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Insurance Examiner Jobs (NOW HIRING)

The Insurance Examiner collects group insurance information needed to review HIPP cases for program eligibility. * The information is analyzed to ensure it meets State requirements. Responsibilities:

Managing Insurance Examiner

Gardiner, ME ยท On-site

$63K - $90K/yr

Work includes determining compliance of self insurers with applicable laws, rules, regulations, and guidelines; and analyzing investment activities of insurance companies. Work is performed under ...

Managing Insurance Examiner

Gardiner, ME ยท On-site

$63K - $90K/yr

Work includes determining compliance of self insurers with applicable laws, rules, regulations, and guidelines; and analyzing investment activities of insurance companies. Work is performed under ...

This position helps protect consumers by analyzing insurer market activity, conducting market conduct examinations, reviewing health insurance carrier network adequacy, and assisting with pharmacy ...

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Insurance Examiner information

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$40K

$61.6K

$92K

How much do insurance examiner jobs pay per year?

As of Jul 4, 2026, the average yearly pay for insurance 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 are some common challenges Insurance Examiners face when reviewing insurance companies' financial statements?

A common challenge for Insurance Examiners is identifying inconsistencies or irregularities in complex financial statements, as insurance company accounting can involve intricate transactions and reserves. Examiners must stay up to date with changing regulations and industry standards, which can vary by state and specialty. Additionally, they often work under tight deadlines and must balance objectivity with effective communication when discussing findings with company management. Strong analytical skills and attention to detail are essential for success in this role.

What are insurance examiners?

Insurance examiners are professionals who review insurance applications, claims, and policies to ensure compliance with government regulations and company standards. They assess the financial health of insurance companies, investigate claim validity, and help prevent fraud. Their work is essential in maintaining the integrity and reliability of the insurance industry. Insurance examiners often work for government agencies or private insurance firms, and their findings can impact licensing and policy decisions.

What is the difference between Insurance Examiner vs Insurance Underwriter?

AspectInsurance ExaminerInsurance Underwriter
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licenses or certificationsBachelor's degree often preferred; certifications like CPCU beneficial
Work EnvironmentOffice setting; reviewing claims and documentsOffice setting; assessing risk and approving policies
Employer & Industry UsageInsurance companies, government agenciesInsurance companies, brokerage firms
Common Search & Comparison IntentUnderstanding roles in claims reviewUnderstanding roles in policy issuance

Insurance Examiners focus on reviewing insurance claims and verifying information, while Insurance Underwriters evaluate risks to determine policy eligibility and pricing. Both roles are essential in the insurance industry but serve different functions in the claims and underwriting processes.

What are the key skills and qualifications needed to thrive as an Insurance Examiner, and why are they important?

To thrive as an Insurance Examiner, you need a solid understanding of accounting, finance, and insurance regulations, often supported by a bachelor's degree in a related field. Familiarity with auditing software, data analysis tools, and regulatory compliance systems is typically required. Attention to detail, analytical thinking, and strong communication skills are essential soft skills for success in this role. These skills ensure accurate evaluations of financial records and compliance, protecting policyholders and maintaining the stability of the insurance industry.
More about Insurance Examiner jobs
What cities are hiring for Insurance Examiner jobs? Cities with the most Insurance Examiner job openings:
What are the most commonly searched types of Insurance Examiner jobs? The most popular types of Insurance Examiner jobs are:
What states have the most Insurance Examiner jobs? States with the most job openings for Insurance Examiner jobs include:

$108K/yr

Other

Posted 11 days ago


Job description

The ideal candidate will have experience working in the property and casualty insurance sector in a claims capacity, including flood insurance, whether as an adjuster, examiner, or a position that required implementing guidance and policy language.Qualifications:The qualification requirements listed below must be met by the closing date of this announcement.

To qualify for this position at the GS-13 level, you must possess one full year of specialized experience equivalent to at least the GS-12 level in the Federal government, which has equipped you with the skills needed to successfully perform the duties of the position. Experience may be obtained in the federal government, a state or local government, or private sector, and must demonstrate the following:

  • Adjusting or examining insurance policy claims related to the National Flood Insurance Program; AND
  • Applying laws, regulations, or administrative rulings as required to respond to flood claims; AND
  • Speaking to policyholders, policyholder representatives (e.g., attorneys, public adjusters, etc.), or government officials regarding property insurance.

Please read the following important information to ensure we have everything we need to consider your application:

  • Do not copy and paste the duties, specialized experience, or occupational assessment questionnaire from this announcement into your resume as that will not be considered a demonstration of your qualifications for this position.
  • Your resume serves as the basis for experience related qualification determinations, and you must highlight your most relevant and significant work experience and education (if applicable), as it relates to this job opportunity. Please use your own words, be clear, and specific when describing your work history. We cannot make assumptions regarding your experience.

Are you qualifying based on your work experience?

  • Qualifications are based on your ability to demonstrate in your resume that you possess one year of the specialized experience for this announcement at a comparable scope and responsibility. To ensure all of the essential information is in your resume, we encourage you to use the USAJOBS online Resume Builder. If you choose to use your own resume, it must contain the following information organized by experience/position: (1) job title, (2) name of employer, (3) start and end dates of each period of employment (from MM/DD/YY to MM/DD/YY), (4) detailed description of duties performed, accomplishments, and related skills, and (5) hours worked per week (part-time employment will be prorated in crediting experience). Federal experience/positions must also include the grade level, and dates in which you held each grade level.
  • Are you a current or former FEMA Reservist/Disaster Assistance Employee (DAE)? To accurately credit your experience from intermittent positions and Reservist Deployments, you must list the dates (from MM/DD/YY to MM/DD/YY) of deployments that are relevant to your qualifying experience, along with the job title and specific duties you were responsible for during each deployment.
  • Determining length of General or Specialized Experience is dependent on the above information. Failure to provide the above information in your resume may result in your application being found "not qualified.
  • Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and provides valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
  • For additional information on crediting experience and/or education, please reference the OPM General Schedule Qualification Standards.
Education:

No Educational Substitution: There is no educational substitution for this position, and you must meet the qualifications listed in the "requirements" section of this announcement.

Employment Type: OTHER