# Claims Examiner

Occupation

Canonical page: https://career.thegoodapps.co/occupations/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.

Top skills: [Policy Analysis](https://career.thegoodapps.co/skills/policy-analysis), [Regulatory Compliance](https://career.thegoodapps.co/skills/regulatory-compliance)

## Career ladder

- Often comes from: [Claims Adjuster](https://career.thegoodapps.co/occupations/claims-adjuster)
- Often leads to: [Claims Manager](https://career.thegoodapps.co/occupations/claims-manager)

## Similar roles

[Claims Adjuster](https://career.thegoodapps.co/occupations/claims-adjuster), [Claims Manager](https://career.thegoodapps.co/occupations/claims-manager), [Claims Specialist](https://career.thegoodapps.co/occupations/claims-specialist), [Compliance Analyst](https://career.thegoodapps.co/occupations/compliance-analyst), [Fraud Examiner](https://career.thegoodapps.co/occupations/fraud-examiner), [Insurance Underwriter](https://career.thegoodapps.co/occupations/insurance-underwriter), [Risk Analyst](https://career.thegoodapps.co/occupations/risk-analyst)

## Open Claims Examiner roles (5)

- [Claims Examiner](https://hq.wd12.myworkdayjobs.com/en-US/Securian_External/job/Saint-Paul-MN-Campus/Claims-Examiner_R-010711) at [Securian Financial Group](https://career.thegoodapps.co/organizations/securian-financial-group) — Saint Paul, MN (listed on Securian Financial Group's own careers site)
- [Officer, Claims](https://career.thegoodapps.co/jobs/2d6d226b-b16d-4cf8-baec-0130d590fa45/officer-claims-at-cigna) at [Cigna](https://career.thegoodapps.co/organizations/cigna) — HKGN 348 Kwun Tong Road
- [Senior Claims Examiner – Home Office Commercial Property Claims](https://career.thegoodapps.co/jobs/a463f182-3bad-4d7f-8dc0-f0303b2d20b1/senior-claims-examiner-home-office-commercial-property-claims-at-auto-owners) at [Auto-Owners Insurance](https://career.thegoodapps.co/organizations/auto-owners-insurance) — Full-time, Lansing, MI
- [Senior Workers' Compensation Claims Examiner - Federal Claims](https://career.thegoodapps.co/jobs/1d9606c7-3a76-47c9-bf4f-1ae18f7523fb/senior-workers-compensation-claims-examiner-federal-claims-at-american) at [American International Group](https://career.thegoodapps.co/organizations/american-international-group) — $73,000 – $96,000
- [Senior Claims Examiner – Home Office Motor Carrier and Auto Liability](https://career.thegoodapps.co/jobs/273a83d6-a462-45d7-bce6-8c023bce3deb/senior-claims-examiner-home-office-motor-carrier-and-auto-liability-at-auto) at [Auto-Owners Insurance](https://career.thegoodapps.co/organizations/auto-owners-insurance) — Lansing, MI

## Likely next role (8)

Where Claims Examiners commonly go next: [Claims Manager](https://career.thegoodapps.co/occupations/claims-manager).

- [Managing Director Strategic Claims Oversight - Healthcare Severity](https://career.thegoodapps.co/jobs/5ccc432c-66d6-4d6b-9e7c-7666b2a973ab/managing-director-strategic-claims-oversight-healthcare-severity-at-cna) at [CNA Financial](https://career.thegoodapps.co/organizations/cna-financial) — $97,000 – $189,000
- [Vice President - General Aviation Claims](https://career.thegoodapps.co/jobs/aa05593d-c293-474e-8d71-10c148a60aae/vice-president-general-aviation-claims-at-american-international-group) at [American International Group](https://career.thegoodapps.co/organizations/american-international-group) — Atlanta, GA
- [Major Litigation Unit Complex Claims Consulting Director](https://career.thegoodapps.co/jobs/99f46140-e1d3-4ce2-bb60-22d86364c8b7/major-litigation-unit-complex-claims-consulting-director-at-cna-financial) at [CNA Financial](https://career.thegoodapps.co/organizations/cna-financial) — $97,000 – $189,000
- [Complex Claim Director - Employment Practices Liability](https://career.thegoodapps.co/jobs/702f5b7b-5728-4812-9ef0-e2a3bfcf584d/complex-claim-director-employment-practices-liability-at-american-international) at [American International Group](https://career.thegoodapps.co/organizations/american-international-group) — Full-time, $120,000 – $150,000
- [Complex Claims Consulting Director - Mass Tort Unit](https://career.thegoodapps.co/jobs/d238e31f-8023-4f73-b3a9-e650cf64e5fd/complex-claims-consulting-director-mass-tort-unit-at-cna-financial) at [CNA Financial](https://career.thegoodapps.co/organizations/cna-financial) — $97,000 – $189,000
- [Inland Marine Claims Manager](https://career.thegoodapps.co/jobs/bde0feb8-474c-4e4b-a807-b486c218b0bb/inland-marine-claims-manager-at-american-international-group) at [American International Group](https://career.thegoodapps.co/organizations/american-international-group) — Atlanta, GA
- [Zonal Claims Executive](https://career.thegoodapps.co/jobs/a8945514-41b0-4442-a685-6f73be2b93e3/zonal-claims-executive-at-american-international-group) at [American International Group](https://career.thegoodapps.co/organizations/american-international-group) — Chicago, IL, $125,000 – $166,000
- [Superviseur des sinistres - Accidents et Santé / Claims Supervisor, Accident & Health Claims](https://career.thegoodapps.co/jobs/f67e812f-84ad-4a6a-a306-25a2ede48d3e/superviseur-des-sinistres-accidents-et-sante-claims-supervisor-accident-health) at [American International Group](https://career.thegoodapps.co/organizations/american-international-group) — CA$80,000 – CA$100,000

## Roles similar to Claims Examiner (114)

From [Claims Adjuster](https://career.thegoodapps.co/occupations/claims-adjuster), [Claims Manager](https://career.thegoodapps.co/occupations/claims-manager), [Claims Specialist](https://career.thegoodapps.co/occupations/claims-specialist), [Compliance Analyst](https://career.thegoodapps.co/occupations/compliance-analyst), [Fraud Examiner](https://career.thegoodapps.co/occupations/fraud-examiner), [Insurance Underwriter](https://career.thegoodapps.co/occupations/insurance-underwriter), [Risk Analyst](https://career.thegoodapps.co/occupations/risk-analyst).

- [Claims Adjuster](https://aig.wd1.myworkdayjobs.com/en-US/aig/job/Croydon/Claims-Adjuster_JR2602572) at [American International Group](https://career.thegoodapps.co/organizations/american-international-group) (listed on American International Group's own careers site)
- [Compliance Analyst](https://oxy.wd5.myworkdayjobs.com/en-US/Corporate/job/The-Woodlands-Texas/Compliance-Analyst_JR108804-1) at [Occidental Petroleum](https://career.thegoodapps.co/organizations/occidental-petroleum) — The Woodlands, Texas (listed on Occidental Petroleum's own careers site)
- [Manager, Underwriting](https://career.thegoodapps.co/jobs/be9fb193-ef07-49e6-b936-25fccd098cee/manager-underwriting-at-cigna) at [Cigna](https://career.thegoodapps.co/organizations/cigna) — HKGN 348 Kwun Tong Road
- [Underwriting Specialist, National Accounts Casualty](https://career.thegoodapps.co/jobs/5cfa2aea-5241-44d8-92fb-52b0b7596110/underwriting-specialist-national-accounts-casualty-at-cna-financial) at [CNA Financial](https://career.thegoodapps.co/organizations/cna-financial) — Full-time, $115,000 – $140,000
- [Claims Representative - Crop - Field](https://career.thegoodapps.co/jobs/ce6e7381-7ad7-4205-bde2-51098187f78e/claims-representative-crop-field-at-country-financial) at [Country Financial](https://career.thegoodapps.co/organizations/country-financial) — Full-time, USA Remote, $55,200 – $75,900
- [General Compliance Analyst I, II or III](https://career.thegoodapps.co/jobs/62e51c5e-d3fe-4959-8473-e6c8481d5067/general-compliance-analyst-i-ii-or-iii-at-cambia-health-solutions) at [Cambia Health Solutions](https://career.thegoodapps.co/organizations/cambia-health-solutions) — Full-time, $65,000 – $155,000
- [Trade Compliance Engineer and Analyst](https://career.thegoodapps.co/jobs/62083cd6-c32c-435b-8a0a-7ecc13fba720/trade-compliance-engineer-and-analyst-at-arrow-electronics) at [Arrow Electronics](https://career.thegoodapps.co/organizations/arrow-electronics) — Full-time, Denver, CO, $69,600 – $88,000
- [Sr. Associate III, Compliance](https://career.thegoodapps.co/jobs/260b37d1-cdc3-4c41-bacd-b31e8b11327e/sr-associate-iii-compliance-at-biogen) at [Biogen](https://career.thegoodapps.co/organizations/biogen) — Research Triangle Park, NC, $111,000 – $149,000
- [Field Claims Representative - MO/KS](https://career.thegoodapps.co/jobs/d7d4d187-6816-450a-ae89-ffa5a2c4023e/field-claims-representative-mo-ks-at-auto-owners-insurance) at [Auto-Owners Insurance](https://career.thegoodapps.co/organizations/auto-owners-insurance)
- [GRC Analyst - Hybrid AZ](https://career.thegoodapps.co/jobs/a5fa427e-8322-4563-8c0d-51ef474a4401/grc-analyst-hybrid-az-at-best-western) at [Best Western](https://career.thegoodapps.co/organizations/best-western) — Full-time, Remote-AZ

## People with this title (0)

No one holds this exact title here yet.