H-1B Visa Claims Examiner Jobs
H-1B visa jobs for Claims Examiners are sponsored by insurance carriers, third-party administrators, and managed care organizations that require degree-level analytical work. Your employer files an LCA certifying prevailing wage before submitting the I-129 petition, giving you up to three years of initial status.
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Get Access To All JobsINTRODUCTION
We’re a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers.
Responsibilities
- Responsible for managing a caseload consisting of incoming and more complex workers’ compensation cases including extended disability cases, litigation, employer’s liability claims, and assigned claims.
- Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines.
- Investigate claims and make appropriate decisions regarding claim compensability and general claims management for assigned files.
- Document claim handling activities; create and document action plans.
- Establish appropriate case reserves.
- Actively manage medical treatment and disability while assisting the injured worker to return to work.
- Comply with all performance guidelines.
- Identify loss trends and communicate to supervisor and/or clients.
- Use automated diary system to issue indemnity payments and for claims management.
- Investigate and manage claim subrogation and negotiate settlements.
- Manage coverage B or conflict of interest cases as assigned.
- Address customer complaints and inquiries in an exemplary and professional manner.
- Participate in client claim reviews when scheduled or requested.
- May perform other functions as assigned.
BASIC QUALIFICATIONS
- Demonstrated working knowledge of workers’ compensation administration rules/laws.
- Excellent communication and presentation skills.
- Must be able to interface with clients, legal counsel, health care professionals, etc.
- Good math and analytical ability.
- Excellent customer service skills.
- Basic PC skills and a working knowledge of Windows environment.
- Experience with a client/server based claims processing system.
Education
BA/BS degree with three years’ experience. Experience must include litigation, subrogation and complex medical/legal issues; or two years post-high school education and five years’ experience in workers compensation claims management.
COMPENSATION
- Pay Range: $60/hr
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Important Outside Agency Notice: Only solicited resumes/candidate profiles that are submitted by a Berkley Preferred Agency Partner that have been requested by Berkley Internal Recruiting to engage in a particular search will be subject to the payment of Agency fees as defined in the formal agency agreement. Any unsolicited resumes/candidate profiles are not subject to payment of the agency fees.
INTRODUCTION
We’re a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers.
Responsibilities
- Responsible for managing a caseload consisting of incoming and more complex workers’ compensation cases including extended disability cases, litigation, employer’s liability claims, and assigned claims.
- Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines.
- Investigate claims and make appropriate decisions regarding claim compensability and general claims management for assigned files.
- Document claim handling activities; create and document action plans.
- Establish appropriate case reserves.
- Actively manage medical treatment and disability while assisting the injured worker to return to work.
- Comply with all performance guidelines.
- Identify loss trends and communicate to supervisor and/or clients.
- Use automated diary system to issue indemnity payments and for claims management.
- Investigate and manage claim subrogation and negotiate settlements.
- Manage coverage B or conflict of interest cases as assigned.
- Address customer complaints and inquiries in an exemplary and professional manner.
- Participate in client claim reviews when scheduled or requested.
- May perform other functions as assigned.
BASIC QUALIFICATIONS
- Demonstrated working knowledge of workers’ compensation administration rules/laws.
- Excellent communication and presentation skills.
- Must be able to interface with clients, legal counsel, health care professionals, etc.
- Good math and analytical ability.
- Excellent customer service skills.
- Basic PC skills and a working knowledge of Windows environment.
- Experience with a client/server based claims processing system.
Education
BA/BS degree with three years’ experience. Experience must include litigation, subrogation and complex medical/legal issues; or two years post-high school education and five years’ experience in workers compensation claims management.
COMPENSATION
- Pay Range: $60/hr
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Important Outside Agency Notice: Only solicited resumes/candidate profiles that are submitted by a Berkley Preferred Agency Partner that have been requested by Berkley Internal Recruiting to engage in a particular search will be subject to the payment of Agency fees as defined in the formal agency agreement. Any unsolicited resumes/candidate profiles are not subject to payment of the agency fees.
See all 43+ H-1B Visa Claims Examiner Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Claims Examiner
Verify your degree aligns with claims duties
H-1B visa sponsorship for Claims Examiners hinges on a direct connection between your degree field and the role's analytical duties. A degree in business, finance, healthcare administration, or a related field strengthens the specialty occupation argument your employer must make to USCIS.
Pull your O*NET occupation profile early
O*NET classifies Claims Examiners under a job zone that maps to degree-level work. Download the task and knowledge sections before interviews so you can articulate how your credentials align with the specific duties listed, which directly supports the specialty occupation case.
Target employers with multi-state claims operations
Large carriers and third-party administrators that adjudicate claims across multiple states sponsor H-1B more consistently because they have established HR and legal infrastructure. Each worksite needs its own certified LCA, so employers already familiar with that process move faster through filing.
Search Migrate Mate for verified sponsoring employers
Identifying which claims organizations have active H-1B LCA filings saves you from applying to employers who've never navigated the process. Migrate Mate surfaces employers with verified LCA sponsorship history for Claims Examiner roles, searchable by location and role type.
Confirm prevailing wage tier before accepting an offer
Your employer must certify wages at the prevailing level for your worksite's geographic area using the OFLC Wage Search. Ask HR which wage level they're filing at before you sign. Level I filings for experienced examiners can create problems if USCIS views the role as requiring more specialized judgment.
Request premium processing if your start date is firm
If your offer has a defined start date, ask your employer to file with premium processing through USCIS, which guarantees a 15-business-day adjudication decision. Claims teams with open caseloads often can't hold a role open during standard processing, so this protects both sides.
H-1B Visa Claims Examiner: Frequently Asked Questions
Does a Claims Examiner role qualify as a specialty occupation for H-1B purposes?
It depends on how the position is structured. When a Claims Examiner role requires a bachelor's degree in a specific field such as business, finance, nursing, or healthcare administration to perform its core duties, it can qualify as a specialty occupation. Employers at insurance carriers and managed care organizations typically build the job description around degree-level analytical and regulatory work to meet USCIS standards. Roles framed around clerical processing without degree requirements do not qualify.
Which employers sponsor H-1B visas for Claims Examiners?
Insurance carriers, third-party administrators, managed care organizations, and self-insured employer benefit departments are the most active sponsors for Claims Examiner roles. These organizations handle complex claims requiring regulatory knowledge, medical coding interpretation, or financial analysis, which supports the specialty occupation argument. Migrate Mate lists employers with verified H-1B LCA filing history for this role type, so you can focus your applications on proven sponsors.
How long does H-1B status last for a Claims Examiner position?
USCIS grants initial H-1B status for up to three years. Your employer can extend it for an additional three years, reaching a six-year maximum under standard rules. Extensions beyond six years are possible if you have an approved I-140 immigrant petition or a pending PERM labor certification that meets certain age thresholds, but those require separate filings and employer commitment.
What happens if I move to a different claims office after my H-1B is approved?
Each worksite requires its own certified Labor Condition Application. If you transfer to a branch office or remote location not covered by your original LCA, your employer must file a new LCA with DOL and may need to amend your I-129 petition with USCIS before you begin working at the new site. Moving without an updated LCA puts both you and your employer out of compliance.
Can I switch employers while on H-1B as a Claims Examiner?
Yes. H-1B portability allows you to start working for a new sponsoring employer once they file an I-129 petition on your behalf, without waiting for approval, as long as your previous status was valid and the new role also qualifies as a specialty occupation. Your new employer must file a fresh LCA and I-129, and both parties should confirm the Claims Examiner duties at the new organization meet the degree-requirement standard.