Medical Claims Examiner Salary in the United States

How much does a Medical Claims Examiner make in the United States?

As of September 01, 2026, the average salary for a Medical Claims Examiner in the United States is $55,553 per year, which breaks down to an hourly rate of $27.

However, a Medical Claims Examiner's salary can vary significantly. Here’s a look at the typical salary range:

  • Top Earners (90th percentile): $63,107
  • Majority Range (25th-75th percentile): $48,141 to $59,507
  • Entry-Level (10th percentile): $41,392

Key Factors That Influence Medical Claims Examiner Salaries

A Medical Claims Examiner's salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location, education and company size can directly affect your earning potential.

How Experience Level Affects Medical Claims Examiner Salaries?

Experience is a primary driver of a Medical Claims Examiner's salary. As you build your skills and take on more complex tasks, your compensation generally increases. Here's how the average salary grows at different career stages:

  • Entry-Level (less than 1 year): $56,068
  • Early Career (1-2 years): $70,751
  • Mid-Level (2-4 years): $85,854
  • Senior-Level (5-8 years): $98,234
  • Expert (over 8 years): $123,124
Levels Salary
Medical C... Level Medical Claims Examiner$56,068
Claims Ex... Level Medical Claims Examiner$70,751
Claims Ex... Level Medical Claims Examiner$85,854
Claims Ex... Level Medical Claims Examiner$98,234
Claims Ex... Level Medical Claims Examiner$123,124

Top Paying Cities for Medical Claims Examiners

Salaries can also vary between different cities. Major metropolitan areas or cities with a high demand for technicians often offer more competitive pay. Here are a few examples of average annual salaries in different U.S. cities:

  • San Jose: $70,069
  • San Francisco: $69,302
  • Oakland: $67,841

What Skills Can Increase a Medical Claims Examiner's Salary?

Demanded Skills for the Role:

  • Customer Service (Mentioned in 9.47% Job Postings): Customer service is the provision of service to customers before, during and after a purchase. The perception of success of such interactions is dependent on employees "who can adjust themselves to the personality of the guest". Customer service concerns the priority an organization assigns to customer service relative to components such as product innovation and pricing. In this sense, an organization that values good customer service may spend more money in training employees than the average organization or may proactively interview customers for feedback. From the point of view of an overall sales process engineering effort, customer service plays an important role in an organization's ability to generate income and revenue. From that perspective, customer service should be included as part of an overall approach to systematic improvement. One good customer service experience can change the entire perception a customer holds towards the organization.
  • Claim Processing (Mentioned in 3.51% Job Postings): Claims processing refers to the insurance company's procedure to check the claim requests for adequate information, validation, justification and authenticity.
  • Technical Skills (Mentioned in 1.58% Job Postings): Technical skills are the specialized knowledge and expertise required to perform specific tasks and use specific tools and programs in real world situations.
Skills Demand Percentage
Customer Service 9.47%
Claim Processing 3.51%
Technical Skills 1.58%

What skills can make your compensation higher?

Mastering certain specialized skills can lead to a significant increase in pay. Here are examples of skills and the potential impact they can have on a Medical Claims Examiner's salary.

  • Coordination: Can increase your salary by up to 20%.
  • Leadership: Can increase your salary by up to 8%.
  • Agility: Can increase your salary by up to 8%.
Skill Salary Salary % Increase
Coordination $66,663
20%
Leadership $59,997
8%
Agility $59,997
8%

Medical Claims Examiner Salary by Industry: Top Paying Sectors

For Medical Claims Examiner roles, the industry you choose can affect earning potential by as much as 57% (the gap between the highest and lowest paying industries). Data shows that the Financial Services and Energy & Utilities sectors offer the strongest compensation, at 25% above the average. In contrast, Medical Claims Examiner positions in Retail & Wholesale or MFG Nondurable typically offer lower base pay, as these industries often view Medical Claims Examiner as a support function rather than a direct revenue driver.

The top paying industries for a Medical Claims Examiner

Industry Sector Average Annual Salary Average Hourly Rate Pay vs.Avg
Financial Services$69,441$33.025%
Energy & Utilities$63,886$31.015%
Business Services$62,219$30.012%
Transportation$62,219$30.012%
Insurance$58,330$28.05%

How Education impacts a Medical Claims Examiner's Salary?

Your level of education can impact your salary potential. While many Medical Claims Examiners enter the field with a Associate's Degree degree, higher education can lead to more specialized and higher-paying roles.

According to our 100% employer-reported salary data, the median salary for a Medical Claims Examiner with a Associate's Degree is between $51,203 and $55,001).

Medical Claims Examiner Salaries by Degree Level

Typical Education for Medical Claims Examiner
Degree Level % of user with this level of education
No Diploma 1.1%
High School 18.6%
Associates 14.1%
Bachelors 55.0%
Masters 8.9%
Doctorate 2.2%

Medical Claims Examiner Salary: Hourly Rate, Weekly Pay, and Monthly Pay

Understanding how a Medical Claims Examiner's annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.

Last Updated on September 01, 2026
$48,141
Average $55,553/year
$59,507
$4,012
Average $4,629/month
$4,959
$926
Average $1,068/week
$1,144
$23
Average $27/hour
$29
Annual Salary Monthly Pay Weekly Pay Hourly Wage
75th Percentile $59,507 $4,959 $1,144 $29
Average $55,553 $4,629 $1,068 $27
25th Percentile $48,141 $4,012 $926 $23

Most common benefits for Medical Claims Examiner

  • Social Security
  • 401 (k)
  • Disability
  • Healthcare
  • Pension
  • Time Off (days)

Common company salaries for Medical Claims Examiner

Here are companies hiring for Medical Claims Examiner and their salaries, click below for more details.

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FAQ about Medical Claims Examiner

1. What industry pays the highest salary for Medical Claims Examiner?

The Financial Services industry offers the highest average compensation for Medical Claims Examiner roles, with salaries approximately 25% above the market median.

Where Does Our Salary Data Come From?

Salary.com provides salary estimates, histograms, trends, and comparisons using data from employer job postings and third-party sources.

We offer detailed salary information across multiple percentiles for your reference. (Click here to learn Why the Salary Midpoint Formula Is Crucial for Achieving Pay Equity.)

With the most extensive online, real-time compensation data available, Salary.com helps you pinpoint your exact pay target.

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