What does a Senior Claims Examiner do?
Claims examiners review insurance claims to verify both the claimant and claim adjuster followed due process during the investigation and reporting phase of a case. Claims examiners ensure legal compliance and approve or deny insurance claims while assisting adjusters when needed. They diligently review reports to ensure that no errors have been made in the appraisal process and determine whether payout amounts are reasonable. They approve, reject, or refer a claim to a specialist and meet with claimants with dispute settlements.
Claims examiners ensure cases comply with regulatory standards, company policy, and guidelines and provide assistance to claim adjusters to manage caseloads. Claims examiners consult with specialists including lawyers or engineers and assist attorneys and other specialists when defending the company against contested claims. They contribute to the final decision coverage of losses due to an accident or illness. Claims examiners need a high school diploma for an entry-level position, and a bachelor's degree in finance or related fields is preferred.
Senior Claims Examiner Salaries
Average Base Pay
Senior Claims Examiner Career Path
Learn how to become a Senior Claims Examiner, what skills and education you need to succeed, and what level of pay to expect at each step on your career path.
Senior Claims Examiner Insights
“Amazing group of dedicated people who really try to figure ways to get things done.”
“Working from home is great and gives me the flexibilty to have a much better work life balance than my peers in the industry.”
“The more you try to better yourself and further your career you will be knocked down.”
“Good work and life balance”
“Amazing work and life balance”
“You get to work from home and flexible schedule”
“You make your own schedule and it pays good.”
“AJ and Max are great to work with.”
Senior Claims Examiner Interviews
Senior Claims Examiner Jobs
Frequently asked questions about the roles and responsibilities of a senior claims examiner
When working as a senior claims examiner, the most common skills you will need to perform your job and for career success are Negotiation, Problem Solving, Reviews, Critical Thinking, and Database Programming.
- Claims Analyst
- Claims Adjuster
- Claims Representative
- Claims Manager
The most common qualifications to become a senior claims examiner include a minimum of a Associate's Degree and an average of 0 - 1 years of experience not including years spent in education and/or training.