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Integrated Claims Examiner Jobs (NOW HIRING)

Corvel

Liability Claims Assistant

Portland, OR · On-site

$13.38 - $23.42/hr

Process form letters, state forms and reports * Assist claims examiners with telephone calls ... and integrated solutions to our clients. We are a stable and growing company with a strong ...

New

Aegon

Manager - Employee Benefit Claims

Denver, CO · Hybrid

It's part of Aegon, an integrated, diversified, international financial services group serving ... Summary We are seeking a Claims Manager to lead a team of Claims Examiners and drive operational ...

Corvel

Claims Specialist

Nottingham, MD · On-site

$51K - $83K/yr

State Certification as an Experienced Examiner PAY RANGE: CorVel uses a market based approach to ... and integrated solutions to our clients. We are a stable and growing company with a strong ...

Corvel

Claims Specialist

Nottingham, MD · Hybrid

$51K - $83K/yr

State Certification as an Experienced Examiner PAY RANGE: CorVel uses a market based approach to ... and integrated solutions to our clients. We are a stable and growing company with a strong ...

Corvel

Indemnity Claims Specialist

Lawrenceville, GA · Remote

$52K - $85K/yr

State Certification as an Experienced Examiner PAY RANGE: CorVel uses a market based approach to ... and integrated solutions to our clients. We are a stable and growing company with a strong ...

Corvel

Indemnity Claims Specialist

West Des Moines, IA · Remote

$51K - $83K/yr

State Certification as an Experienced Examiner PAY RANGE: CorVel uses a market based approach to ... and integrated solutions to our clients. We are a stable and growing company with a strong ...

Corvel

Indemnity Claims Specialist

Lawrenceville, GA · On-site

$52K - $85K/yr

State Certification as an Experienced Examiner PAY RANGE: CorVel uses a market based approach to ... and integrated solutions to our clients. We are a stable and growing company with a strong ...

Corvel

Indemnity Claims Specialist

Madison, WI · Remote

$51K - $83K/yr

State Certification as an Experienced Examiner PAY RANGE: CorVel uses a market based approach to ... and integrated solutions to our clients. We are a stable and growing company with a strong ...

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All JobsIntegrated Claims Examiner Jobs

Integrated Claims Examiner information

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$15

$29

$45

How much do integrated claims examiner jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for integrated claims examiner in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

What is an integrated claims examiner?

An Integrated Claims Examiner is a professional responsible for reviewing, investigating, and processing insurance claims across multiple lines of coverage, such as health, disability, and workers’ compensation. They analyze documentation, verify the validity of claims, and ensure that payouts comply with policy terms and regulations. Integrated Claims Examiners often work with adjusters, healthcare providers, and claimants to resolve complex cases efficiently. Their role is essential in preventing fraud and ensuring fair outcomes for both insurers and policyholders.

What are some common challenges integrated claims examiners face when handling complex claims?

Integrated Claims Examiners often encounter challenges such as interpreting medical records, coordinating with multiple stakeholders, and ensuring compliance with evolving regulations. Balancing accuracy with efficiency is crucial, as thorough investigations must meet tight deadlines. Examiners frequently collaborate with healthcare professionals, policyholders, and legal teams, requiring strong communication skills and attention to detail. Staying updated on policy changes and best practices helps mitigate these challenges and supports successful claim resolutions.

What are the key skills and qualifications needed to thrive as an integrated claims examiner, and why are they important?

To thrive as an Integrated Claims Examiner, you need a solid understanding of insurance policies, claims processing, and regulatory compliance, typically supported by a relevant degree or experience in insurance or healthcare. Familiarity with claims management systems, industry-specific software, and possibly certifications like AIC (Associate in Claims) is highly valuable. Attention to detail, strong analytical thinking, and clear communication are crucial soft skills for resolving claims efficiently and fairly. These skills and qualifications are essential to ensure accurate claim assessments, minimize errors, and maintain customer trust and regulatory compliance.

What is the difference between Integrated Claims Examiner vs Claims Processor?

AspectIntegrated Claims ExaminerClaims Processor
CredentialsTypically requires insurance or claims processing certificationsOften requires basic insurance or claims processing knowledge
Work EnvironmentOffice setting, analyzing complex claimsOffice setting, processing claims data
Industry UsageUsed in insurance companies, healthcare, and government agenciesCommon in insurance and healthcare sectors
Job FocusReviewing, evaluating, and approving complex claimsEntering, verifying, and processing claims data

The Integrated Claims Examiner and Claims Processor roles both operate within insurance and healthcare industries, but the examiner focuses on evaluating complex claims, while the processor handles data entry and basic processing. Understanding these differences helps job seekers identify the right position based on their skills and career goals.

More about Integrated Claims Examiner jobs

What job categories do people searching Integrated Claims Examiner jobs look for?

The top searched job categories for Integrated Claims Examiner jobs are:

Integrated Claims Examiner jobs near you
Infographic showing various Integrated Claims Examiner job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 9% Part Time, and 4% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Senior Healthcare NASCO-Newark, NJ

SysMind, LLC

Newark, NJ • On-site

Other

Posted 23 days ago

Job description

Job Title: Senior Healthcare NASCO Claims Domain Specialist – UAT Testing
Location: Newark, NJ (Onsite)
Duration: 12+ Months

Short JD:

Seeking a Senior Healthcare NASCO Claims Domain Specialist with 15–20 years of experience in US Healthcare Insurance and deep expertise in NASCO Claims Processing. The ideal candidate will lead UAT, functional, integration, and regression testing for healthcare claims applications. Must have strong knowledge of claims adjudication, EDI transactions (837/835/270/271), Medicare, Medicaid, CMS, HIPAA, and commercial health plans. Experience with test strategy, defect management, stakeholder collaboration, and leading onsite/offshore QA teams is required. Strong domain expertise in healthcare payer claims and the ability to drive end-to-end claims validation and UAT initiatives are essential.

required skills
Required Skills:
  • 15–20 years of experience in US Healthcare Insurance
  • Strong expertise in NASCO Claims Processing and Claims Adjudication
  • Extensive experience with UAT, Functional, Integration, System, and Regression Testing
  • Deep understanding of the Healthcare Claims Lifecycle (Professional, Institutional, and Pharmacy Claims)
  • Experience validating Claims Adjudication, Pricing/Repricing, Deductibles, MOOP, COB, Subrogation, Authorizations, and Claims Edits
  • Strong knowledge of EDI Transactions: 837, 835, 270/271
  • Experience with CMS, HIPAA, Medicare, Medicaid, and Commercial Health Plans
  • Experience creating Test Strategies, Test Plans, Test Scenarios, Test Cases, and Test Data
  • Hands-on experience with Defect Management, Root Cause Analysis, and Release Readiness
  • Experience with ALM, JIRA, or other test management tools
  • Basic SQL skills for backend data validation
  • Strong knowledge of Healthcare Payer Systems and Claims Processing Workflows
  • Experience leading UAT planning, business readiness, and coordinating onsite/offshore QA teams
  • Excellent stakeholder management, communication, mentoring, and leadership skills

SYSMIND LLC is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without any discrimination. We promote and support a diverse workforce at all levels in the company. All job offers are contingent upon completion of a satisfactory background check and reference checks. Additionally passing the drug test may also be required. All contractors intending to work on SYSMIND's W2 are "at will" employees.

SysMind logo

About SysMind

Sourced by ZipRecruiter

Founded in 1999, SysMind is a reliable recruitment and staffing company that assists businesses with their human capital needs. We bring our expertise in staffing solutions, both locally and internationally. A cost-effective company, we assist companies in their growth journey by adopting emerging technologies and up-skilling resources as per their requirements. Our expertise of over two decades in different industries empowers us with the knowledge to provide you with a quick & dependable response to all your human capital needs without compromising quality.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Princeton Junction, NJ, US

Year founded

1999

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