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Insurance Claims Examiner Jobs (NOW HIRING)

Claims Examiner MedMal

Reading, PA ยท On-site

$100K - $140K/yr

Medical Malpractice Liability Claims Examiner - Reading, PA Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM ...

Claims Examiner

Denver, CO ยท On-site

$85K - $125K/yr

Network Adjusters is seeking experienced Claims Examiners to join our third-party administrative insurance handling team in a file review role. This is a high-visibility position reporting directly ...

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

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

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

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 ยท Remote

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

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

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

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

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 ...

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Insurance Claims Examiner information

See salary details

$40K

$61.6K

$92K

How much do insurance claims examiner jobs pay per year?

As of Jul 24, 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.

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 July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% 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.

Reading, PA โ€ข On-site

$100K - $140K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

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


Job description

Medical Malpractice Liability Claims Examiner - Reading, PA Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY BE AVAILABLE Contribute to a team representing high profile clients with defense counsel, hospital administration, and department chairpersons to settle medical malpractice claims. โ€ข Investigate and complete clinical analysis of complex and technically difficult medical malpractice claims. โ€ข Manage all phases of each litigated matter from pre-litigation investigation through to settlement or trial. โ€ข Develop and implement defense strategy. โ€ข Attend selected depositions, court hearings, and trials. โ€ข Interface with defense lawyer and client to enable client to make business decisions in pending litigation. โ€ข Identify points for improvement in client health care services to avoid reoccurring adverse events. Excellent pay and end of year bonus, great benefits including health, dental and vision coverage, company matched 401(k) contribution, retirement plan, paid training, short and long term disability coverage, life insurance program and paid time off for vacations, holidays and personal days. 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: 1000070920_10006796@najbcareers302.com Please reference #42971PA154 when responding. Diedre Moire Corporation Education Requirements: Bachelor Degree Minimum Experience Requirements: 5-10 years Job City Location: Reading Job State Location: PA 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. Indicated location may be proximate or may be desirable point of embarkation for paid or unpaid relocation to another venue. Job descriptions may fit single or multiple presently available or anticipated positions and are NOT an offer of employment or contract implied or otherwise. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers. 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. Nothing herein is or may be considered a promise, guarantee, offer, pledge, agreement, contract, or oath. If you submit an application or resume which contains your email address, we will use that email address to communicate with you about this and other positions. We use an email quality control service to maintain security and a remove and dead address filter. To cancel receiving email communications, simply send an email from your address with the word remove"" in the subject line to pleaseremove@candseek4.com Or, visit the website at www.jobbankremove.com. If you have further concern regarding email received from us, call (609) 584-5499