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Insurance Claims Examiner Jobs (NOW HIRING)

Diedre Moire Corp.

Claims Examiner MedMal

Fall River, MA · On-site +1

$100K - $140K/yr

Insurance Claims Rep Medical Malpractice - Fall River, MA Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME ...

Diedre Moire Corp.

Claims Examiner MedMal

Fall River, MA · On-site +1

$100K - $140K/yr

Insurance Claims Rep Medical Malpractice - Fall River, MA Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME ...

Diedre Moire Corp.

$100K - $140K/yr

Ins Claims Examiner Med & Dental Malpractice - Keene, NH Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME ...

MedPOINT Management

Claims Examiner

Sherman Oaks, CA · Remote

$20 - $25/hr

Health insurance * Vision insurance * Wellness resources Summary The claims examiner is responsible for the adjudication of claims, in accordance with outside regulations and the contractual ...

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$40K

$61.6K

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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.
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What cities are hiring for Insurance Claims Examiner jobs? Cities with the most Insurance Claims Examiner job openings:
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What states have the most Insurance Claims Examiner jobs? States with the most job openings for Insurance Claims Examiner jobs include:
What job categories do people searching Insurance Claims Examiner jobs look for? The top searched job categories for Insurance Claims Examiner jobs are:
What are popular job titles related to Insurance Claims Examiner jobs? For Insurance Claims Examiner jobs, the most frequently searched job titles are:
Insurance Claims Examiner jobs near you
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.

Fall River, MA • On-site, Remote

$100K - $140K/yr

Other

Medical, Vision, Retirement, PTO

Posted 13 days ago

Job description

Insurance Claims Rep Medical Malpractice - Fall River, MA Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY BE AVAILABLE Handle professional and general liability claims for self-insured hospitals, health systems, physician groups, and long term care facilities, including initial investigation, determination of liability, confirmation of coverage, establishment of damages, recommendation of reserves, negotiation and settlement of claims, and litigation management. Fantastic company paid family and individual medical, health, vision and prescription coverage.

Matched 401(k) and paid training, tuition reimbursement for continued education, excellent holiday and vacation package. Opportunities to advance within the company structure. Generous compensation with competitive annual bonus packages.

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: 1000070548_10006796@najbcareers302.com Please reference #42971MA275 when responding. Diedre Moire Corporation Education Requirements: Bachelor Degree Minimum Experience Requirements: 5-10 years Job City Location: Fall River Job State Location: MA 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.

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