Claims Examiner
$16/hr
Claims Examiner Job Type: Full Time FLSA Status: Non-Exempt/Hourly Grade: H Function/Department ... This position may work onsite or remotely from home. Physical Demands The physical demands ...
Claims Examiner
$16/hr
Claims Examiner Job Type: Full Time FLSA Status: Non-Exempt/Hourly Grade: H Function/Department ... This position may work onsite or remotely from home. Physical Demands The physical demands ...
Claims Examiner
$16/hr
Claims Examiner Job Type: Full Time FLSA Status: Non-Exempt/Hourly Grade: H Function/Department ... This position may work onsite or remotely from home. Physical Demands The physical demands ...
Claims Examiner
$16/hr
Claims Examiner Job Type: Full Time FLSA Status: Non-Exempt/Hourly Grade: H Function/Department ... This position may work onsite or remotely from home. Physical Demands The physical demands ...
This is a remote/work-from-home position. What You Will Do: * Review and process life insurance ... Escalate complex or problematic claims to the appropriate examiner, supervisor, or manager. * Meet ...
This is a remote/work-from-home position. What You Will Do: * Review and process life insurance ... Escalate complex or problematic claims to the appropriate examiner, supervisor, or manager. * Meet ...
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Claims Examiner
Bartlesville, OK · Remote
$32/hr
Remote Work Shift: Monday-Friday 8 am - 4:30 pm Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305 Nature & Scope: Positional Overview We are seeking an experienced Claims Examiner ...
Quick apply
Claims Examiner
Bartlesville, OK · Remote
$32/hr
Remote Work Shift: Monday-Friday 8 am - 4:30 pm Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305 Nature & Scope: Positional Overview We are seeking an experienced Claims Examiner ...
Claims Examiner
Los Angeles, CA · On-site +1
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Claims Examiner
Los Angeles, CA · On-site +1
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Claims Examiner
Sherman Oaks, CA · Remote
$20 - $25/hr
If you thrive in a fast-paced environment and have a passion for precision, we want to hear from ... We foster a collaborative and supportive work environment where employees are empowered to grow and ...
Quick apply
Claims Examiner
Sherman Oaks, CA · Remote
$20 - $25/hr
If you thrive in a fast-paced environment and have a passion for precision, we want to hear from ... We foster a collaborative and supportive work environment where employees are empowered to grow and ...
Claims Examiner
New York, NY · On-site +1
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Claims Examiner
New York, NY · On-site +1
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Claims Examiner
OR · On-site +1
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Claims Examiner
OR · On-site +1
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Claims Examiner
North East, PA · On-site +1
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Claims Examiner
North East, PA · On-site +1
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Claims Examiner
Florida, NY · Remote
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Claims Examiner
Florida, NY · Remote
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Claims Examiner
Minto, AK · On-site +1
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
Claims Examiner
Minto, AK · On-site +1
Our experienced team and strong work ethic have helped build lasting relationships throughout the ... Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties
... work from home or work from a centralized office • Regular attendance required, working up to 12 hours a day, 7 days a week, for extended periods of time, including weekends and holidays • ...
... work from home or work from a centralized office • Regular attendance required, working up to 12 hours a day, 7 days a week, for extended periods of time, including weekends and holidays • ...
Life Claims Examiner II
Papillion, NE · On-site +1
$23.13 - $31.93/hr
Work from Home Work Arrangement: Remote : Work at home employee residing outside of a commutable ... As a Life Claims Examiner II, you will be responsible for the investigation, evaluation ...
Life Claims Examiner II
Papillion, NE · On-site +1
$23.13 - $31.93/hr
Work from Home Work Arrangement: Remote : Work at home employee residing outside of a commutable ... As a Life Claims Examiner II, you will be responsible for the investigation, evaluation ...
This position may offer flexibility through a telecommuting arrangement and can be performed from ... We offer competitive salary and benefits and our work environment reflects the Company's core ...
Quick apply
This position may offer flexibility through a telecommuting arrangement and can be performed from ... We offer competitive salary and benefits and our work environment reflects the Company's core ...
Subrogation Claims Examiner
Radnor, PA · On-site +1
$23.13 - $31.93/hr
Work from Home; Charlotte, NC (North Carolina); Fort Wayne, IN (Indiana); Greensboro, NC (North ... Requisition #: 76242 The Role at a Glance We are excited to bring on a Claims Examiner, Subrogation ...
Subrogation Claims Examiner
Radnor, PA · On-site +1
$23.13 - $31.93/hr
Work from Home; Charlotte, NC (North Carolina); Fort Wayne, IN (Indiana); Greensboro, NC (North ... Requisition #: 76242 The Role at a Glance We are excited to bring on a Claims Examiner, Subrogation ...
Claims Examiner
Oakland, CA · Remote
If you're ready to bring your unique perspective to a place where your work truly matters; think of ... At times, we will consider transferable skills from previous roles. Gallagher is an affirmative ...
Claims Examiner
Oakland, CA · Remote
If you're ready to bring your unique perspective to a place where your work truly matters; think of ... At times, we will consider transferable skills from previous roles. Gallagher is an affirmative ...
Medical Claims Examiner
Los Angeles, CA · On-site +1
$24 - $30/hr
General information Client / Corporate Client Work Mode Hybrid Name Medical Claims Examiner Job ID 21986 City Chatsworth (Local Remote) Published date 07-Jul-2026 State California Country United ...
Medical Claims Examiner
Los Angeles, CA · On-site +1
$24 - $30/hr
General information Client / Corporate Client Work Mode Hybrid Name Medical Claims Examiner Job ID 21986 City Chatsworth (Local Remote) Published date 07-Jul-2026 State California Country United ...
Claims Examiner
Torrance, CA · Remote
If you're ready to bring your unique perspective to a place where your work truly matters; think of ... At times, we will consider transferable skills from previous roles. Gallagher is an affirmative ...
Claims Examiner
Torrance, CA · Remote
If you're ready to bring your unique perspective to a place where your work truly matters; think of ... At times, we will consider transferable skills from previous roles. Gallagher is an affirmative ...
Work From Home Claims Examiner information
See salary details
$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
How much do work from home claims examiner jobs pay per hour?
As of Sep 5, 2026, the average hourly pay for work from home 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 work from home claims examiner?
Work From Home Claims Examiners are professionals who review insurance claims to determine their validity and ensure compliance with policy terms, all while working remotely. They analyze claim forms, supporting documents, and sometimes communicate with claimants or medical professionals to gather additional information. These examiners may work for health, auto, property, or other types of insurance companies. Their remote role allows for flexibility, but requires strong attention to detail, confidentiality, and effective communication skills.
What does a work from home claims examiner do?
A work from home claims examiner is an insurance professional who works from a remote location outside of a traditional office. In this position, your responsibilities include evaluating insurance applications and claims as well as examining files submitted by an insurance adjuster. Your duties are to review submitted claims to understand coverage, ensure compliance with company policies and procedures, and help complete the process for a settlement. You may also work with other professionals on a large or complex case with a substantial payout to provide expertise and determine accuracy. You may find employment in a variety of insurance-related industries, including medical, automotive, and real estate.
What are the key skills and qualifications needed to thrive as a work from home claims examiner?
To excel as a Work From Home Claims Examiner, you need a solid understanding of insurance policies, claims processing, and attention to detail, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, electronic documentation systems, and sometimes certifications like AIC (Associate in Claims) are typically required. Strong analytical thinking, self-motivation, and excellent written communication are crucial soft skills for remote collaboration and efficient case resolution. These competencies are vital for ensuring accurate, timely claim decisions and maintaining high standards of customer service from a remote environment.
How does a work from home claims examiner typically collaborate with other departments while working remotely?
As a Work From Home Claims Examiner, collaboration with other departments such as underwriting, customer service, and medical review teams is primarily conducted through digital communication platforms like email, instant messaging, and video conferencing. Regular virtual meetings and shared document systems help ensure accurate claims processing and timely resolution of issues. You'll often work closely with your supervisor and cross-functional teams to clarify claims details, escalate complex cases, and maintain consistent workflow. Effective remote communication and organization are key to successfully collaborating in this role.
More about Work From Home Claims Examiner jobs
What cities are hiring for Work From Home Claims Examiner jobs?
Cities with the most Work From Home Claims Examiner job openings:
What states have the most Work From Home Claims Examiner jobs?
States with the most job openings for Work From Home Claims Examiner jobs include:
What job categories do people searching Work From Home Claims Examiner jobs look for?
The top searched job categories for Work From Home Claims Examiner jobs are:
$16/hr
Full-time
This job post has expired today. Applications are no longer accepted.
Firstsource rating
6.5
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
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
Work Experience
Competencies & Skills
Additional Qualifications
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.
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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