Occupation
Claims Examiner
A claims examiner reviews and audits insurance claims for accuracy and compliance, applying policy analysis and regulatory compliance knowledge to catch errors or potential fraud that adjusters may have missed. They use claims management systems to conduct claims auditing and make final decision-making calls on complex or disputed claims. This role typically sits above claims adjusters and specialists in seniority within an insurance carrier's claims department, suiting meticulous, rules-oriented professionals.
Duties & responsibilities
- Review insurance claims files for accuracy, compliance, and policy coverage applicability
- Determine liability and coverage eligibility on complex or disputed claims
- Investigate claims to identify potential fraud or irregularities
- Evaluate and negotiate claim settlements
- Provide guidance to claims handlers on state regulations and company standards
- Train and mentor junior claims staff and associates
- Interpret policy language and apply it to specific claim situations
What Claims Examiner roles involve, from employers’ own postings.
How much does a Claims Examiner make?
Too few Claims Examiner postings state pay to publish a median yet: 2 of 4 open roles do, and we wait for 25.
Who is hiring for Claims Examiner roles?
4 open Claims Examiner roles from 4 employers.
From employers’ own postings, as of.
Claims Examiner in the job market
Last checked October 28, 2026
- Open roles
- 4
- Employers
- 4
- Median pay
- —
- Disclose pay
- —
on Career App right now
hiring for it
not enough disclosed
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Similar roles
Open Claims Examiner roles (4)
Claims Examiner
Tokio Marine HCC
Los Angeles, CA
Listed on Tokio Marine HCC’s careers site · Apply there ↗
Senior Product Liability Claims Examiner - Medmarc
ProAssurance
$100,739 – $166,236
ProAssurance seeks a Senior Claims Examiner to manage complex product liability claims in the life sciences sector, handling investigation, coverage analysis, defense counsel coordination, and legal expense control. This hybrid or remote role suits someone with deep claims experience and legal expertise who can navigate intricate liability matters and guide cases from filing through resolution.
Listed on ProAssurance’s careers site · Apply there ↗
Senior Claims Examiner – Home Office Commercial Property Claims
Auto-Owners Insurance
Full-time · Lansing, MI
A supervisory claims role where you'd oversee and train other claim professionals across multiple states from a home office setting, with potential to relocate after initial training. This suits experienced claims examiners ready to move into a mentoring position at an established insurance carrier.
Listed on Auto-Owners Insurance’s careers site · Apply there ↗
Senior Workers' Compensation Claims Examiner - Federal Claims
American International Group
$73,000 – $96,000
A senior-level insurance claims specialist handling federal workers' compensation cases, particularly Defense Base Act claims, who investigates, settles, and resolves disputes while mentoring junior staff and identifying fraud. This role suits someone with deep claims expertise seeking to advance into leadership and help shape product strategy at a major global insurer.
Listed on American International Group’s careers site · Apply there ↗
Likely next role (4)
Where Claims Examiners commonly go next: Claims Manager.
Managing Director Strategic Claims Oversight - Healthcare Severity
CNA Financial
$97,000 – $189,000
This role leads a team handling the most complex and highest-exposure healthcare insurance claims, overseeing investigations, claim strategy decisions, and litigation management while driving operational improvements and team performance. It suits experienced claims or legal professionals ready to move into senior leadership with responsibility for complex case oversight and team development.
Listed on CNA Financial’s careers site · Apply there ↗
Vice President - General Aviation Claims
American International Group
Atlanta, GA
Lead AIG's general aviation claims team across North America, managing a group of adjustors while handling complex aircraft damage claims and serving as a technical resource for the broader aerospace claims organization. This role suits experienced aerospace claims professionals ready to transition into management with significant client-facing and strategic responsibilities.
Listed on American International Group’s careers site · Apply there ↗
Zonal Claims Executive
American International Group
Chicago, IL · $125,000 – $166,000
A management role overseeing claims resolution for a commercial insurance company, where the executive resolves escalated claims issues, leads a team of account managers, and represents claims interests in broader zone strategy. This suits experienced claims professionals ready to move into leadership with a mix of technical expertise and stakeholder management.
Listed on American International Group’s careers site · Apply there ↗
Superviseur des sinistres - Accidents et Santé / Claims Supervisor, Accident & Health Claims
American International Group
CA$80,000 – CA$100,000
Lead a team of junior to senior claims analysts handling accident and health insurance cases, reviewing settlements and denial letters, and ensuring compliance with operational standards. This role suits experienced claims professionals ready to move into management and work closely with brokers and clients across a dynamic claims operation.
Listed on American International Group’s careers site · Apply there ↗
Roles similar to Claims Examiner (86)
From Claims Adjuster, Claims Manager, Claims Specialist, Compliance Analyst, Fraud Examiner, Insurance Underwriter, Risk Analyst.
Systems Risk Analyst
Commodity Futures Trading Commission
Washington, DC · $152,377 – $223,819
This federal role oversees cybersecurity and operational resilience compliance for derivatives trading platforms, examining their safeguards against system failures, data breaches, and disaster scenarios. It suits IT security professionals with expertise in risk management and regulatory compliance who want to shape financial market infrastructure standards.
Via USAJOBS · Apply there ↗
Field Office - Claims Specialist
Social Security Administration
Full-time · Elkton, MD · $44,887 – $88,421
The Social Security Administration seeks Claims Specialists to interview beneficiaries, verify eligibility for retirement and disability benefits, and make determinations on benefit payments using federal computer systems. This role suits people comfortable with detailed regulatory work and direct public service in a government setting.
Via USAJOBS · Apply there ↗
Compliance Analyst
Ranger Boats
Springfield, MO
Listed on Ranger Boats’s careers site · Apply there ↗
Underwriting Lead, Cyber Portfolio Underwriting
Coalition, Inc
Any location, United States · $135,000 – $185,000
Coalition seeks an experienced cyber underwriting leader to manage referral decisions and portfolio governance for their North American business, converting underwriting patterns into better guidelines and automated systems. This role combines hands-on underwriting judgment with strategic process improvement for a rapidly scaling insurance provider.
Listed on Coalition, Inc’s careers site · Apply there ↗
Senior Travel & Expense Compliance Analyst
CesiumAstro
Full-time · Austin, TX
A compliance-focused analyst role responsible for administering travel and expense policies, ensuring regulatory adherence, and supporting financial planning at a space-tech startup. This suits someone with FP&A knowledge who enjoys cross-functional collaboration and can manage policy systems while advising on government travel regulations.
Listed on CesiumAstro’s careers site · Apply there ↗
REGIONAL PROPERTY CLAIMS ADJUSTER - INSPECTOR
Grinnell Mutual
Full-time · Bloomington, IL · $67,497 – $116,995
A seasoned property claims professional who investigates farm and homeowner losses across Illinois, determining coverage and settling claims while serving as a mentor to junior adjusters. This role suits experienced adjusters ready to work independently from a home office, managing complex cases and building relationships with agents across an assigned region.
Listed on Grinnell Mutual’s careers site · Apply there ↗
Senior General Liability Claims Adjuster
Honeycomb Insurance
Full-time · West Coast - Remote · $110,000 – $135,000
This role handles the full lifecycle of commercial general liability claims for a fast-growing insuretech startup, from investigation and liability assessment through negotiation and resolution. It suits experienced claims adjusters ready to work on complex matters and litigated cases in a modern, remote-first environment.
Listed on Honeycomb Insurance’s careers site · Apply there ↗
Product Compliance Assistant
SKIMS
Los Angeles, CA
You'll support SKIMS' compliance team in ensuring their apparel lines meet regulatory standards across global markets. This entry-level role suits someone organized and detail-oriented who wants to learn product compliance in a fast-growing fashion company.
Listed on SKIMS’s careers site · Apply there ↗
Compliance Analyst (Night Shift- Pacific Time)
AlphaSense
Full-time · Remote - United States · $60,000
This role involves reviewing expert call transcripts to identify and manage sensitive information, ensuring compliance with legal and regulatory standards for a market intelligence platform. It suits detail-oriented professionals who can work independently under tight deadlines and want to develop expertise in a specialized compliance program.
Listed on AlphaSense’s careers site · Apply there ↗
Ancillary Specialist- Remote
DriveTime
Full-time · Remote
This role involves reviewing and processing GAP insurance claims for SilverRock, verifying documentation and determining the correct payouts to customers or loan holders. The position suits someone who thrives in a fast-paced, detail-oriented environment and can handle emotionally demanding interactions while maintaining composure and a solutions-focused mindset.
Listed on DriveTime’s careers site · Apply there ↗