Claim Examiner Job Description Template

The Claim Examiner Job Description Template is a document that outlines the roles, responsibilities and requirements for individuals interested in the position of Claim Examiner. This template covers the key duties of the role, including investigating and evaluating insurance claims, communicating with policyholders and other stakeholders, and ensuring compliance with legal and regulatory requirements. It also includes a set of qualifications and skills preferred for the role, such as strong analytical and decision-making abilities, attention to detail, and excellent communication skills. This template serves as a useful guide for organizations looking to hire a competent and proficient Claim Examiner for their team.

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Job Overview

A Claim Examiner is responsible for reviewing insurance claims and determining their validity. They ensure that the claim has been filed correctly and that the policy covers the type of loss. They may work for an insurance company, healthcare organization, or government agency.


  • Review insurance claims to determine their validity.
  • Ensure that the claim has been filed correctly.
  • Determine if the policy covers the type of loss.
  • Investigate and gather information to support claim decisions.
  • Communicate with policyholders, agents, and healthcare providers to gather additional information.
  • Approve or deny claims based on policy guidelines and procedures.
  • Document claim decisions and communicate them to policyholders.
  • Work with other claims professionals to resolve complex claims.


Education and Experience

  • Bachelor's degree in business or a related field.
  • 5+ years of experience in insurance claims.


  • Strong analytical and problem-solving skills.
  • Excellent written and verbal communication skills.
  • Ability to work independently and as part of a team.
  • Proficient in Microsoft Office.
  • Knowledge of insurance policies and procedures.
  • Ability to adapt to change and handle stressful situations.

If you meet the above requirements and are interested in pursuing a career as a Claim Examiner, please submit your resume and cover letter.

The Basics of Creating a Claim Examiner Job Posting

As an employer looking to fill a claim examiner role, your job posting is your first chance to make a good impression. A well-crafted job posting will generate interest from qualified candidates and help ensure that you find the right person for the job. Here are some tips for creating an effective claim examiner job posting:

1. Start With the Job Title and Overview

The job title and overview should be clear and concise, allowing candidates to quickly understand what the position entails. It's important to clearly outline key responsibilities, duties, and qualifications needed for the position.

  • Job Title: Claim Examiner
  • We are seeking an experienced and detail-oriented Claim Examiner to join our team. The successful candidate will be responsible for reviewing and analyzing insurance claims to determine their validity, ensuring that our clients receive the coverage they deserve.

    2. Highlight Required Skills and Qualifications

    Once you have outlined the position and its responsibilities, list the required skills and qualifications for the role, along with any other relevant information about the company, culture, or industry. This will help candidates determine if they are a good fit for the position, making it more likely that you'll receive applications from qualified candidates.

  • Key Skills and Qualifications:
  • Minimum of 2 years of experience working as a claim examiner in the insurance industry.
  • Excellent analytical and critical thinking skills.
  • Strong communication and interpersonal skills.
  • Ability to work in a fast-paced and deadline-driven environment.
  • Bachelor's degree in business, finance, or a related field preferred.
  • 3. Detail the Benefits and Why Your Company is a Great Place to Work

    Finally, make sure to include information about the benefits offered in the position and why your company is a great place to work. This could include things like health insurance, retirement benefits, flexible work schedules, or opportunities for career advancement.

  • Benefits:
  • Health, dental, and vision insurance coverage.
  • 401(k) plan with employer match.
  • Paid time off and holidays.
  • At XYZ Insurance, we pride ourselves on our supportive and collaborative work environment. We offer opportunities for professional development and career growth, and we believe in promoting from within whenever possible.


    Overall, creating an effective job posting for a claim examiner position is all about highlighting the key responsibilities, qualifications, and benefits of the role, while also sharing information about the company culture and why it's a great place to work. By following these tips, you'll be well on your way to finding the ideal candidate for your organization.

    FAQs on creating a Claim Examiner job posting

    Whether you are writing a job posting for a Claim Examiner role for the first time or have done this before, you may have some questions. To help you, we have collected some frequently asked questions and their answers below.

    What is a Claim Examiner?

  • A Claim Examiner is responsible for reviewing and evaluating insurance claims to determine whether the losses that an insured party has suffered are covered by an insurance policy.
  • What should I include in a job posting for a Claim Examiner role?

  • A job title and summary of the role, a list of expected duties and responsibilities, required qualifications, compensation and benefits information, and instructions on how to apply.
  • What qualifications should a Claim Examiner possess?

  • A Claim Examiner should have a degree in Business Administration, Insurance, or a related field. They should also possess strong communication, analytical, and problem-solving skills. Relevant work experience in handling claims and working in the insurance industry is typically required as well.
  • What are some tips for writing a great job posting for a Claim Examiner role?

  • Be clear and concise about the duties and responsibilities of the role, and what qualifications and skills are required. Highlight any unique aspects of the position and what sets it apart from similar roles. Be sure to use keywords and phrases that will attract qualified candidates and make the job posting easy to find in search engines.
  • What should I avoid when writing a job posting for a Claim Examiner role?

  • Avoid using jargon or acronyms that potential candidates may not be familiar with. Be careful not to use language that may be considered discriminatory, such as requiring a certain age range, gender, or background. Additionally, avoid overselling the role or making promises that cannot be fulfilled.
  • How long should a job posting be?

  • A job posting should generally be between 500-800 words, and should include all relevant information about the role without being overly lengthy.
  • How do I promote my job posting to attract qualified candidates?

  • There are several ways to promote your job posting, including posting it on job boards and social media platforms such as LinkedIn and Twitter. You can also share it with industry groups and organizations, as well as with your own network. Consider offering an employee referral program to incentivize your current team to help identify qualified candidates.
  • How can I make my job posting stand out from others?

  • Use eye-catching language, highlight any unique aspects of the role, and be sure to use keywords that are likely to be used by potential candidates when conducting job searches. Consider offering a competitive salary and benefits package, as this can make your posting more attractive to potential candidates.
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