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Workers Compensation Examiner Jobs (NOW HIRING)

Acrisure

Workers Compensation Claims Examiner

Atlanta, GA · On-site

$31.50 - $42.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Acrisure is seeking a Workers' Compensation Claims Examiner. This role is responsible for managing lost time workers' compensation claims from assignment through resolution while ensuring timely ...

Acrisure, LLC

Workers Compensation Claims Examiner

Atlanta, GA

$31.50 - $42.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Acrisure is seeking a Workers' Compensation Claims Examiner. This role is responsible for managing lost time workers' compensation claims from assignment through resolution while ensuring timely ...

Acrisure

Workers Compensation Claims Examiner

Atlanta, GA

$31.50 - $42.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Acrisure is seeking a Workers' Compensation Claims Examiner. This role is responsible for managing lost time workers' compensation claims from assignment through resolution while ensuring timely ...

Sedgwick

Claims Examiner - Workers Compensation

Roseville, CA · On-site

$34.25 - $46.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Examiner - Workers Compensation | Roseville, CA Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world ...

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Workers Compensation Examiner information

See salary details

$33.5K

$68.7K

$146.5K

How much do workers compensation examiner jobs pay per year?

As of Aug 18, 2026, the average yearly pay for workers compensation examiner in the United States is $68,714.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,500.00 and $75,000.00 per year, depending on experience, location, and employer.

What is a workers compensation examiner?

Workers Compensation Examiners are professionals who review, investigate, and process claims made by employees who are injured or become ill due to their job. They ensure that claims are valid and determine the amount of benefits an employee is eligible to receive under workers' compensation laws. These examiners work with medical reports, employer statements, and legal guidelines to make fair decisions. They may also communicate with claimants, employers, and healthcare providers throughout the claims process.

What are some typical challenges faced by workers compensation examiners, and how can they be addressed?

Workers Compensation Examiners often encounter complex cases that require careful investigation and thorough documentation. Challenges include managing high caseloads, dealing with incomplete or conflicting medical reports, and communicating effectively with claimants, employers, and medical professionals. Success in this role involves strong organizational skills, attention to detail, and the ability to remain objective and empathetic while making fair decisions. Regular training and collaboration with colleagues can also help examiners stay up-to-date with regulations and best practices.

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

To thrive as a Workers Compensation Examiner, you need a solid understanding of insurance claims, workers' compensation laws, and case management, often supported by a degree in business, law, or a related field. Familiarity with claims management software, medical terminology, and sometimes certification such as Associate in Claims (AIC) is typically required. Strong analytical skills, attention to detail, and effective communication help examiners negotiate, investigate, and resolve claims efficiently. These skills are critical for ensuring accurate claim processing, legal compliance, and fair outcomes for all parties involved.

What is the difference between Workers Compensation Examiner vs Claims Adjuster?

AspectWorkers Compensation ExaminerClaims Adjuster
Required CredentialsLicensing, certifications in workers' compensation lawsLicensing, certifications in insurance claims
Work EnvironmentState agencies, insurance companies, healthcare settingsInsurance companies, third-party administrators, independent agencies
Industry UsagePrimarily in workers' compensation insuranceBroader insurance claims across multiple lines
Common Search IntentUnderstanding workers' comp claims processEvaluating insurance claims and settlements

Workers Compensation Examiners focus specifically on evaluating workers' compensation claims, ensuring compliance with state laws. Claims Adjusters handle a wider range of insurance claims, including auto, property, and liability. While both roles involve claims assessment, Examiners specialize in workers' compensation cases within insurance and government agencies.

More about Workers Compensation Examiner jobs

What cities are hiring for Workers Compensation Examiner jobs?

Cities with the most Workers Compensation Examiner job openings:

What states have the most Workers Compensation Examiner jobs?

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

What job categories do people searching Workers Compensation Examiner jobs look for?

The top searched job categories for Workers Compensation Examiner jobs are:

What are popular job titles related to Workers Compensation Examiner jobs?

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

Workers Compensation Examiner jobs near you
Infographic showing various Workers Compensation Examiner job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $68,714 per year, or $33 per hour.

Workers Compensation Claims Examiner

Imagine Staffing Technology

Brea, CA • Remote

$67/hr

Full-time

Re-posted 10 days ago

Job description

Job Profile
Job Title: Claims Examiner
Location: Remote
Hire Type: Contingent
Pay Range: $67/hr.
Work Model: Remote
Work Shift: Monday-Friday 8 am – 4 pm
Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305
Nature & Scope:
Positional Overview
We are seeking an experienced Workers Compensation Claims Examiner to manage and resolve complex workers’ compensation claims. This role is responsible for analyzing claim exposure, determining benefits due, handling litigated and high-exposure claims, negotiating settlements, and ensuring claims are adjudicated in accordance with client requirements, industry regulations, and best practices.
The ideal candidate will possess strong investigative, analytical, and negotiation skills, along with extensive experience handling workers’ compensation claims from inception through resolution.
Role & Responsibility:
Tasks That Will Lead to Your Success
  • Analyze and process complex workers’ compensation claims by conducting investigations and gathering information to determine claim exposure and compensability.
  • Develop and execute strategic action plans to drive claims toward timely and appropriate resolution.
  • Negotiate settlements within established authority limits.
  • Calculate, establish, and maintain appropriate claim reserves throughout the life of the claim.
  • Determine benefits due and authorize claim payments and adjustments in accordance with applicable regulations and authority levels.
  • Prepare and submit required state filings within statutory deadlines.
  • Manage litigated claims and coordinate with defense counsel, medical providers, investigators, and other vendors to ensure efficient claim resolution.
  • Utilize cost-containment strategies and vendor partnerships to minimize claim costs while maintaining quality outcomes.
  • Identify and pursue recovery opportunities, including subrogation, Second Injury Fund recoveries, and Social Security or Medicare offsets.
  • Report claims to excess carriers and respond to requests for information and direction in a timely and professional manner.
  • Maintain regular communication with claimants, clients, attorneys, medical providers, and internal stakeholders regarding claim activity and status.
  • Ensure claim files are accurately documented and properly coded within the claims management system.
  • Escalate complex issues and claims to management as appropriate.
  • Support organizational quality initiatives and perform additional duties as assigned.
Skills & Experience
Qualifications That Will Help You Thrive
  • High school diploma or GED required.
  • Bachelor’s degree from an accredited college or university preferred.
  • Professional certifications related to workers’ compensation claims handling preferred.
  • Minimum of five (5) years of workers’ compensation claims management experience or an equivalent combination of education and experience.
  • Experience handling complex, litigated, and high-exposure workers’ compensation claims preferred.
  • Strong understanding of California workers’ compensation laws and regulations is highly desirable.
  • In-depth knowledge of workers’ compensation insurance principles, laws, and claims management practices.
  • Understanding of reserve management, claim recoveries, offsets, and deductions.
  • Knowledge of medical management practices and Social Security/Medicare procedures.
  • Strong investigative, analytical, and problem-solving skills.
  • Excellent negotiation and settlement management abilities.
  • Strong written and verbal communication skills, including presentation capabilities.
  • Proficiency in Microsoft Office Suite and claims management systems.
  • Strong organizational and time management skills with the ability to manage multiple priorities.
  • Ability to work independently and collaboratively in a team environment.
  • Commitment to delivering exceptional customer service and meeting performance expectations.