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Workers Comp Claims Examiner Jobs (NOW HIRING)

Elite

Sr. Workers' Compensation Claims Adjuster

Long Beach, CA · On-site +1

$69K - $89K/yr

Must have a California SIP (Workers Compensation - Sr. Work Comp Claims Adjuster) Must be Bilingual ... Limits are larger than those allowed for Claims Examiner I and Claims Examiner II. * Settles and/or ...

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Workers Comp Claims Examiner information

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How much do workers comp claims examiner jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for workers comp claims examiner in the United States is $36.99, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $42.79 per hour, depending on experience, location, and employer.

What does a workers comp claims examiner do?

A Workers Comp Claims Examiner is responsible for reviewing and evaluating workers' compensation claims to determine their validity. They investigate the details of workplace injuries or illnesses, communicate with employers, employees, and medical professionals, and ensure that claims comply with laws and company policies. Their duties include approving valid claims for payment, denying unjustified claims, and sometimes coordinating rehabilitation or return-to-work plans. They play a key role in ensuring that injured workers receive appropriate benefits while protecting employers from fraudulent or excessive claims.

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

To thrive as a Workers Comp Claims Examiner, you need a strong understanding of insurance policies, claims investigation, and relevant state and federal regulations, often supported by a bachelor's degree or equivalent experience. Familiarity with claims management software, medical terminology, and certifications like the Associate in Claims (AIC) are commonly required. Attention to detail, analytical thinking, and strong communication skills help you effectively assess claims and collaborate with claimants, medical professionals, and legal representatives. These skills and qualities are vital to ensure accurate claims processing, minimize fraud, and maintain compliance with legal standards.

What are the most common challenges faced by workers comp claims examiners, and how can they be managed?

Workers Comp Claims Examiners often encounter challenges such as handling complex or disputed claims, managing a high volume of cases, and keeping up with changing regulations. Effective examiners develop strong organizational skills and attention to detail to ensure timely and accurate processing. Collaboration with medical professionals, employers, and legal teams is essential for resolving disputes and ensuring fair outcomes. Staying current with state laws and company policies, as well as participating in ongoing training, can help examiners navigate these challenges successfully.

Is being a workers comp claims examiner hard?

Workers compensation claims examiners analyze injury reports, review medical records, and determine claim validity, which can involve detailed documentation and decision-making. The role requires strong attention to detail, communication skills, and knowledge of insurance policies, often supported by certifications or training. The job can be challenging due to the need for accuracy and handling complex cases, but it also offers structured work environments and clear procedures.

What do I need to be a workers compensation claims examiner?

To become a workers compensation claims examiner, candidates typically need a high school diploma or equivalent, with many employers preferring a bachelor's degree in fields like insurance, business, or healthcare. Relevant experience in insurance claims, strong communication skills, and knowledge of workers' compensation laws are important. Certification such as the Certified Claims Professional (CCP) can enhance job prospects.

What cities are hiring for Workers Comp Claims Examiner jobs?

Cities with the most Workers Comp Claims Examiner job openings:

What states have the most Workers Comp Claims Examiner jobs?

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

What are popular job titles related to Workers Comp Claims Examiner jobs?

For Workers Comp Claims Examiner jobs, the most frequently searched job titles are:

Workers Comp Claims Examiner jobs near you
Infographic showing various Workers Comp Claims Examiner job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 19% Part Time, 1% Temporary, 6% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $76,935 per year, or $37 per hour.

Claims Examiner - Workers Compensation

Alpharetta, GA • On-site

Comptech Associates
IT Services • 51 - 200 employees
Learn more about Comptech Associatesexternal

$32 - $43.50/hr

Other

Posted 2 days ago

New

Job description

Job title: Claims Examiner - Workers Compensation

Location: 11575 Great Oaks Way, Alpharetta, GA 30022 (40 hours in the office)

Duration: 3+ months (Potential for extension/ Contract to hire)

Interview process: In-person

Job Hours-8:00 am-5:00 pm


Job descriptions:

License Requirements: Need to be licensed in Georgia to handle Workers' Comp claims. Florida would be the next most important license along with SC and NC


MAJOR DUTIES & RESPONSIBILITIES:

• Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.

• Contribute to collaborative environment by consistently demonstrating teamwork, high motivation, behavior and effort to achieve goals and objectives.

• Provide accurate and timely expense and loss assessments on Lost Time claims.

• Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity.

• Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management.

• Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolutions to assigned claims.

• Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines and completion of reporting forms.

• Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner.

• Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim.


**Need to be licensed in Georgia to handle work comp. Florida would be the next most important license, along with SC and NC.


MINIMUM REQUIREMENTS:

• A personal commitment to superior performance that adds value to our company.

• An ability to work effectively with a wide variety of people.

• An aptitude for evaluating, analyzing and interpreting information.

• Excellent organizational skills a must.

• The ability to multi-task along with proven time management and organizational skills.

• An ability to work well in teams.

• Demonstrated critical thinking and decision making ability.

• Excellent verbal and written communication skills.


• EDUCATION/EXPERIENCE:

o Adjuster's license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date.

o Bachelor's Degree or equivalent experience preferred.

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