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What is a senior claims examiner and how to become one
A mix of claims examination with customer support is what you get when you start working as a senior claims examiner. The responsibility of a senior claims examiner is to check, evaluate, and process insurance claims. Making recommendations for resolving claim-related issues is also a part of their job role. Insurance adjusters investigate insurance claims. Senior claims examiners examine and authorize these insurance claims. Normally a bachelor's degree with two to four years of relevant work experience is required for this role.
Employers are looking for candidates with knowledge of insurance companies, medical records, complex claims, property damage, and customer service. Working as a senior claims examiner, you can expect your hourly earnings to be $26 and make more than $50,000 per annum. Unfortunately, the job opportunities for the role of senior claims examiner are declining in the US, and you will have to work hard in order to compete with other candidates for a suitable position.
Avg. Salary $50,962
Avg. Salary $59,228
Growth rate -6%
Growth rate 0.3%
American Indian and Alaska Native 0.50%
Asian 5.21%
Black or African American 10.81%
Hispanic or Latino 16.81%
Unknown 4.40%
White 62.26%
Genderfemale 70.43%
male 29.57%
Age - 43American Indian and Alaska Native 3.00%
Asian 7.00%
Black or African American 14.00%
Hispanic or Latino 19.00%
White 57.00%
Genderfemale 47.00%
male 53.00%
Age - 43Stress level is very high
7.1 - high
Complexity level is advanced
7 - challenging
Work life balance is poor
6.4 - fair
Senior claims examiner career paths
Key steps to become a senior claims examiner
Explore senior claims examiner education requirements
Start to develop specific senior claims examiner skills
Skills Percentages Customer Service 20.69% Litigation 10.65% Property Damage 9.23% Claims Handling 6.06% TPA 4.27% Complete relevant senior claims examiner training and internships
Accountants spend an average of 1-2 years on post-employment, on-the-job training. New senior 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 senior claims examiner based on U.S. Bureau of Labor Statistics data and data from real senior claims examiner resumes.Gain additional senior claims examiner certifications
More About CertificationsSenior claims examiner certifications can show employers you have a baseline of knowledge expected for the position. Certifications can also make you a more competitive candidate. Even if employers don't require a specific senior claims examiner certification, having one may help you stand out relative to other applicants.
The most common certifications for senior claims examiners include Associate in Claims (AIC) and Medical Assistant.
Research senior claims examiner duties and responsibilities
- Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
- Coordinate vendor referrals for additional investigation and/or litigation management
- Maintain office records of various types of complaints, conciliation, administrative decision, private litigation resolution, gather detailed information.
- Ensure all HIPPA regulations are followed in the creation and release of all confidential records.
Get senior claims examiner experience
Generally, it takes 4-6 years to become a senior claims examiner. The most common roles before becoming a senior claims examiner include claim processor, claims adjuster team lead and claims representative.Prepare your senior claims examiner resume
When your background is strong enough, you can start writing your senior 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 senior 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 senior claims examiner resume templates
Build a professional senior 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 senior claims examiner resume.
Apply for senior claims examiner jobs
Now it's time to start searching for a senior claims examiner job. Consider the tips below for a successful job search:
- Browse job boards for relevant postings
- Consult your professional network
- Reach out to companies you're interested in working for directly
- Watch out for job scams
How did you land your first senior claims examiner job
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Average senior claims examiner salary
The average senior claims examiner salary in the United States is $50,962 per year or $25 per hour. Senior claims examiner salaries range between $34,000 and $75,000 per year.
What am I worth?
How do senior claims examiners rate their job?
Senior claims examiner reviews
Can be long hours and stressful
Making sure that disbursement is done correctly and properly. I love account payable, monitoring invoice log date to avoid late payment fees.
when I cannot process a payment due to others delay. When I cannot satisfy my customers as expected due to system issues
Being able to control the decision making and managing the delivery of service so I can enhance the customer experience which is very important to ensure the Company remains successful. Also being able to liaise on injury claims and read case law to determine the applicable one
When customers are not satisfied even when you know you have delivered the best service you could have and have gone beyond the call of duty in delivering same. They appear to not understand the dynamics of the process even if explained to them
Updated January 8, 2025
