Claims Examiner Jobs in USA with Visa Sponsorship
Claims Examiner roles at U.S. insurers and third-party administrators regularly attract H-1B visa and TN visa sponsorship, particularly for candidates with degrees in business, finance, or a related specialty field. Employers filing a Labor Condition Application must meet DOL prevailing wage standards, so your negotiating position is stronger than in unsponsored markets.
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Get Access To All JobsINTRODUCTION
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
ROLE AND RESPONSIBILITIES
Claims Examiner, Auto | Commercial Bodily Injury
PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
ARE YOU AN IDEAL CANDIDATE?
To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements.
ESSENTIAL RESPONSIBILITIES MAY INCLUDE
- Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
- Responsible for litigation process on litigated claims.
- Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
- Reports large claims to excess carrier(s).
- Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
- Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.
- Communicates claim action/processing with insured, client, and agent or broker when appropriate.
- Performs other duties as assigned.
- Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws.
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment.
- Secure and maintain the State adjusting licenses as required for the position.
Work environment requirements include –
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $70,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
INTRODUCTION
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
ROLE AND RESPONSIBILITIES
Claims Examiner, Auto | Commercial Bodily Injury
PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
ARE YOU AN IDEAL CANDIDATE?
To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements.
ESSENTIAL RESPONSIBILITIES MAY INCLUDE
- Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
- Responsible for litigation process on litigated claims.
- Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
- Reports large claims to excess carrier(s).
- Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
- Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.
- Communicates claim action/processing with insured, client, and agent or broker when appropriate.
- Performs other duties as assigned.
- Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws.
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment.
- Secure and maintain the State adjusting licenses as required for the position.
Work environment requirements include –
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $70,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
See all Claims Examiner Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Claims Examiner roles.
Get Access To All JobsTips for Finding Claims Examiner Jobs
Frame your degree for specialty occupation
Claims Examiner positions qualify for H-1B sponsorship only when the role requires a specific bachelor's degree, not just any degree. Document how your coursework in risk management, finance, or actuarial science directly maps to the job duties listed in the posting.
Target self-insured employers and TPAs
Large self-insured corporations and third-party administrators process high claim volumes and sponsor more frequently than regional carriers. These employers already have dedicated HR and legal teams familiar with LCA filings and USCIS petition timelines.
Check prevailing wages before salary talks
Your employer must pay the higher of the actual or prevailing wage under the LCA. Run the OFLC Wage Search for your specific metro area and experience level before entering salary negotiations so you know the floor DOL will require.
Use Migrate Mate to find verified sponsors
Search Migrate Mate's job board, which lists employers with verified LCA filing history for claims and insurance roles. This saves you from applying to companies that have never sponsored, which is a common and costly time sink for visa-seeking candidates.
Align your license status with sponsorship timing
Many Claims Examiner roles require a state adjuster's license, and some employers won't file an LCA until licensing is confirmed. Research which states offer temporary or reciprocal licenses so you can demonstrate readiness before the employer commits to sponsorship paperwork.
Clarify the LCA scope during offer negotiations
An LCA is tied to a specific worksite location and job title. If the role involves remote work across multiple states or rotational assignments, ask the employer how they handle multi-location LCA filings before you accept the offer to avoid status complications later.
Frequently Asked Questions
Does a Claims Examiner role qualify as a specialty occupation for H-1B purposes?
It depends on how the employer defines the position. USCIS requires that the job normally require a bachelor's degree in a specific field, not just any degree. Claims Examiner roles tied to complex liability analysis, workers' compensation adjudication, or actuarial review are more defensible than general claims processing roles, where employers sometimes list a degree as preferred rather than required.
Which visa types are realistic for Claims Examiner candidates?
H-1B is the most common path for candidates from outside Canada and Mexico. Canadian and Mexican nationals should evaluate the TN visa under the USMCA, which covers accountants and certain finance-related professions, though the fit depends on your exact duties and degree. F-1 OPT and STEM OPT can bridge the gap while you secure long-term sponsorship. Each option has different employer filing requirements.
How do I find Claims Examiner employers who actually sponsor visas?
Migrate Mate lists employers with verified LCA sponsorship history for claims and insurance roles, so you can focus your applications on companies that have already sponsored similar positions. Targeting employers with an established sponsorship track record significantly reduces the risk of an offer falling through when HR realizes the paperwork complexity.
What degree does an employer typically need to list on the LCA for a Claims Examiner?
The LCA itself doesn't specify the degree, but the accompanying H-1B petition must demonstrate specialty occupation. Employers most commonly cite degrees in business administration, finance, risk management, or insurance. If your degree is in a less directly related field, your employer's immigration counsel will need to build a nexus argument using your coursework and any relevant professional certifications like CPCU or AIC.
Can a Claims Examiner on OPT switch to a different employer before H-1B sponsorship is filed?
Yes, but timing matters. During standard F-1 OPT, you can change employers as long as the new role relates to your field of study and you report the change to your Designated School Official within the required window. If you're on STEM OPT, the new employer must be enrolled in E-Verify and sign a new Form I-983 training plan before you start work with them.
What is the prevailing wage requirement for sponsored Claims Examiner jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.