Insurance Claims Examiner Salary
Insurance Claims Examiners in the United States take home approximately $51K annually on average. Experience level is the biggest factor affecting pay for this group, followed by geography. For the most part, Insurance Claims Examiners enjoy their work and report high levels of job satisfaction. Female Insurance Claims Examiners make up most of the survey respondents at 72 percent. Most receive medical and dental insurance and a strong majority get vision plans. The numbers in this rundown were provided by PayScale's salary survey participants.
Job Description for Insurance Claims Examiner
Insurance claims examiners are responsible for reviewing insurance claims which have been submitted to their company. These examiners generally work in office settings during traditional business hours, and little to no travel is required for the position. A high school diploma is generally required, as well as additional courses and training regarding insurance claims and policies. Those in this position are employed in all types of insurance fields, and their responsibilities vary depending on the company.Read More...
Insurance claims examiners have a variety of responsibilities and duties, including: evaluating insurance claims; following up with insurance adjusters; protecting customers and clients regarding unnecessary financial losses; reviewing filings and findings of insurance claims professionals; overseeing all documentation regarding insurance claims; reviewing large and complex cases which involve large financial payouts; reviewing questionable claims; settling cases or referring them for further investigation; making recommendations regarding claims; reviewing coverage applications; analyzing and verifying all data used to settle claims; obtaining various relevant records; and various administrative duties.
This position requires a person who is technologically adept and highly proficient with all forms of communication. Applicants should also have expert critical thinking, decision-making, negotiating, and technical writing skills.
Insurance Claims Examiner Tasks
- Examine and verify accuracy and completeness of insurance claims.
- Make claim settlement determinations to authorize or deny payment based on policy and practices.
- Update database and process necessary paperwork.
Insurance Claims Examiner Job Listings
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Pay by Experience Level for Insurance Claims Examiner
Median of all compensation (including tips, bonus, and overtime) by years of experience.
For many Insurance Claims Examiners, more experience generally translates to higher pay. Relatively untried employees who have less than five years' experience have a median salary of $40K. Those who have been around for five to 10 years can expect to take home more — $49K on average. Insurance Claims Examiners who work for 10 to 20 years in their occupation tend to earn about $49K. Old hands who claim more than two decades on the job enjoy average earnings of $61K.