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Life Claims Examiner Jobs (NOW HIRING)

Insperity

Medical Claims Examiner

CA · Remote

$24 - $30/hr

Life and disability insurance for added protection * Flexible financial options: Health savings and ... To thrive as the Medical Claims Examiner, you should have: * Minimum of 2 years of medical claims ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and ... Medical, Dental, Vision, Life, HSA, 401(k) * Paid Time Off (PTO) * 7 paid holidays * A supportive ...

Auxiant

Claims Examiner

Cedar Rapids, IA · On-site

... a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ... Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD ...

Auxiant

Claims Examiner

Madison, WI · On-site +1

... a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ... Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD ...

Auxiant

Claims Examiner

Madison, WI · On-site

... a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ... Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD ...

Auxiant

Claims Examiner

Madison, WI · On-site

... a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ... Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD ...

Auxiant

Claims Examiner

Cedar Rapids, IA · On-site

... a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ... Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD ...

Auxiant

Claims Examiner

Madison, WI · On-site

... a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ... Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD ...

Hippo Insurance

Claims Examiner - Spinnaker

Austin, TX · On-site

$85K - $120K/yr

We'll also help you find coverage for everything life brings-from auto to flood-reimagining how you care for your home. About The Role: The Claims Examiner - Partner Programs is responsible for the ...

New

Adecco

Medical Claims Examiner

San Antonio, TX · On-site

$22.50/hr

Claims Examiner - San Antonio, TX ($22.50/hr, Mon-Fri 8am-5pm) Adecco is hiring a Claims Examiner ... life insurance, short-term disability, additional voluntary benefits, EAP program, commuter ...

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Life Claims Examiner information

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$19

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$73

How much do life claims examiner jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for life claims examiner in the United States is $35.60, according to ZipRecruiter salary data. Most workers in this role earn between $24.76 and $43.99 per hour, depending on experience, location, and employer.

What is a life claims examiner?

A Life Claims Examiner is responsible for reviewing and processing life insurance claims to determine eligibility for payout. They analyze policy details, investigate claim validity, and assess supporting documents such as death certificates and medical records. Examiners may also communicate with beneficiaries, healthcare providers, and legal professionals to ensure compliance with policy terms and regulations. Their goal is to ensure accurate and fair claim settlements while preventing fraud.

What are the typical daily responsibilities of a life claims examiner?

As a Life Claims Examiner, your typical day involves reviewing submitted claim documentation, verifying policy coverage, conducting investigations if necessary, and determining claim validity. You will often communicate with beneficiaries, medical professionals, and agents to gather information and provide claim updates. Additionally, you'll update records in claims management systems and ensure all decisions comply with company policies and regulatory standards. This structured mix of analysis, decision-making, and client communication keeps each day varied and impactful.

What are the key skills and qualifications needed to thrive in the life claims examiner position, and why are they important?

To thrive as a Life Claims Examiner, you need a strong understanding of insurance policies, attention to detail, and analytical abilities, typically supported by a degree in a related field or prior insurance experience. Familiarity with claims management software, document databases, and knowledge of industry regulations are highly beneficial. Strong written and verbal communication, empathy, and problem-solving skills help you interact effectively with beneficiaries and internal teams. Mastering these skills is important to ensure accurate, fair, and timely processing of life insurance claims, while also providing sensitive support during difficult times.

What do I need to be a life claims examiner?

To become a life claims examiner, candidates typically need a high school diploma or equivalent, with many roles preferring a bachelor's degree in fields like insurance, finance, or related areas. Relevant skills include attention to detail, strong analytical abilities, and knowledge of insurance policies and claims processing; some positions may require industry certifications such as the Associate in Claims (AIC).
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Life Claims Examiner jobs near you
Infographic showing various Life Claims Examiner job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, and 4% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $74,058 per year, or $35.6 per hour.

Medical Claims Examiner

Insperity

CA • Remote

$24 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago

Insperity rating

7.4

Company rating: 7.4 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

222nd of 500 rated business services

Job description

Description & Requirements

Medical Claims Examiner- Chatsworth

Local Remote or In-Office

Join a team where your attention to detail and commitment to quality care make a difference. Thrifty Management Services, the dedicated MSO for Preferred IPA of California, seeks a skilled and compassionate Medical Claims Examiner to help us deliver exceptional healthcare support. In this role, you will be responsible for the accurate and timely adjudication of CMS 1500 and UB-04 claims, ensuring compliance with Medicare and Medi-Cal guidelines. At Thrifty, we pride ourselves on our people-first culture that values teamwork, compassion, and work-life balance. If you're passionate about improving healthcare, we'd love to meet you.

Best-in-Class Benefits and Culture:

We value our employees' time and efforts. Our commitment to your success is enhanced by competitive compensation of $24-$30 per hour, depending on experience, and an extensive benefits package including:

  • Comprehensive health coverage: Medical, dental, and vision insurance provided
  • Robust retirement planning: 401(k) plan available with employer matching
  • Financial security: Life and disability insurance for added protection
  • Flexible financial options: Health savings and flexible spending accounts offered
  • Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices provided

Plus, we work to maintain the best environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where everyone feels encouraged to contribute to our processes, decisions, planning, and culture.

To thrive as the Medical Claims Examiner, you should have:        

  • Minimum of 2 years of medical claims payment experience in an HMO environment (i.e., MSO, IPA, or health plan)
  • Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.
  • Experience with CPT-4, ICD-10-CM, RBRVS, ASA, and HCPCS, as well as an in-depth understanding of Medicare and Medi-Cal guidelines that apply to COB and Medicare Secondary Payer.
  • Extensive familiarity and experience in planning benefit and co-payment determination, division of financial responsibility determination, claims policies and procedures, adjudication processes, and claim review and analysis involving NCCI rules.
  • Extensive working knowledge of reimbursement methodologies for professional claims, including injectable drugs.

Ready to make your mark in healthcare? 

Step into a pivotal role where your precision powers patient care! Thrifty Management Services is searching for passionate Claims Examiners who thrive on accuracy, efficiency, and impact. This is your moment if you're driven to ensure timely and accurate claims processing while supporting a people-first mission. Apply now and help us transform lives-one claim at a time!

We are an equal opportunity employer that welcomes and encourages diversity in the workplace. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

 

Qualified applicants with arrest or conviction records will be considered for employment with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

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About Insperity

Sourced by ZipRecruiter

Take care of your people Insperity has a long history of improving the success equation of small and midsize businesses across the country – because when businesses succeed, communities prosper. And in today’s changing business environment, it’s our privilege to take care of an organization’s most valuable asset: its people.

Industry

Software development

Company size

1,001 - 5,000 Employees

Headquarters location

Houston, TX, US

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