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Insurance Claims Examiner Jobs (NOW HIRING)

Claims Examiner MedMal

Providence, RI ยท On-site +1

$100K - $140K/yr

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

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 ...

WHO WE ARE Relation Insurance is a leading, innovative company with a strong commitment to ... The Claims Examiner must demonstrate strong interpersonal, analytical, and organizational skills ...

Claims Examiner MedMal

Providence, RI ยท On-site +1

$100K - $140K/yr

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

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 ...

Claims Examiner MedMal

Berwyn, 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 ...

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Insurance Claims Examiner information

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$40K

$61.6K

$92K

How much do insurance claims examiner jobs pay per year?

As of Jun 10, 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 is responsible for reviewing insurance claims to determine their validity and ensure that payouts are made according to policy guidelines. They investigate the details of claims, verify information, and may consult with medical or legal experts. The examiner determines if claims are covered, recommends approval or denial, and helps prevent fraudulent or excessive claims. Their work ensures that policyholders receive fair treatment while protecting the insurance company's financial interests.

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, 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 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.

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.
Claims Examiner MedMal

Claims Examiner MedMal

Diedre Moire Corp.

Providence, RI โ€ข On-site, Remote

$100K - $140K/yr

Other

Medical, Retirement, PTO

Posted 13 days ago


Job description

Claims Examiner - Medical Malpractice - Providence, RI Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY BE AVAILABLE Resolve high complexity and high exposure medical malpractice, specified medical, allied health, and senior care claims within granted authority. โ€ข Investigate, negotiate, and resolve complex medical malpractice, specified medical, allied health, and senior care claims.

โ€ข Evaluate issues of liability and damages in assigned cases. โ€ข Establish loss and expense reserves. โ€ข Manage litigation strategy.

โ€ข Communicate adverse case developments to Claims Manager and provide information on issues affecting Medical and Healthcare Practice business. โ€ข Ensure adherence to internal large loss and claims review reporting requirements. โ€ข Manage Third Party Administrator relationships including reporting responsibilities.

โ€ข Contribute to implementation of initiatives, strategies, and action plans introduced by Claims Manager. โ€ข Actively participate in ongoing training and development activities. Fast paced and growth oriented organization offers a competitive compensation package, comprehensive health care plan, bonuses, 401(k) with company match, company cell phone, generous vacation time, numerous professional development opportunities, and more!

For complete details contact Greg Foss at: (609) 584-9000 ext 270 Or submit resume online at: http://dmc9.com/gbf/app.asp Or email to: 1000071018_10006796@najbcareers302.com Please reference #42971RI164 when responding. Diedre Moire Corporation Education Requirements: Bachelor Degree Minimum Experience Requirements: 5-10 years Job City Location: Providence Job State Location: RI Job Country Location: USA Salary Range: $100,000 to $140,000 Diedre Moire Corporation, Inc. diedremoire.com WE ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, sex, national origin, handicap, disability or marital status.

We reasonably accommodate individuals with handicaps, disabilities and bona fide religious beliefs. Jobs Career Position Hiring. CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application.

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Linguistics used herein may use First Person Singular and First Person Plural grammatical person construction for and with the meaning of Third Person Singular and Third Person Plural references. We reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Response to a specific posting or advertisement may result in consideration for other opportunities and not necessarily the incentive or basis of the response.

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