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Insurance Medical Examiner Jobs in Rochester, NY

Genesee County

Social Welfare Examiner

Batavia, NY · On-site

$24.07/hr

... medical, etc. * Makes referrals for full field investigation where presumption of fraud is ... Top-Notch Health Insurance Dental and Vision Benefits Vacation and Sick Time New York State ...

Pittsford Dermatology PLLC

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Medical Receptionist

Pittsford, NY · On-site

$16 - $16.50/hr

... · Verification of insurance eligibility/coverage. · Collecting/processing co-payments ... with medical examination and obtains samples from patient. · Queuing medication refills to ...

Pittsford Dermatology PLLC

Be Seen First

Medical Receptionist

Pittsford, NY · On-site

$16 - $16.50/hr

... · Verification of insurance eligibility/coverage. · Collecting/processing co-payments ... with medical examination and obtains samples from patient. · Queuing medication refills to ...

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All JobsInsurance Medical Examiner JobsInsurance Medical Examiner Jobs in Rochester, NY

Insurance Medical Examiner information

See Rochester, NY salary details

$36K

$162.5K

$332.5K

How much do insurance medical examiner jobs pay per year?

As of Sep 7, 2026, the average yearly pay for insurance medical examiner in Rochester, NY is $162,535.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,100.00 and $264,900.00 per year, depending on experience, location, and employer.

What does an insurance medical examiner do?

An Insurance Medical Examiner is a healthcare professional, often a physician or paramedic, responsible for conducting medical evaluations for life or health insurance applicants. They perform physical exams, collect medical histories, and obtain specimens like blood and urine for laboratory testing. Their findings help insurance companies assess an applicant's health risk and determine policy eligibility and premium rates.

What are the key skills and qualifications needed to thrive as an insurance medical examiner?

Succeeding as an Insurance Medical Examiner requires a medical degree, licensure, thorough knowledge of clinical assessment, and experience in performing detailed physical examinations. Familiarity with electronic medical record (EMR) systems, diagnostic tools, and industry-standard reporting formats is essential. Strong attention to detail, objective judgment, and excellent written and verbal communication skills distinguish top professionals in this field. These abilities ensure accurate evaluations, clear documentation, and effective communication with insurance companies, all vital for fair and efficient risk assessment.

Is there a demand for insurance medical examiners?

The demand for insurance medical examiners is steady and expected to grow as insurance companies require medical assessments for policy underwriting and claims. This role often requires medical licensing and certification, with employment opportunities available in insurance companies, third-party exam services, and healthcare facilities.

What qualifications do you need to be an insurance medical examiner?

To become an insurance medical examiner, candidates typically need a medical degree such as an MD or DO, along with a valid medical license. Experience in clinical practice, strong communication skills, and knowledge of medical record review are also important; some positions may require certification or training in insurance or forensic medicine. The role often involves working independently in a flexible schedule and using medical assessment tools.

What are popular job titles related to Insurance Medical Examiner jobs in Rochester, NY?

For Insurance Medical Examiner jobs in Rochester, NY, the most frequently searched job titles are:

What cities near Rochester, NY are hiring for Insurance Medical Examiner jobs?

Cities near Rochester, NY with the most Insurance Medical Examiner job openings:

Insurance Medical Examiner jobs near you
Infographic showing various Insurance Medical Examiner job openings in Rochester, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $162,535 per year, or $78.1 per hour.

Social Welfare Examiner

Genesee County

Batavia, NY • On-site

$24.07/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 19 days ago

Key responsibilities

  • Reviews applications and records to determine financial and categorical eligibility for assistance.

  • Conducts interviews with applicants, asks questions, and makes necessary additions or corrections on certification forms.

  • Verifies information, evaluates financial eligibility, prepares budgets, and makes initial determinations of eligibility.

Genesee County (Michigan) rating

7.0

Company rating: 7.0 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

664th of 856 rated public administrative organizations

Job description

DISTINGUISHING FEATURES OF THE CLASS: 
May perform any or a combination of assignments in connection with determining and recertifying financial eligibility, categorical classification, continued financial eligibility and income maintenance, depending on the size, organizational structure, and work activity needs of the local social services district.  The work involves the review and evaluation of applications and records and direct interviews with applicants.  Work is performed under the direct supervision of a higher ranking Social Welfare Examiner who is required to give final authorization to determination made by an incumbent.  Does related work, as required.

TYPICAL WORK ACTIVITIES:
  • Reviews the certification form to determine that all statements are complete and consistent with every other item of information provided.
  • Where necessary for clarification or completion of certification form, asks applicant appropriate questions and makes necessary additions or corrections on the form.
  • Verifies all information needed for eligibility determination including making collateral contacts as necessary.
  • Makes an evaluation of applicant's financial eligibility for assistance, may determine initial categorical eligibility, evaluates available resource details in relation to financial eligibility.
  • Prepares and computes budget for the applicant.
  • Advises the applicant about the program under which he is eligible for assistance and any documentation or additional information which is necessary for final program  classification.
  • Records and maintains case notations.
  • Recommends emergency grants as needed.
  • Makes initial/predeterminations of financial eligibility.
  • Explains the validation process to the applicant.
  • Advises the applicant about his duty to keep the agency informed of any change in status which may affect his eligibility for assistance.
  • Informs applicants about the range of services in the agency.  If mandatory, or requested by applicant or client, or need for services is indicated, refers applicant to social services section, or to other specialists, such as resources,    housing, employment, legal, medical, etc.
  • Makes referrals for full field investigation where presumption of fraud is indicated.

The above examples of duties are intended only as illustrations of the various types of work performed.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.

FULL PERFORMANCE KNOWLEDGE, ABILITIES, SKILLS AND/OR PERSONAL CHARACTERISTICS:  Working knowledge of federal, state and local social services laws and programs as they affect eligibility for financial assistance and money payments; working knowledge of other laws as they affect eligibility, such as Worker’s  Compensation, Social Security and Unemployment Insurance; ability to deal effectively with others; ability to analyze facts obtained and use facts in making judgments regarding eligibility; ability to understand and follow directions; good powers of observation and perception; initiative; tact; judgment; emotional maturity.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit, use hands to finger, handle or feel objects, tools, or controls; and reach with hands and arms.  The employee is required to walk, talk and hear.

The employee must occasionally lift and/or move up to 25 pounds.  Specific vision abilities required by this job include close vision and the ability to adjust focus.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is moderately quiet.

MINIMUM QUALIFICATIONS:
  • Graduation from high school or possession of an appropriate equivalency diploma recognized by the NYS Department of Education.
  • Two (2) years full-time, paid experience in examining, investigating or evaluating claims for assistance, veterans or unemployment benefits, insurance or a similar  program operating under established criteria for eligibility.

NOTE:  Study in a regionally accredited college or university or one registered by New York State or a business school registered by New York State may be substituted for the experience noted above on a year for year basis as full time equivalent.

All qualified applicants will be afforded equal employment opportunities without discrimination because of race, creed, color, national origin, sex, age, disability or marital status.

Top-Notch Health Insurance
Dental and Vision Benefits
Vacation and Sick Time
New York State Retirement


Non-Competitive Class.

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