How To Become A Health Claims Examiner: What It Is and Career Path

What is a health claims examiner and how to become one

Updated January 8, 2025

3 min read

There is more than meets the eye when it comes to being a health claims examiner. For example, did you know that they make an average of $21.74 an hour? That's $45,220 a year! Between 2018 and 2028, the career is expected to grow -6% and produce -19,000 job opportunities across the U.S.

ScoreHealth Claims ExaminerUS Average

Salary

3.5

Avg. Salary $45,220

Avg. Salary $59,228

Stability level

9.3

Growth rate -6%

Growth rate 0.3%

Diversity

4.6

Race

American Indian and Alaska Native 0.50%

Asian 5.18%

Black or African American 10.47%

Hispanic or Latino 16.67%

Unknown 4.40%

White 62.78%

Gender

female 82.91%

male 17.09%

Age - 43

Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 43

Stress level

9.3

Stress level is very high

7.1 - high

Complexity level

9.6

Complexity level is advanced

7 - challenging

Work life balance

3.7

Work life balance is poor

6.4 - fair

Key steps to become a health claims examiner

Explore health claims examiner education requirements

Most common health claims examiner degrees

Bachelor's

42.9 %

Associate

23.2 %

Certificate

9.4 %

Start to develop specific health claims examiner skills

Skills	Percentages
Medical Terminology	12.81%
Medicaid	10.67%
HMO	9.63%
Data Entry	8.58%
Blood Pressure	5.85%

Complete relevant health claims examiner training and internships

Accountants spend an average of 1-2 years on post-employment, on-the-job training. New health claims examiners learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a health claims examiner based on U.S. Bureau of Labor Statistics data and data from real health claims examiner resumes.

Research health claims examiner duties and responsibilities

Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
Review and analyze medical claims to finalize payments according to Medicaid benefits.
Analyze and process Medicare and Medicaid claims (Primary/Secondary).
Blood collection by venipuncture and capillary technique ensure all specimens are collect accurately, on time and according to establish procedures.

Prepare your health claims examiner resume

When your background is strong enough, you can start writing your health claims examiner resume.

You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a health claims examiner resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

Choose from 10+ customizable health claims examiner resume templates

Build a professional health claims examiner resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your health claims examiner resume.