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.

EducationGED / High School Degree
Work/Life Balance
3.2 ★
Salary Range--
Career Opportunity
3.1 ★
Avg. Experience0-1 year

Senior Claims Examiner Salaries

Average Base Pay

$66,844 /yr
Same as national average
Not including cash compensation
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$45K
Median: $67K
$98K
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Glassdoor Estimated Salary

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.

L5
Claims Examiner Senior
$66,844/yr
L6
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Senior Claims Examiner Insights

Read what Senior Claims Examiner professionals have to say about their job experiences and view top companies for this career.
Provencher & CompanyProvencher & Company
Claims Examiner
Aug 20, 2021

“Amazing group of dedicated people who really try to figure ways to get things done.”

James River Group
Senior Claims Examiner
Apr 22, 2021

“Working from home is great and gives me the flexibilty to have a much better work life balance than my peers in the industry.”

Lincoln Financial GroupLincoln Financial Group
Integrated Claims Examiner
Sep 16, 2019

“The more you try to better yourself and further your career you will be knocked down.”

Future GeneraliFuture Generali
Claims Examiner
Feb 4, 2021

“Good work and life balance”

The StandardThe Standard
Leave and Disability Claims Examiner
Jan 16, 2022

“Amazing work and life balance”

Crum & ForsterCrum & Forster
Claims Examiner
Feb 21, 2021

“You get to work from home and flexible schedule”

ExamOneExamOne
Insurance Examiner
Jun 8, 2020

“You make your own schedule and it pays good.”

Insight GlobalInsight Global
Contract Reviewer
Nov 16, 2020

“AJ and Max are great to work with.”

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Senior Claims Examiner Interviews

Related Careers

Claims Analyst
$43,856
13% skills overlap
Claims Adjuster
$53,447
13% skills overlap
Claims Representative
$48,488
No skills overlap
Claims Manager
$85,152

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.

The most similar professions to senior claims examiner are:
  • 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.