claims Examiner job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, and 99% Full Time. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $61,600 per year, or $29.6 per hour.

Insurance Claims Examiner

Son

Lincoln, NE โ€ข On-site, Remote

$23.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post hasย expired today.ย Applications are no longer accepted.


Job description

The work we do matters!

Hiring Agency:

Insurance - Agency 22


Location:

Lincoln, NE


Hiring Rate:

$23.802


Job Posting:

JR2026-00026433 Insurance Claims Examiner (Open)


Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):

06-04-2026


Job Description:

An Insurance Complaint Examiner is responsible for reviewing incoming complaints, creating inquiry correspondence to send to insurance companies and reviewing their responses for compliance with Nebraska state insurance statutes. The Examiner is also a public-facing position and is responsible for answering questions about insurance from the public.
Look at what we have to offer!
13 paid holidays
Vacation and sick leave that begin accruing immediately
Military leave
156% (that's not a typo!) state-matched retirement
Tuition reimbursement
Employee assistance program
79% employer paid health insurance plans
Dental and vision insurance plans
Employer-paid $20,000 life insurance policy
Public Service Loan Forgiveness Program (PSLF) through the Federal government
Wide variety and availability of career advancement as the largest and most diverse employer in the State
Opportunity to be part of meaningful work and make a difference through public service
Training and Development based on your career aspirations
Fun, inviting teammates
A safe and secure environment
At the State, we stand by our core values of treating others with dignity and respect, acting ethically in all situations, and creating an environment where our customer is our top priority. Apply to join our team today!


Job Duties:Responds to telephone inquiries, emails and letters from individuals requesting information pertaining to insurance practices, products and premiums, and to state and federal insurance-related law. Reviews incoming complaints to identify potential concerns or violations and to determine what information, documentation and other evidence will be relevant and essential to the investigation. Corresponds with all entities involved, i.e., consumers, agents, insurance company personnel, medical providers, attorneys, and employers, gathering information necessary to evaluate complaints Reports results of reviews to consumers. Reviews and evaluates complaint responses to ensure complainants concerns have been addressed and to ensure companies and agents have acted in accordance with Nebraska insurance statutes and Department of Insurance rules and regulations. Drafts letters to complainants to report outcome of investigations; Drafts memorandums and organizes evidence obtained in case investigations to submit to department counsel for consideration of administrative action. Utilizes State Based Systems (SBS) database to track case history/activity and to retrieve licensing information and extract data to create reports of company and producer complaint activity. Other duties as assigned within the scope of the classification.

Requirements/Qualifications

Minimum Qualifications: Bachelor degree in business or related field AND one year of experience in insurance industry or insurance regulation OR five years' experience working in insurance industry or insurance regulation. Employee must have successfully completed all required on-the-job training to be eligible for this classification.

Other:Regular and reliable attendance is required.


Knowledge, Skills, & Abilities: Knowledge of: Nebraska insurance statutes and Department of Insurance rules and regulations; the overall operation of insurance companies; insurance principles and industry practices. Ability to: Interact with insurance representatives and complainants with diverse perspectives to resolve issues; Interpret and explain insurance contracts, statutes, rules, and regulations; Identify and collect data and documents pertinent to the case; Understand and interpret relevant data and documents; interview complainants; Extract and compile statistical data; Make decisions and exercise sound judgment; Use a computer to create cases, exchange information, generate correspondence and track activity; learn new computer software programs. Skills in: Strong written and oral communication; Microsoft Outlook, Microsoft Word, and Microsoft Excel.


If you're currently employed by the State of Nebraska, please don't apply through this external career site. Instead, log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: https://link.nebraska.gov/


Benefits

We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.
Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits

Equal Opportunity Statement

The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.