Medical Claims Examiner Jobs in USA with Visa Sponsorship
Medical claims examiners analyze insurance claims to determine coverage and payment decisions. This role qualifies for H-1B visa sponsorship when it requires specialized healthcare knowledge and a bachelor's degree in health administration, nursing, or related field. Employers value candidates with medical coding certification and claims processing experience. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsWe’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
Supports cost management programs to reduce medical claim expenses and identify and recover medical claim expense dollars from liable parties. Gathers data and compiles cost analyses to identify cost-saving opportunities and cost reduction strategies to achieve financial goals.
Required Qualifications
- 2+ years claim ACAS Medical claim processing experience and demonstrated ability to handle multiple assignments competently, accurately and efficiently.
Education
High School Diploma or G.E.D.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
- $18.50 - $35.29
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 04/30/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
Supports cost management programs to reduce medical claim expenses and identify and recover medical claim expense dollars from liable parties. Gathers data and compiles cost analyses to identify cost-saving opportunities and cost reduction strategies to achieve financial goals.
Required Qualifications
- 2+ years claim ACAS Medical claim processing experience and demonstrated ability to handle multiple assignments competently, accurately and efficiently.
Education
High School Diploma or G.E.D.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
- $18.50 - $35.29
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 04/30/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
See all 28+ Medical Claims Examiner jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Medical Claims Examiner roles.
Get Access To All JobsTips for Finding Medical Claims Examiner Jobs
Highlight Healthcare Industry Knowledge
Emphasize your understanding of medical terminology, ICD-10 codes, and healthcare regulations. Employers need specialized knowledge to justify H-1B sponsorship for this analytical role.
Get Medical Coding Certifications
Obtain CCS, CPC, or RHIA certifications before applying. These credentials demonstrate the specialized skills employers use to support visa petitions for claims examiner positions.
Target Large Insurance Companies
Focus on major health insurers like Anthem, Aetna, and UnitedHealth. Large companies have established H-1B programs and regularly sponsor international candidates for specialized positions.
Emphasize Fraud Detection Skills
Highlight experience with claims fraud detection and pattern analysis. These specialized investigative skills help distinguish your role from general administrative work during USCIS review.
Document Quality Assurance Experience
Showcase experience reviewing claims accuracy and implementing quality control processes. This demonstrates the analytical complexity that supports specialty occupation classification under immigration law.
Consider Remote-Friendly Employers
Many insurance companies offer remote claims examiner positions. This expands your geographic options while targeting employers who already have H-1B sponsorship infrastructure in place.
Medical Claims Examiner jobs are hiring across the US. Find yours.
Find Medical Claims Examiner JobsFrequently Asked Questions
What degree do I need for H-1B sponsorship as a medical claims examiner?
You need a bachelor's degree in health administration, healthcare management, nursing, or a closely related field. Some employers accept business or finance degrees if combined with medical coding certifications like CCS or CPC. The key is demonstrating specialized healthcare knowledge that requires formal education beyond high school.
Do medical claims examiner positions qualify for H-1B specialty occupation requirements?
Yes, when the role requires specialized healthcare knowledge and a relevant bachelor's degree. Employers must demonstrate that the position involves complex medical claim analysis, fraud detection, or regulatory compliance that goes beyond routine administrative tasks. Medical coding certifications strengthen the specialty occupation argument.
Which employers are most likely to sponsor H-1B visas for claims examiners?
Large health insurance companies like UnitedHealth Group, Anthem, Aetna, and Cigna frequently sponsor H-1B visas. These companies have dedicated immigration teams and regularly hire international candidates for specialized healthcare roles. Third-party administrators and government contractors also offer sponsorship opportunities.
How to find Medical Claims Examiner jobs with visa sponsorship?
To find Medical Claims Examiner jobs with visa sponsorship, use Migrate Mate, which specializes in connecting international candidates with sponsored positions. Focus on healthcare organizations, insurance companies, and third-party administrators that frequently hire for these roles. H-1B and TN visas are commonly sponsored for Medical Claims Examiner positions, as these roles require specialized knowledge in medical coding and claims processing.
What's the H-1B approval rate for medical claims examiner positions?
USCIS doesn't publish role-specific approval rates, but healthcare administration positions generally have favorable outcomes when properly documented. The key factors are demonstrating specialty occupation requirements through degree field alignment, medical coding certifications, and detailed job duties that require specialized healthcare knowledge rather than general administrative skills.
Can I get H-1B sponsorship for remote medical claims examiner work?
Yes, many insurance companies sponsor H-1B visas for remote claims examiner positions. However, the Labor Condition Application must specify your work location, and you're restricted to that geographic area. If you need to relocate, your employer must file an amended LCA before you can work from the new location.
What is the prevailing wage requirement for sponsored Medical 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.
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