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Long Term Disability Claims Examiner Jobs (NOW HIRING)

Firstsource

Claims Examiner

$16/hr

Claims Examiner Job Type: Full Time FLSA Status: Non-Exempt/Hourly Grade: H Function/Department ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...

Hippo Insurance

Claims Examiner - Spinnaker

Austin, TX · On-site

$85K - $120K/yr

Claims Examiner - Partner Programs Location: Austin, TX / Dallas, TX / Bedminster, NJ / San Jose ... We also offer a 401(k)-retirement plan, short & long-term disability, employer-paid life insurance ...

New

BRMS

CLAIMS EXAMINER

Folsom, CA · On-site

$24 - $25/hr

The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...

JT2 Integrated Resources

Claims Examiner

Oakland, CA · On-site

We are searching for highly motivated Claims Examiners to join our team! Under supervision of the ... disability residuals, and future medical claims. Duties and Responsibilities * Ensure proper ...

Smart Data Solutions LLC

Claims Examiner Contractor

MN · Remote

$28/hr

Claims Examiner Contractor Smart Data Solutions, a leading provider of data management, claim ... Generous benefits including, health insurance, short-term, and long-term disability * 401(k) with a ...

Prudential

Senior Disability Claims Examiner (Virtual)

$61K - $101K/yr

Provide excellent customer service while managing approximately 95 Short-Term Disability (STD) claims. * Oversee a portfolio of complex claims, including those involving co-morbidities, behavioral ...

BRMS Online

CLAIMS EXAMINER

Folsom, CA · On-site

$24 - $25/hr

The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...

Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$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 ...

BRMS

CLAIMS EXAMINER

Folsom, CA · On-site

$24 - $25/hr

Description Summary: The Claims Examiner I is responsible for ensuring claims are coded and ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...

Americo

Claims Examiner I

Kansas City, MO · On-site

The Claims Examiner processes the notification of death claims, ensures state regulations are being ... Knowledge of life and disability insurance * Well organized, detail oriented, uses time efficiently

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Long Term Disability Claims Examiner information

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How much do long term disability claims examiner jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for long term disability 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 does a long term disability claims examiner do?

A Long Term Disability Claims Examiner reviews and processes claims submitted by individuals who are unable to work due to a long-term illness or injury. They evaluate medical records, employment histories, and policy details to determine whether a claimant meets the criteria for disability benefits. The examiner communicates with claimants, healthcare providers, and employers to gather necessary information and makes recommendations or decisions on claims. Their goal is to ensure that claims are handled fairly, accurately, and in accordance with insurance policies and regulations.

What are the key skills and qualifications needed to thrive as a long term disability claims examiner?

To thrive as a Long Term Disability Claims Examiner, you need strong analytical abilities, attention to detail, and a background in insurance, healthcare, or a related field, often supported by a relevant degree or industry certifications. Familiarity with claims management software, medical terminology, and regulatory compliance systems is essential. Exceptional communication, empathy, and problem-solving skills help in handling sensitive claimant interactions and collaborating with medical professionals. These skills ensure accurate, fair, and timely claims decisions while maintaining compliance and providing excellent customer service.

What are some common challenges faced by long term disability claims examiners, and how can candidates prepare for them?

Long Term Disability Claims Examiners often encounter challenges such as interpreting complex medical documentation, balancing empathy with policy compliance, and handling sensitive communications with claimants. Candidates can prepare by developing strong analytical skills, staying current with regulatory guidelines, and practicing clear and compassionate communication. Familiarity with insurance software and attention to detail are also key to managing large caseloads efficiently and making fair, timely decisions.

Do you need a degree to be a long term disability claims examiner?

A degree is not always required to become a long term disability claims examiner, but many employers prefer candidates with a high school diploma or equivalent, along with knowledge of insurance policies and claims processing. Relevant skills such as attention to detail, communication, and familiarity with claims management software are important. Some positions may require or prefer post-secondary education or certifications in insurance or related fields.

How to become a long term disability claims examiner?

To become a long term disability claims examiner, candidates typically need a high school diploma or equivalent, with some employers preferring a bachelor's degree in fields like insurance, healthcare, or business. Relevant skills include strong communication, attention to detail, and knowledge of insurance policies and medical terminology. Certification programs such as the Associate in Claims (AIC) can enhance prospects, and experience in insurance or healthcare settings is often beneficial.

Is long term disability claims examiner claims processing a stressful job?

Long term disability claims examiners often find the job stressful due to the need for careful review of medical documentation, adherence to strict deadlines, and managing complex cases. The role requires attention to detail, strong organizational skills, and the ability to handle sensitive information, which can contribute to job-related stress.
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What are the most commonly searched types of Disability Claims Examiner jobs?

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What states have the most Long Term Disability Claims Examiner jobs?

States with the most job openings for Long Term Disability Claims Examiner jobs include:

What job categories do people searching Long Term Disability Claims Examiner jobs look for?

The top searched job categories for Long Term Disability Claims Examiner jobs are:

Long Term Disability Claims Examiner jobs near you
Infographic showing various Long Term Disability Claims Examiner job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 3% Contract, and 1% Nights. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Claims Examiner

Firstsource

Remote

$16/hr

Full-time

This job post has expired 2 days ago. Applications are no longer accepted.

Firstsource rating

6.5

Company rating: 6.5 out of 10

Based on 57 frontline employees who took The Breakroom Quiz

28th of 72 rated call and contact centers

Job description

Job Title: Claims Examiner  

Job Type: Full Time 

FLSA Status:  Non-Exempt/Hourly 

Grade: H 

Function/Department: Health Plan and Healthcare Services 

Reporting to:  Team Lead/Supervisor - Operations 

Pay Range: $16/hr & Matrix pay after training 

Role Description:  The Claims Examiner evaluates insurance claims to determine whether their validity and how much compensation should be paid to the policyholder. The Claims Examiner is responsible for reviewing all aspects of the claim, including reviewing policy coverage, damages, and supporting documentation provided by the policyholder. 

Roles & Responsibilities  

  • Review insurance claims to assess their validity, completeness, and adherence to policy terms and conditions. 

  • Collect, organize, and analyze relevant documentation, such as medical records, accident reports, and policy information. 

  • Ensure that claims processing aligns with the company's insurance policies and relevant regulatory requirements. 

  • Conduct investigations, when necessary, which may include speaking with claimants, witnesses, and collaborating with field experts. 

  • Analyze policy coverage to determine the extent of liability and benefits payable to claimants. 

  • Evaluate the extent of loss or damage and determine the appropriate settlement amount. 

  • Communicate with claimants, policyholders, and other stakeholders to explain the claims process, request additional information, and provide status updates. 

  • Make recommendations for claims approval, denial, or negotiation of settlements, and ensure timely processing. 

  • Maintain accurate and organized claim files and records. 

  • Stay updated on industry regulations and maintain compliance with legal requirements. 

  • Provide excellent customer service, addressing inquiries and concerns from claimants and policyholders. 

  • Strive for high efficiency and accuracy in claims processing, minimizing errors and delays. 

  • Stay informed about industry trends, insurance products, and evolving claims management best practices. 

  • Generate and submit regular reports on claims processing status and trends. 

  • Perform other duties as assigned. 

Top of Form 

 Qualifications 

The qualifications listed below are representative of the background, knowledge, skill, and/or ability required to perform their duties and responsibilities satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. 

 

Top of FormEducation                 

  • High School diploma or equivalent required  

Work Experience  

  • Health claims processing experience [referred] [required], including use of claims processing software and related tools  

Competencies & Skills 

  • Highly-motivated and success-driven  

  • Exceptional verbal and written communication and interpersonal skills, including negotiation and active-listening skills 

  • Exceptional analytical and problem-solving skills  

  • Strong attention to detail with a commitment to accuracy 

  • Ability to adapt to change in a dynamic fast-paced environment with fluctuating workloads 

  • Basic mathematical skills 

  • Intermediate typing skills 

  • Basic computer skills  

  • Knowledge of medical terminology, ICD-9/ICS-10, CPT, and HCPCS coding, and HIPAA regulations preferred 

  • Knowledge of insurance policies, regulations, and best practices preferred 

Additional Qualifications 

  • Ability to download 2-factor authentication application(s) on personal device, in accordance with company and/or client requirements 

  • Ability to pass the required pre-employment background investigation, including but not limited to, criminal history, work authorization verification and drug test 

Work Environment 

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

This position may work onsite or remotely from home.  

Physical Demands 

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.  

Must be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. Must be able to occasionally stand and walk, climb stairs, and lift equipment up to 25 pounds. 

Firstsource is an Equal Employment Opportunity employer. All employment decisions are based on valid job requirements, without regard to race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other characteristic protected under federal, state or local law.   

Firstsource also takes Affirmative Action to ensure that minority group individuals, females, protected veterans, and qualified disabled persons are introduced into our workforce and considered for employment and advancement opportunities. 

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