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Insurance Claims Examiners

Insurance claims examiners review insurance claims to make sure they are valid, accurate, and handled according to company rules. They look at reports from adjusters, check coverage details, calculate settlements, and may talk with lawyers, doctors, or other professionals when needed. If you enjoy careful reading, working with numbers, and keeping organized records, this career can be a good fit. Subjects like Math, English, Business, and a second language can all help prepare you.

EDUCATION ROUTEMultiple pathways
WORK STYLEVaries by role
CAREER FIELDFinance

HOW TO GET THERE

Typical pathway

A typical path is to finish secondary school with courses like Math, English, Business, and sometimes a second language. Many employers prefer some post-secondary study in business, finance, insurance, or a related field, but requirements can vary by employer and province. Students may also start in entry-level office or insurance roles to build experience with records, claims files, customer service, and basic claims procedures. Strong reading, attention to detail, and comfortable communication with adjusters, clients, and other professionals are useful.

THE WORK

What you may do

Legacy duties

  • Review, examine, calculate and authorize insurance claims investigated by insurance adjusters
  • Examine adjusters' reports and similar insurance claims or precedents to determine extent of insurance coverage
  • Ensure claims are valid and settlements are made according to company practices and procedures
  • Consult lawyers, doctors or other relevant individuals to discuss insurance claims
  • Approve automobile, fire, life, disability, dental or other insurance claims.

SKILLS TO BUILD

Skills used in this Career

Computer LiteracyData AnalysisRecord Keeping

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