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Insurance Claims Reviewer Jobs (NOW HIRING)

Insurance Claims Investigator

Howell, MI ยท On-site

$60 - $80/hr

Review claim documents and available records for investigative leads * Scrutinize provided ... Insurance Claims Investigators at Data Surveys, Inc. are required to utilize their own personal ...

... reviews payment Purchased Referred Care, medical, dental and vision claims Analyzes and processes ... Insurance Marketplace CAC Provides training and guidance through expert knowledge of claims ...

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Insurance Claims Reviewer information

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How much do insurance claims reviewer jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for insurance claims reviewer in the United States is $24.56, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $28.85 per hour, depending on experience, location, and employer.

What does an insurance claims reviewer do?

An insurance claims reviewer evaluates insurance claims to determine their validity and appropriate payout based on policy coverage and documentation. They analyze claim details, verify information, and ensure compliance with company policies, often using specialized software. This role requires attention to detail and knowledge of insurance policies and regulations.

What cities are hiring for Insurance Claims Reviewer jobs?

Cities with the most Insurance Claims Reviewer job openings:

What states have the most Insurance Claims Reviewer jobs?

States with the most job openings for Insurance Claims Reviewer jobs include:

What are popular job titles related to Insurance Claims Reviewer jobs?

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Infographic showing various Insurance Claims Reviewer job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $51,091 per year, or $24.6 per hour.

Sr. Claims Counsel, Insurance (Property & Casualty)

King Of Prussia, PA โ€ข On-site

SolomonEdwards
Business Management Consultingย โ€ขย 1 - 5K employees

Other

Posted 4 days ago


Job description

Summary:

Our client, a top regional Property & Casualty Insurance Broker, is seeking an in-house Sr. Claims Counsel. Your responsibilities include, but are not limited to, reporting and managing clientsโ€™ claims, advocating for clients with insurance carriers by identifying and resolving claims issues, as well as providing accurate and timely claims assessments to clients and commercial account teams. Other responsibilities may include negotiating coverage positions, participating in on-site client claims meetings, and monitoring third-party administratorsโ€™ claims handling. MUST have a JD and prior Insurance experience (either from carrier, broker, or at a law firm).


If interested, please send resume to sschneider@solomonedwards.com โ€“ All resumes will be held confidentially and nothing will be shared with anyone without your consent and approval.


Responsibilities:

  • Monitor, track, and proactively manage client claims throughout the claims lifecycle.
  • Review claims reports for accuracy, completeness, and emerging trends or exposures.
  • Consult with clients and provide clear, timely updates regarding the status and progress of claims.
  • Identify claims issues, coverage concerns, and potential areas of adverse exposure.
  • Advocate directly with insurance carrier claims professionals to resolve issues and ensure claims remain on the appropriate trajectory.
  • Negotiate coverage positions and claims resolutions when appropriate.
  • Provide sophisticated claims analysis and recommendations to clients and commercial account teams.
  • Participate in on-site client claims meetings and other strategic claims reviews.
  • Assist clients in effectively managing relationships with third-party administrators, with a primary focus on workersโ€™ compensation.
  • Monitor TPA claims handling practices and performance.
  • Participate in periodic claims review meetings and TPA partnership meetings.
  • Identify claims handling trends, deficiencies, and opportunities for improved outcomes.
  • Collaborate with clients, TPAs, carriers, and internal teams to improve claims management strategies and results.
  • Serve as a claims and legal resource to commercial account teams.
  • Support new business acquisition efforts by participating in prospect and new business meetings.
  • Demonstrate the value of sophisticated claims advocacy as a differentiator for Altus Corporate Risk.
  • Develop and cultivate your own business development opportunities and strategic client relationships.
  • Partner with producers and account executives to identify opportunities for expanded client services.

Required Qualifications:

  • Bachelorโ€™s degree and Juris Doctorate (J.D.) required.
  • Minimum of five years of experience in civil litigation, workersโ€™ compensation, insurance law, claims, or a related legal practice.
  • Demonstrated experience with claims and litigation management.
  • Strong knowledge of insurance claims, litigation, and workersโ€™ compensation.
  • Exceptional analytical, negotiation, communication, and problem-solving skills.
  • Ability to effectively interact with clients, insurance carriers, TPAs, attorneys, and senior-level stakeholders.