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Senior 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 ...

Firstsource

Claims Examiner Job Type: Full Time FLSA Status: Non-Exempt/Hourly Grade: H2 Function/Department ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...

Firstsource

Claims Examiner

Dallas, TX · On-site

Claims Examiner Job Type: Full Time FLSA Status: Non-Exempt/Hourly Grade: H2 Function/Department ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...

Wellcove

Claims - Claims Examiner

Pensacola, FL · On-site

Our solutions span the insurance senior market sector, focusing on long-term care and Medicare ... Wellcove also addresses challenges faced in accident & health, disability, and supplemental health ...

Capital Health Plan

Claims Examiner I

Tallahassee, FL · On-site

Major disability time off (MDTO) * Retirement plan * Life and AD&D insurance * Voluntary life and ... As a Claims Examiner I, you will analyze insurance claims of low to moderate difficulty to ...

Chubb

Senior Claims Examiner

Jersey City, NJ · On-site

Chubb is seeking a Senior Claim Examiner to handle PEO claims in the Employment Practices Liability ... disability, medical condition, genetic information, military and veteran status, age, and pregnancy ...

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 ...

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 ...

Richmond National

Claims Examiner

Glen Allen, VA · On-site

$65K - $85K/yr

Job Title: Claims Examiner Location: Full time in-office, Richmond, VA 23233 We are seeking a ... Basic Life/AD&D/Short Term/Long Term Disability coverage. * 401(k) - Company match of up to 6% * ...

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 ...

Network Adjusters, Inc.

Claims Examiner

Denver, CO · On-site

$85K - $125K/yr

Network Adjusters is seeking experienced Claims Examiners to join our third-party administrative ... Company-paid life insurance and long-term disability * Supplemental life insurance and optional ...

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

$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 ...

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All JobsGovernment JobsLabor and Employment JobsDisability Benefits Specialist JobsSenior Disability Claims Examiner Jobs

Senior Disability Claims Examiner information

See salary details

$37K

$86.2K

$128.5K

How much do senior disability claims examiner jobs pay per year?

As of Sep 2, 2026, the average yearly pay for senior disability claims examiner in the United States is $86,162.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $104,000.00 per year, depending on experience, location, and employer.

What does a senior disability claims examiner do?

A Senior Disability Claims Examiner is responsible for reviewing and evaluating disability insurance claims to determine eligibility for benefits. They analyze medical records, employment documentation, and policy guidelines to make informed decisions on complex or high-value claims. In addition to assessing claims, they may mentor junior examiners, handle appeals, and communicate with claimants, healthcare providers, and legal representatives. Their role is critical in ensuring that claims are processed fairly, accurately, and in accordance with legal and company standards.

What are some common challenges senior disability claims examiners face when evaluating complex claims?

Senior Disability Claims Examiners often encounter challenges such as interpreting ambiguous medical documentation, balancing regulatory compliance with compassionate decision-making, and managing high caseloads with tight deadlines. They must collaborate closely with medical professionals, legal teams, and sometimes external vendors to gather necessary information and ensure fair outcomes. Staying current with evolving policies and best practices is also essential, as these can directly impact claim determinations and customer satisfaction.

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

To thrive as a Senior Disability Claims Examiner, you need detailed knowledge of insurance policies, claims assessment, and medical terminology, usually backed by a bachelor’s degree and experience in claims processing. Familiarity with claims management systems, industry software, and potentially certifications like Associate in Claims (AIC) are typical technical requirements. Strong analytical skills, attention to detail, and effective communication help you review complex cases, collaborate with medical professionals, and explain decisions to claimants. These competencies ensure accurate and fair claims adjudication, regulatory compliance, and efficient resolution of cases.

What is the difference between Senior Disability Claims Examiner vs Disability Claims Examiner?

AspectSenior Disability Claims ExaminerDisability Claims Examiner
CredentialsTypically requires experience and sometimes advanced certificationsEntry to mid-level certifications, less experience needed
Work EnvironmentHandles complex cases, mentors junior staffProcesses standard claims, handles routine cases
Employer & Industry UsageUsed in insurance companies, government agenciesCommon in similar settings, often entry-level to mid-level roles
Comparison Search IntentOften searched for career progression or role differencesOften searched for entry-level or general claims processing

The main difference between a Senior Disability Claims Examiner and a Disability Claims Examiner lies in experience, responsibilities, and case complexity. Senior examiners handle more complex claims, provide mentorship, and often require more credentials. Disability Claims Examiners typically process routine claims and may be suitable for those starting in the industry.

Do you need a degree to be a senior disability claims examiner?

A degree is often preferred for a senior disability claims examiner role, but relevant work experience, knowledge of disability programs, and strong analytical skills can also qualify candidates. Some employers may require a bachelor's degree, while others may accept equivalent experience or certifications in claims processing or disability evaluation.

How to become a senior disability claims examiner?

To become a senior disability claims examiner, candidates typically need a bachelor's degree in a related field such as social work, psychology, or healthcare, along with several years of experience in disability claims processing. Certification through organizations like the Society of Disability Analysts can enhance prospects, and strong analytical, communication, and knowledge of relevant laws are essential for advancement.

Is claims processing a stressful job?

Claims processing for a Senior Disability Claims Examiner can be stressful due to the need for accuracy, meeting deadlines, and handling complex cases. The role often requires strong attention to detail, communication skills, and the ability to manage a high workload efficiently.

What cities are hiring for Senior Disability Claims Examiner jobs?

Cities with the most Senior Disability Claims Examiner job openings:

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

The most popular types of Disability Claims Examiner jobs are:

What states have the most Senior Disability Claims Examiner jobs?

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

Senior Disability Claims Examiner jobs near you
Infographic showing various Senior Disability Claims Examiner job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $86,162 per year, or $41.4 per hour.

Claims Examiner

Firstsource

Remote

$16/hr

Full-time

Re-posted 3 days ago

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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