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Remote Claims Examiner Jobs (NOW HIRING)

Overview This is a remote position located in California. Keenan is a leading insurance brokerage ... The Claims Examiner is responsible for liability claims and property damage claims to their ...

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 ...

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 ...

Claims Examiner Contractor Smart Data Solutions, a leading provider of data management, claim ... Experience working in a remote environment. Why this is the company for you? Top Benefits & Perks:

We are seeking a highly skilled and independent Claims Examiner to join our team on a 100% remote ... Because this is a fully remote, independent contractor position, we are looking for a self-starter ...

AVP, Sr. Claims Examiner

Manhattan, NY · Remote

$132K - $189K/yr

The AVP, Senior Claims Examiner handles all aspects of claims notices and files related to ... remote Key functions include but are not limited to: * Adjusting all aspects of claims and loss ...

AVP, Sr. Claims Examiner

Manhattan, NY · Remote

$132K - $189K/yr

Responsibilities The AVP, Senior Claims Examiner handles all aspects of claims notices and files ... remote Key functions include but are not limited to: * Adjusting all aspects of claims and loss ...

Claims Examiner I or II This position could be hybrid or possibly fully remote depending on level of experience. WoodmenLife is looking to hire Claims Examiner I or II to join our team! In this role ...

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Remote Claims Examiner information

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$15

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How much do remote claims examiner jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote 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 a remote claims examiner?

A Remote Claims Examiner is a professional who reviews insurance claims from home or another remote location. Their primary job is to investigate, evaluate, and process claims to determine their validity and the amount that should be paid out. They work for insurance companies, healthcare providers, or third-party administrators, handling documentation, communicating with claimants, and ensuring compliance with regulations. By working remotely, they use digital tools to manage claims and collaborate with other team members online.

What does a remote claims examiner do?

Remote claims examiners review insurance claims to ensure they are accurate and completed properly. Instead of working in the office, remote claims examiners work from home or another location outside of the office. As a remote claims examiner, your job duties include researching the claim and gathering supportive documentation, such as medical records, invoices with services rendered, and policy guidelines. Once you have all the necessary information, you may make adjustments to the claim and determine payments or denial of service. You may also be responsible for contacting all parties involved. Complicated claims may require collaboration with a claims adjuster or investigator. Claims examiners work in healthcare, real estate, automotive, government agencies, and other insurance-related industries.

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

To thrive as a Remote Claims Examiner, you need a solid understanding of insurance policies, analytical skills, and attention to detail, typically supported by a degree in business or a related field and relevant claims experience. Familiarity with claims management software, document management systems, and sometimes certifications like AIC (Associate in Claims) are often required. Strong communication, time management, and problem-solving abilities help you effectively assess claims and collaborate remotely. These skills are crucial for accurate, efficient claims processing and maintaining trust with clients and insurers in a remote environment.

What are some common challenges remote claims examiners face, and how can they overcome them?

Remote Claims Examiners often encounter challenges such as maintaining clear communication with team members and accessing required documentation efficiently. Since the role is remote, staying organized and disciplined is essential to meet deadlines and manage caseloads effectively. Utilizing secure digital platforms, setting regular check-in meetings, and proactively seeking clarification on complex claims can help overcome these challenges. Additionally, embracing ongoing training on claims software and staying updated with industry regulations ensures accurate and timely claim processing.

What cities are hiring for Remote Claims Examiner jobs?

Cities with the most Remote Claims Examiner job openings:

What are the most commonly searched types of Claims Examiner jobs?

The most popular types of Claims Examiner jobs are:

What states have the most Remote Claims Examiner jobs?

States with the most job openings for Remote Claims Examiner jobs include:

Infographic showing various Remote Claims Examiner job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Claims Examiner

Gallagher

Torrance, CA • Remote

Full-time

Re-posted 20 days ago


Arthur J. Gallagher & Co. rating

7.6

Company rating: 7.6 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

217th of 315 rated insurance


Job description

Introduction
At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate. You’ll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing a comprehensive overview of the risk landscape is at your fingertips. Here, you’re not just improving clients' risk profiles, you’re building trust. You’ll find a culture grounded in teamwork, guided by integrity, and fueled by a shared commitment to do the right thing. We value curiosity, celebrate new ideas, and empower you to take ownership of your career while making a meaningful impact for the businesses we serve. If you’re ready to bring your unique perspective to a place where your work truly matters; think of Gallagher.
 

Overview

This is a remote position located in California.

Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts. Specializing in employee benefits, workers' compensation, loss control, financial services, and property & liability. Keenan is committed to delivering innovative solutions that protect and empower the communities we serve.

As part of Gallagher, a global leader in insurance, risk management, and consulting, you’ll be joining a team that’s passionate about helping individuals and organizations thrive.

The Claims Examiner is responsible for liability claims and property damage claims to their conclusion in the most cost-effective way possible for the client. In addition, the Claims Examiner will be responsible for recognizing claims involving coverage issues and present them to the Claims and Coverage Committees for referral to counsel.


How you'll make an impact
  • Review assigned claims within the PLCA guidelines.
  • Prepare appropriate response letter to Government Claims within the required timelines.
  • Assignment of Investigations.
  • Review investigative reports, evaluate damages and make recommendations to clients regarding assigned files.
  • Direct attorneys on litigated files and control defense costs.
  • Prepare timely Reports to Reinsurers.
  • Prepare appropriate write ups for JPA’s/ Superpools on a quarterly basis.
  • Monitor/adjust reserves when developments occur.
  • Review files for Subrogation potential and actively pursue subrogation.
  • Manage and respond to client inquiries.
  • Maintain accurate statistical data in computer.
  • Assist in client file reviews.
  • Attend Court ordered Mediations/MSC’s or any meeting required to facilitate settlement
  • Bill at minimum 80% of the work day.
  • Other duties as assigned.

About You

Required: High school diploma and 5 years related claims experience required. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Extensive knowledge of accepted industry standards and practices. Computer experience with related claims and business software.
Preferred: Bachelor's degree preferred.
Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses. Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation.


Compensation and benefits

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

  • Competitive compensation
  • Comprehensive benefits programs designed to support your well-being 
  • Career development opportunities and ongoing learning 
  • A collaborative, people-first culture with accessible leadership 
  • The opportunity to do meaningful work with global reach and local impact 

At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)

Qualifications:

Required: High school diploma and 5 years related claims experience required. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Extensive knowledge of accepted industry standards and practices. Computer experience with related claims and business software.
Preferred: Bachelor's degree preferred.
Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses. Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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