ZipRecruiter

Log In

1

Medical Claim Examiner Jobs (NOW HIRING)

Chubb

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 ...

Chubb

Senior Claim Examiner

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 ...

A-G Specialty Insurance, LLC

Claim Examiner

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 ...

IFG Companies

Claim Examiner

Chapel Hill, NC · On-site

$80K - $100K/yr

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 ...

IFG Companies

Claim Examiner

Scottsdale, AZ · On-site

$80K - $100K/yr

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 ...

Chubb

Auto Claim Examiner

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 ...

Chubb

Auto Claim Examiner

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 ...

Chubb Ltd.

Auto Claim Examiner

Alpharetta, GA · 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 ...

Chubb Ltd.

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 ...

Chubb

Auto Claim Examiner

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 ...

Chubb Ltd.

Auto Claim Examiner

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 ...

Chubb

Auto Claim Examiner

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 ...

Chubb

Casualty Claim Examiner

Chesapeake, VA · On-site

$53K - $77K/yr

Chubb is looking to build a talent pipeline for upcoming Casualty Claims Examiner, Claim Specialist ... Handle first and third-party injury claims related to No-Fault/Med Pay and liability exposures.

Chubb

Casualty Claim Examiner

Chesapeake, VA · On-site

$53K - $77K/yr

Chubb is looking to build a talent pipeline for upcoming Casualty Claims Examiner, Claim Specialist ... Handle first and third-party injury claims related to No-Fault/Med Pay and liability exposures.

Chubb

Casualty Claim Examiner

Phoenix, AZ · On-site

$53K - $77K/yr

Chubb is looking to build a talent pipeline for upcoming Casualty Claims Examiner, Claim Specialist ... Handle first and third-party injury claims related to No-Fault/Med Pay and liability exposures.

next page

Showing results 1-20

All JobsMedical Claim Examiner Jobs

Medical Claim Examiner information

See salary details

$15

$29

$45

How much do medical claim examiner jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for medical claim 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 the difference between Medical Claim Examiner vs Medical Billing Specialist?

AspectMedical Claim ExaminerMedical Billing Specialist
Required CredentialsHigh school diploma; certifications like CPC or CCSHigh school diploma; certifications like CPC or CPC-A
Work EnvironmentInsurance companies, healthcare facilities, government agenciesMedical offices, clinics, healthcare providers
Job FocusReviewing and processing insurance claims for accuracy and compliancePreparing 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.

How much do medical claim examiners make in the US?

Medical claim examiners in the US typically earn a median annual salary of around $45,000 to $55,000. Salaries can vary based on experience, location, and employer, with some earning over $70,000 with advanced skills or certifications. The role often requires attention to detail and familiarity with insurance policies and claims processing systems.

How to become a medical claim examiner?

To become a medical claim examiner, candidates typically need a high school diploma or equivalent, with some roles requiring postsecondary education or certification in health insurance or medical billing. Relevant skills include attention to detail, knowledge of medical terminology, and familiarity with insurance policies and claims processing software. Certification programs such as the Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) can enhance job prospects.

Is claims processing a stressful job?

Medical claim examiners often find claims processing to be a demanding task due to strict deadlines, detailed documentation, and the need for accuracy. The job requires strong attention to detail and can involve repetitive work, which may contribute to stress levels, especially during high workload periods or complex cases.
More about Medical Claim Examiner jobs

What cities are hiring for Medical Claim Examiner jobs?

Cities with the most Medical Claim Examiner job openings:

What states have the most Medical Claim Examiner jobs?

States with the most job openings for Medical Claim Examiner jobs include:

Infographic showing various Medical Claim Examiner job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Senior Claim Examiner I

Princeton, NJ

AmTrust Financial Services, Inc.
Insurance Services • 5 - 10K employees
Learn more about AmTrust Financial Services, Inc.external

$34.75 - $47/hr

Full-time

Posted 21 days ago

Job description

We are seeking experienced professionals to join our Workers’ Compensation team in two key roles: Senior Claim Examiner and Lead Claim Examiner. Both positions play a critical role in managing workers compensation claim files and ensuring compliance with state regulations while delivering exceptional service.


Senior Claim Examiner

  • Manage complex and high-exposure workers’ compensation claims from start to resolution.
  • Investigate claims, determine compensability, set reserves, and negotiate settlements.
  • Serve as a resource for junior examiners and assist with mentoring.
  • Requires 5+ years of workers’ compensation claims experience and strong technical knowledge.

Lead Claim Examiner

  • Responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers.
  • Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of AmTrust and the Claims organization.
  • Requires 3+ years of workers’ compensation claims experience and strong technical knowledge.

Responsibilities:

  • Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives. Determining if claims are valid under applicable workers’ comp statutes. Communicating with medical providers to develop and authorize appropriate treatment plans.
  • Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan.
  • Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute
  • Answer questions regarding the status of pending claims from claimants, policyholders and medical providers.
  • Consult with attorneys regarding litigation management, settlement strategy and claim resolution.

  • MS Office experience (Work, Excel, Outlook)
  • Effective negotiation skills
  • Strong verbal and written communication skills
  • Ability to prioritize work load to meet deadlines
  • Ability to manage multiple tasks in a fast-paced environment

Apply