Claim Examiner
Simsbury, CT · On-site
Chubb managers, claim examiners and defense counsel provide a combination of classroom and on-the ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...
Simsbury, CT · On-site
Chubb managers, claim examiners and defense counsel provide a combination of classroom and on-the ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...
Simsbury, CT · On-site
Chubb managers, claim examiners and defense counsel provide a combination of classroom and on-the ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...
Simsbury, CT · On-site
Chubb managers, claim examiners and defense counsel provide a combination of classroom and on-the ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...
Simsbury, CT · On-site
Chubb managers, claim examiners and defense counsel provide a combination of classroom and on-the ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...
Berwyn, PA · Remote
$50K/yr
Job Summary The Claim Examiner is responsible for managing, investigating, and processing Accident ... Establish proof of loss by reviewing medical documentation; assembling additional information as ...
Berwyn, PA · Remote
$50K/yr
Job Summary The Claim Examiner is responsible for managing, investigating, and processing Accident ... Establish proof of loss by reviewing medical documentation; assembling additional information as ...
Provide coaching and guidance to new claim examiners * BA/BS College Degree Preferred. JD is ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...
Provide coaching and guidance to new claim examiners * BA/BS College Degree Preferred. JD is ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...
Philadelphia, PA · On-site
Provide coaching and guidance to new claim examiners * BA/BS College Degree Preferred. JD is ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...
Philadelphia, PA · On-site
Provide coaching and guidance to new claim examiners * BA/BS College Degree Preferred. JD is ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...
Philadelphia, PA · On-site
$31.25 - $42.50/hr
Provide coaching and guidance to new claim examiners * BA/BS College Degree Preferred. JD is ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...
Philadelphia, PA · On-site
$31.25 - $42.50/hr
Provide coaching and guidance to new claim examiners * BA/BS College Degree Preferred. JD is ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...
Chapel Hill, NC · On-site
$80K - $100K/yr
Draft POSITION SUMMARY The primary role of the Claim Examiner ("CE") is to investigate, evaluate ... IFG Companies offers competitive compensation and benefits, currently including medical, dental ...
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Chapel Hill, NC · On-site
$80K - $100K/yr
Draft POSITION SUMMARY The primary role of the Claim Examiner ("CE") is to investigate, evaluate ... IFG Companies offers competitive compensation and benefits, currently including medical, dental ...
Scottsdale, AZ · On-site
$80K - $100K/yr
Draft POSITION SUMMARY The primary role of the Claim Examiner ("CE") is to investigate, evaluate ... IFG Companies offers competitive compensation and benefits, currently including medical, dental ...
Quick apply
Scottsdale, AZ · On-site
$80K - $100K/yr
Draft POSITION SUMMARY The primary role of the Claim Examiner ("CE") is to investigate, evaluate ... IFG Companies offers competitive compensation and benefits, currently including medical, dental ...
A Personal lines Auto Claim Examiner at Chubb Insurance is responsible for handling 1st and 3rd ... Medical, dental, and vision coverage starting on your first day * Generous paid time off (PTO) and ...
A Personal lines Auto Claim Examiner at Chubb Insurance is responsible for handling 1st and 3rd ... Medical, dental, and vision coverage starting on your first day * Generous paid time off (PTO) and ...
Determines the company's liability using knowledge of policy provisions, medical terminology, disability duration, state regulations and tax requirements. * Assures claim processing and payment ...
Determines the company's liability using knowledge of policy provisions, medical terminology, disability duration, state regulations and tax requirements. * Assures claim processing and payment ...
Cincinnati, OH · On-site
Determines the company's liability using knowledge of policy provisions, medical terminology, disability duration, state regulations and tax requirements. * Assures claim processing and payment ...
Cincinnati, OH · On-site
Determines the company's liability using knowledge of policy provisions, medical terminology, disability duration, state regulations and tax requirements. * Assures claim processing and payment ...
Tampa, FL · On-site
Remote Claim Examiner - Liability Are you a detail-oriented professional with strong analytical and ... The core benefits* offered include : - Medical, Dental and Vision Plans - Prescription Drugs - HSA ...
Tampa, FL · On-site
Remote Claim Examiner - Liability Are you a detail-oriented professional with strong analytical and ... The core benefits* offered include : - Medical, Dental and Vision Plans - Prescription Drugs - HSA ...
Phoenix, AZ · On-site
A Personal lines Auto Claim Examiner at Chubb Insurance is responsible for handling 1st and 3rd ... Medical, dental, and vision coverage starting on your first day * Generous paid time off (PTO) and ...
Phoenix, AZ · On-site
A Personal lines Auto Claim Examiner at Chubb Insurance is responsible for handling 1st and 3rd ... Medical, dental, and vision coverage starting on your first day * Generous paid time off (PTO) and ...
Tampa, FL · Remote
Remote Claim Examiner - Liability Are you a detail-oriented professional with strong analytical and ... The core benefits* offered include : - Medical, Dental and Vision Plans - Prescription Drugs - HSA ...
Tampa, FL · Remote
Remote Claim Examiner - Liability Are you a detail-oriented professional with strong analytical and ... The core benefits* offered include : - Medical, Dental and Vision Plans - Prescription Drugs - HSA ...
Tampa, FL · Remote
Remote Claim Examiner - Liability Are you a detail-oriented professional with strong analytical and ... The core benefits* offered include : - Medical, Dental and Vision Plans - Prescription Drugs - HSA ...
Tampa, FL · Remote
Remote Claim Examiner - Liability Are you a detail-oriented professional with strong analytical and ... The core benefits* offered include : - Medical, Dental and Vision Plans - Prescription Drugs - HSA ...
A Personal lines Auto Claim Examiner at Chubb Insurance is responsible for handling 1st and 3rd ... Medical, dental, and vision coverage starting on your first day * Generous paid time off (PTO) and ...
A Personal lines Auto Claim Examiner at Chubb Insurance is responsible for handling 1st and 3rd ... Medical, dental, and vision coverage starting on your first day * Generous paid time off (PTO) and ...
Cincinnati, OH · On-site
Determines the company's liability using knowledge of policy provisions, medical terminology, disability duration, state regulations and tax requirements. * Assures claim processing and payment ...
Cincinnati, OH · On-site
Determines the company's liability using knowledge of policy provisions, medical terminology, disability duration, state regulations and tax requirements. * Assures claim processing and payment ...
Peachtree Corners, GA · Remote
$31 - $42/hr
Claim Examiner - Workers' Compensation (Remote, Seasonal/Temp) We're hiring a Seasonal/Temporary ... The core benefits* offered include : - Medical, Dental and Vision Plans - Prescription Drugs - HSA ...
Peachtree Corners, GA · Remote
$31 - $42/hr
Claim Examiner - Workers' Compensation (Remote, Seasonal/Temp) We're hiring a Seasonal/Temporary ... The core benefits* offered include : - Medical, Dental and Vision Plans - Prescription Drugs - HSA ...
Miami, FL · On-site
$19 - $23/hr
Review, analyze, and process medical claims in accordance with Medicare and DSNP benefit structures ... Evaluate and process claim disputes and reconsiderations , including those that result in overturn ...
Quick apply
Miami, FL · On-site
$19 - $23/hr
Review, analyze, and process medical claims in accordance with Medicare and DSNP benefit structures ... Evaluate and process claim disputes and reconsiderations , including those that result in overturn ...
Miami, FL · On-site
$19 - $23/hr
Review, analyze, and process medical claims in accordance with Medicare and DSNP benefit structures ... Evaluate and process claim disputes and reconsiderations , including those that result in overturn ...
Quick apply
Miami, FL · On-site
$19 - $23/hr
Review, analyze, and process medical claims in accordance with Medicare and DSNP benefit structures ... Evaluate and process claim disputes and reconsiderations , including those that result in overturn ...
$15.38 - $18.16
8% of jobs
$18.16 - $20.94
11% of jobs
$22.09 is the 25th percentile. Wages below this are outliers.
$20.94 - $23.71
13% of jobs
$23.71 - $26.49
17% of jobs
The median wage is $26.83 / hr.
$26.49 - $29.26
8% of jobs
$29.26 - $32.04
9% of jobs
$34.50 is the 75th percentile. Wages above this are outliers.
$32.04 - $34.81
9% of jobs
$34.81 - $37.59
9% of jobs
$37.59 - $40.36
3% of jobs
$40.36 - $43.14
5% of jobs
$43.14 - $45.91
6% of jobs
$15
$29
$45
| Aspect | Medical Claim Examiner | Medical Billing Specialist |
|---|---|---|
| Required Credentials | High school diploma; certifications like CPC or CCS | High school diploma; certifications like CPC or CPC-A |
| Work Environment | Insurance companies, healthcare facilities, government agencies | Medical offices, clinics, healthcare providers |
| Job Focus | Reviewing and processing insurance claims for accuracy and compliance | Preparing and submitting bills to insurance companies and patients |
Medical Claim Examiners and Medical Billing Specialists often share certifications and work in healthcare settings. However, Claim Examiners focus on reviewing insurance claims for correctness, while Billing Specialists handle the billing process. Both roles are essential in healthcare reimbursement but differ in daily tasks and responsibilities.
Cities with the most Medical Claim Examiner job openings:
States with the most job openings for Medical Claim Examiner jobs include:

8.2
Based on 67 frontline employees who took The Breakroom Quiz
144th of 310 rated insurance
Working out of our Simsbury, CT and soon to be Windsor, CT office, this is not your average Claims role.
When you think of a job handling insurance claims, you may think about storm damage or auto accidents. Or maybe a large stack of paper?
A career in Employment Practices Liability exposes you to emerging issues in the workplace that have been and remain at the center of national and global media. Issues such as the Me Too movement, Racial Injustice and Covid. In this paperless environment, you will use your analytical skills to resolve workplace claims. We will teach you about Employment Law, contracts and claims. You will use your influence skills and knowledge to partner with defense counsel and our insureds in resolving discrimination, harassment and other workplace related claims. The work is interesting. The environment is collaborative. Our Claims Professionals in Employment Practices Liability enjoy the work they do and working with their peers that come from a variety of backgrounds (including Law Enforcement, Human Resources, other disciplines in Claims and Legal, to name a few) and bring different perspectives into the team.
Responsibilities after training include:
Contribute to a collaborative environment by raising new ideas, demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives
Complete accurate and timely coverage, liability and damage investigations and evaluations on litigated claims with complex Employment Practices Liability insurance policies
Establish, document and execute appropriate strategies to bring early and cost-effective resolution to assigned claims
Represent the company virtually or in person at mediations.
Effectively utilize technology systems and tools to track and manage caseload in most efficient and effective manner.
Build and maintain productive relationships with internal and external customers, including clients, underwriters and agents
Consistently demonstrate sound claim handling practices by achieving compliance in areas including investigation, coverage, loss assessment, and case management
Provide coaching and guidance to new claim examinersBA/BS College Degree Preferred. JD is helpful, but not required
3 to 5 years experience in EPL or handling claims of a comparable complexity or working in a legal position
Excellent verbal and written communication skills
A personal commitment to superior performance that adds value to our company
Strong interpersonal skills with the ability to interact and build relationships with all levels of internal and external contacts
An aptitude for evaluating, analyzing, and interpreting technical information
Sound decision making skills
Proven ability to work independently as well as part of a team
Must demonstrate a high level of initiative and leadership skills
Excellent time management, problem solving, and organizational skills are required
An ability to adapt to new ideas and situations
A willingness to use creative thinking to overcome obstacles and an ability to develop creative approaches to solving customer problems
Additional Requirements:
Training: Chubb managers, claim examiners and defense counsel provide a combination of classroom and on-the-job training to ensure our Claim Examiners are prepared to assume full claim handling responsibilities. The training will involve a wide range of knowledge and skill development, including:
Cultivating relationships with internal clients (e.g. underwriters)
Developing the ability to analyze initial claim reports
Developing an understanding of the legal system
Understanding how to effectively investigate and document findings
Understanding Chubb's products to appropriately determine coverage
Learning to interpret and apply insurance contracts
Learning how to negotiate settlements
If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure
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Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. We are a unique global organization with a culture of individuals passionately committed to our respective crafts. With underwriting at our core, each of us contributes to providing the best insurance coverage and service to our clients. Our highly collaborative, inclusive nature helps us drive better business outcomes through diversity of background, experiences, insights and values.
Insurance services
10,000+ Employees
Warren, NJ, US