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Insurance Claims Examiner Jobs (NOW HIRING)

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

All claim will be reviewed and approved in line within current Standard Flood Insurance Policy ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

All claim will be reviewed and approved in line within current Standard Flood Insurance Policy ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties

Claims Examiner

OR · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

All claim will be reviewed and approved in line within current Standard Flood Insurance Policy ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties

Claims Examiner

New York, NY · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

All claim will be reviewed and approved in line within current Standard Flood Insurance Policy ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties

Claims Examiner

Los Angeles, CA · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

All claim will be reviewed and approved in line within current Standard Flood Insurance Policy ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties

Claims Examiner

North East, PA · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

All claim will be reviewed and approved in line within current Standard Flood Insurance Policy ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties

Claims Examiner

Florida, NY · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

All claim will be reviewed and approved in line within current Standard Flood Insurance Policy ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties

Claims Examiner

Minto, AK · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

All claim will be reviewed and approved in line within current Standard Flood Insurance Policy ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties

CLAIMS EXAMINER II

Burlingame, CA · On-site

$36.92 - $41.85/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Minimum 3-4 years of experience in health insurance claims processing, examination, adjudication, and auditing. * Strong knowledge of managed care and/or healthcare claim reimbursement or medical ...

Our solutions span the insurance senior market sector, focusing on long-term care and Medicare ... The Long-Term Care (LTC) Claims Examiner is responsible for the accurate and timely adjudication of ...

Claims Examiner/Senior Claims Examiner

Walnut Creek, CA

$65K - $115K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Preferred Employers Insurance, A Berkley Company specializes in providing workers' compensation ... We are seeking Workers' Compensation Claims Examiners and Senior Claims Examiners to join our team.

CLAIMS EXAMINER II

Burlingame, CA · On-site

$36.92 - $41.85/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Minimum 3-4 years of experience in health insurance claims processing, examination, adjudication, and auditing. * Strong knowledge of managed care and/or healthcare claim reimbursement or medical ...

CLAIMS EXAMINER II

Burlingame, CA · On-site

$36.92 - $41.85/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Minimum 3-4 years of experience in health insurance claims processing, examination, adjudication, and auditing. * Strong knowledge of managed care and/or healthcare claim reimbursement or medical ...

Claims Examiner

Miami, FL · On-site

  • Medical

  • Retirement

  • PTO

Claims Examiner Department: Claims Reports to: Claims Supervisor Date: Job Summary Are you looking ... Read and interpret insurance policy language and adjudicate claims accordingly * Respond to written ...

Claims Examiner/Senior Claims Examiner

Walnut Creek, CA · On-site

$65K - $115K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Company Details Preferred Employers Insurance, A Berkley Company specializes in providing workers ... Our Claims Examiners are expected to handle claims with the utmost good faith, fully aligned with ...

Showing results 21-40

Insurance Claims Examiner information

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$40K

$61.6K

$92K

How much do insurance claims examiner jobs pay per year?

As of Aug 15, 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.

How much do insurance claims examiners make in the US?

Insurance claims examiners in the US earn a median annual salary of around $45,000 to $70,000, depending on experience, location, and employer. Those with specialized skills or certifications may earn higher wages, and the role often involves reviewing claims, assessing damages, and ensuring compliance with policies.

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 to become an insurance claims examiner?

To become an insurance claims examiner, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary education or relevant experience. Many employers require knowledge of insurance policies, claims processing, and strong attention to detail; professional certifications such as the Certified Claims Professional (CCP) can 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.

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 August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $61,600 per year, or $29.6 per hour.

Full-time

Re-posted 6 days ago


Job description

Position Summary

The Claims Examiner reports to the Director of Claims. The Claims Examiner is an exciting and challenging position that is the primary contact to our client throughout the claims process and help manage the investigation of their claim. The position will work hand in hand and under the direction of the Public Adjuster who represents the client by serving as a liaison between the client, the insurance company, and other parties that may be involved in the claim.

Major Responsibilities:

  • Communicate regularly by telephone with clients keeping them updated throughout the claims process and collecting documents to substantiate the claim.
  • Communicate frequently by telephone and in writing with insurance adjusters and other representatives of insurance companies to gather and provide information.
  • Communicate with vendors for services needed by clients and obtain invoices, estimates and other documents from vendors.
  • Review documents and correspondence, such as insurance policies, letters from insurance companies, and reports, invoices and proposals from vendors.
  • Prepare formal letters and documents for submission to insurance companies in response to requests for information.
  • Prepare and organize electronic and hard copy files in a concise manner.
  • Assist clients in completing documents requested by insurance companies.