Green Card Medical Claims Examiner Jobs
Medical Claims Examiner roles qualify for EB-2 and EB-3 green card sponsorship through the PERM labor certification process, where employers document that no qualified U.S. worker is available before filing an I-140 petition. Health insurers, third-party administrators, and managed care organizations regularly sponsor foreign professionals in this role.
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OVERVIEW: POSITION SUMMARY:
If you’re passionate about helping people restore their lives when the unexpected happens, and providing the best customer experience, then our Mercury Insurance Claims team could be the place for you! We offer dynamic and challenging opportunities to those who want to make a meaningful impact.
Under limited supervision, the Claims Examiner (Non-CA) utilizes a strong organizational and analytical skillset to evaluate, negotiate, and settle low to high complexity bodily injury claims expediently, to prevent unnecessary exposure to the Company and Policyholders. You will be responsible for ensuring a complete and thorough investigation to determine liability, damages, and injuries, as well as determining applicability of state laws and regulations along with other factors related to a claim. You may also coordinate settlement, mediation, and/or arbitration with attorneys for cases pre-litigation and may handle litigated cases. The Claims Examiner (Non-CA) will leverage knowledge and experience to assure regulatory compliance across multiple states.
At Mercury, we believe in nurturing growth, making time to have fun, and working together to make great things happen.
Geo-Salary Information:
An in-person interview may be required during the hiring process
State specific pay scales for this role are as follows:
- $56,701 to $102,219 (NJ, NY, WA, HI, AK, MD, CT, RI, MA)
- $51,546 to $92,927 (NV, OR, AZ, CO, WY, TX, ND, MN, MO, IL, WI, FL, GA, MI, OH, VA, PA, DE, VT, NH, ME)
- $46,392 to $83,634 (UT, ID, MT, NM, SD, NE, KS, OK, IA, AR, LA, MS, AL, TN, KY, IN, SC, NC, WV)
In CA: Typical hiring range is $71,514.00 to $87,406.00.
The expected base salary for this position will vary depending on a number of factors, including relevant experience, skills and location.
RESPONSIBILITIES: ESSENTIAL JOB FUNCTIONS:
- Proactively negotiates, settles, and authorizes payment for complex injury claims with both legal counsel for represented claimants and unrepresented parties.
- Investigates and analyzes extensive records, including medical records and law enforcement reports.
- Conducts witness interviews to determine claim value and set/maintain reserves, which includes evaluating liability, venue, quality of opposing counsel, legal risk, anticipated expenses, and other factors which impact claim value.
- Researches and timely responds to customer inquiries and/or concerns throughout the life of a claim to ensure customer satisfaction and retention.
- Works with medical and technical experts and at times with outside counsel, to obtain necessary reports and opinions to determine the best course of action to bring a claim towards resolution.
QUALIFICATIONS: EDUCATION:
Minimum:
- High School Diploma or GED.
- You may be required to obtain a Company sponsored Adjuster’s license to handle claims, to be secured upon hire.
Preferred:
- Bachelor’s Degree.
Experience:
Minimum:
- Prior experience investigating, evaluating, negotiating, and settling moderately to highly complex claims.
- Or equivalent combination of education and/or experience.
Preferred:
- 3+ years related experience.
SKILLS & ABILITIES:
Minimum:
- Thorough knowledge and comprehension of Mercury claims handling policies and procedures.
- An analytical mindset allowing the effective assessment of causation and exposure based on complex fact patterns and extensive bodily injuries and property damage.
- An effective communicator who possesses excellent written and verbal communication skills to professionally represent the Company in multi-channel correspondence with customers, claimants, law offices, and other insurance carriers.
- Critical attention to detail and strong organizational skills.
- Ability to plan and exercise conscious control of workload time spent to be effective, efficient, and productive.
- Ability to switch focus at a moment’s notice and prioritize tasks as they are received.
- Ability to exercise sound judgment in dealing with customers, claimants, and legal counsel.
- Ability to assess risk while making qualified decisions to protect the company and our insureds.
- Views conflict resolution as an opportunity; enjoys negotiating and finding common ground to come to an agreement.
- Possesses a passion for completing detailed and often complicated investigations.
- Collaborates well with others. We are one team with a common goal.
- Ability to build rapport with both the policyholders and claimant attorneys, has emotional intelligence.
- Has self-motivation and accountability while working remotely.
- Demonstrated proficiency with MS Office products (Outlook, Word) and claims related software.
- Must have dedicated workspace that is free from distractions.
Preferred:
- Knowledge of medical and legal terminology, and applicable laws.
- Demonstrates intellectual curiosity by seeking out efficiencies through process improvement or technology.
- Takes ownership of any process they can improve.
- Assumes positive intent in all interactions.
- Seeks growth within and beyond this role.
May also participate in the development of the legal defense strategy by partnering and coordinating with Mercury’s legal counsel. Supports and assists legal counsel by attending depositions, mediations, arbitrations, and trials as the Company Representative. Is well versed in and adapts claims handling procedures to ensure compliance with state laws, regulations, and policies across multiple states.
ABOUT THE COMPANY:
Why choose a career at Mercury?
At Mercury, we have been guided by our purpose to help people reduce risk and overcome unexpected events for more than 60 years. We are one team with a common goal to help others. Everyone needs insurance and we can’t imagine a world without it.
Our team will encourage you to grow, make time to have fun, and work together to make great things happen. We embrace the strengths and values of each team member. We believe in having diverse perspectives where everyone is included, to serve customers from all walks of life.
We care about our people, and we mean it. We reward our talented professionals with a competitive salary, bonus potential, and a variety of benefits to help our team members reach their health, retirement, and professional goals.
PERKS AND BENEFITS:
We offer many great benefits, including:
- Competitive compensation
- Flexibility to work from anywhere in the United States for most positions
- Paid time off (vacation time, sick time, 9 paid Company holidays, volunteer hours)
- Incentive bonus programs (potential for holiday bonus, referral bonus, and performance-based bonus)
- Medical, dental, vision, life, and pet insurance
- 401 (k) retirement savings plan with company match
- Engaging work environment
- Promotional opportunities
- Education assistance
- Professional and personal development opportunities
- Company recognition program
- Health and wellbeing resources, including free mental wellbeing therapy/coaching sessions, child and eldercare resources, and more
Mercury Insurance is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by federal, state, or local law.
Mercury is committed to working with and providing reasonable accommodations for qualified individuals with disabilities who need assistance with the application and/or employment consideration process. If you require an accommodation, you may contact us by sending an e-mail to recruiting@mercuryinsurance.com. Please include your name, contact information, and a description of your requested accommodation in your message.
PAY RANGE: USD $56,701.00 - USD $102,219.00 /Yr.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Medical Claims Examiner
Credential your healthcare billing certifications first
PERM requires your employer to prove your qualifications meet the posted job requirements. A Certified Professional Coder or Certified Claims Examiner credential on your resume strengthens the employer's case and reduces RFE risk on the I-140.
Target TPAs and self-insured employer plans
Third-party administrators and large self-insured plan sponsors process high claims volumes and maintain dedicated HR infrastructure for employment-based sponsorship. They're more likely to have established PERM workflows than smaller regional carriers.
Check the OFLC Wage Search before salary discussions
PERM filings must meet the DOL prevailing wage for your specific SOC code and geographic area. Reviewing the OFLC Wage Search before negotiating your offer ensures the employer's proposed salary is certifiable and avoids delays at the labor certification stage.
Use Migrate Mate to find verified green card sponsors
Search for Medical Claims Examiner roles with documented EB-2 and EB-3 filing history using Migrate Mate. The platform surfaces employers who have previously completed PERM certifications for this role, so you're not guessing at sponsorship willingness.
Clarify sponsorship timing before accepting any offer
Ask your prospective employer whether they initiate PERM during your first year or only after a probationary period. Delays past the second year can affect your priority date and complicate your timeline if you're currently on a temporary work status.
Request EB-3 filing if your degree is a bachelor's
Medical Claims Examiner roles typically qualify under EB-3 as a skilled worker or professional. If your employer's immigration counsel initially proposes EB-2, confirm that your degree and experience actually satisfy the advanced-degree standard to avoid a USCIS denial on classification grounds.
Green Card Medical Claims Examiner: Frequently Asked Questions
Do Medical Claims Examiner roles typically qualify for EB-2 or EB-3 green card sponsorship?
Most Medical Claims Examiner positions qualify under EB-3 as skilled workers or professionals, requiring at least a bachelor's degree or two years of specialized training. EB-2 sponsorship is available if the employer genuinely requires an advanced degree for the role and can document that requirement. Your employer's immigration counsel will determine the correct classification based on the actual job duties and minimum requirements posted during the PERM recruitment process.
How does green card sponsorship differ from H-1B sponsorship for this role?
Unlike H-1B visa, employment-based green card sponsorship through PERM leads to permanent residency rather than a temporary status with renewal requirements. There is no annual lottery for EB-3 green cards, and most countries outside India and China face no significant backlog at that preference level. The process takes longer overall, typically two to four years from PERM filing to an approved I-485 for most nationalities, but the outcome is lawful permanent residency rather than a capped, renewable work authorization period.
What does the PERM labor certification process require from a Medical Claims Examiner applicant?
Your employer conducts the PERM process, not you, but your qualifications directly affect it. DOL requires the employer to advertise the role and demonstrate no qualified U.S. worker was available. Your credentials, including claims processing experience and any healthcare billing certifications, must match the minimum requirements posted in those recruitment steps. Any discrepancy between your actual credentials and the posted requirements can cause a denial or audit at the PERM stage.
How do I find Medical Claims Examiner employers who actively sponsor green cards?
Start with Migrate Mate, which aggregates employer green card filing history so you can identify health insurers, third-party administrators, and managed care organizations that have completed PERM certifications for this specific role. Targeting employers with a documented sponsorship record is significantly more efficient than applying broadly and asking during interviews, where sponsorship questions can be interpreted as premature.
Can I switch jobs after my I-140 is approved but before my green card is issued?
Yes, under AC21 portability provisions, you can change employers after your I-140 has been approved and your I-485 has been pending for at least 180 days, provided the new role is in the same or a similar occupational classification. For Medical Claims Examiner positions, a move to a comparable claims review or healthcare administration role at a different insurer or TPA generally satisfies the portability standard. You should consult an immigration attorney before changing employers to confirm the new role qualifies.