Best institutions to study Health/Medical Claims Examiner
A program that prepares individuals to perform specialized investigatory, analytical, evaluative, and consultative functions related to health/medical insurance operations and their regulation.
1 U.S. institutions graduated 11 Health/Medical Claims Examiner students in 2024–25 (IPEDS). It is CIP 51.0715, a specialization of Health and Medical Administrative Services (CIP 51.07), and leads most directly to the Claims Adjusters, Examiners, and Investigators occupation (BLS SOC 13-1031).
About Health/Medical Claims Examiner programs
A program that prepares individuals to perform specialized investigatory, analytical, evaluative, and consultative functions related to health/medical insurance operations and their regulation. Includes instruction in health and medical insurance processes and procedures, health insurance law and regulations, health care industry law, record-keeping, analytic and investigatory techniques, evaluation methods, field operations methods, office procedures, related software applications, oral and written communications skills, interviewing techniques, and professional standards and ethics.
Source: National Center for Education Statistics, Classification of Instructional Programs (CIP 2020).
The Health/Medical Claims Examiner program is designed for individuals seeking to develop expertise in health and medical insurance operations. This program prepares students to perform specialized functions related to the evaluation, analysis, and investigation of health insurance claims, ensuring compliance with relevant regulations and standards.
Students will gain knowledge in health insurance processes, legal regulations, record-keeping, and analytic techniques. Coursework emphasizes skills such as critical thinking, effective communication, and the use of related software applications, equipping graduates to handle various aspects of claims examination.
Credentials awarded
What Health/Medical Claims Examiner graduates earned in 2024–25, by award level (IPEDS completions).
- Award of at least 1 but less than 2 academic years11 graduates / yr · 1 institution100%
Graduates over time
Health/Medical Claims Examiner completions reported to IPEDS each year, all award levels combined.
| Year | Graduates |
|---|---|
| 2012 | 87 |
| 2013 | 49 |
| 2014 | 1 |
| 2015 | 59 |
| 2016 | 29 |
| 2017 | 31 |
| 2018 | 4 |
| 2019 | 14 |
| 2020 | 15 |
| 2021 | 15 |
| 2022 | 4 |
| 2023 | 4 |
| 2024 | 5 |
| 2025 | 11 |
Top 1 institutions for Health/Medical Claims Examiner, ranked by graduates
Graduates (IPEDS completions), 2024–25. Award levels show which credentials each institution confers in this specialization.
| # | Institution | Graduates / yr | Grad rate | Net price |
|---|---|---|---|---|
| 1 | Galaxy Medical College North Hollywood, CAPrivate for-profitAward of at least 1 but less than 2 academic years | 11 | 86% | $11,331 |
Offered in 1 states
Where Health/Medical Claims Examiner graduates come from. Each state links to all Health and Medical Administrative Services programs offered there.
| State | Institutions | Graduates / yr | Top institution by graduates |
|---|---|---|---|
| California | 1 | 11 | Galaxy Medical College11 / yr |
Careers & outlook
The payoff after graduation: occupation 13-1031, Claims Adjusters, Examiners, and Investigators, and its national outlook.
Graduates of the Health/Medical Claims Examiner program can pursue careers as Claims Adjusters, Examiners, and Investigators. While the job outlook shows a decline of 5.1%, there are approximately 21,100 annual openings, with a median wage of $76,790. A high school diploma or equivalent is typically required for entry into this field.
Top-paying metros
Career pathways for CIP 51.0715
The occupations the NCES crosswalk maps this 6-digit code to, with BLS pay and 10-year outlook.
| Occupation | US median pay | Growth | Openings / yr | Typical entry education |
|---|---|---|---|---|
Claims Adjusters, Examiners, and Investigatorsprimary SOC 13-1031 | $78,000 | -5.1% Decline | ~21,100 | High school diploma or equivalent |
Job Zone Four: Considerable Preparation Needed
- Education
- Most of these occupations require a four-year bachelor's degree, but some do not.
- Experience
- A considerable amount of work-related skill, knowledge, or experience is needed for these occupations. For example, an accountant must complete four years of college and work for several years in accounting to be considered qualified.
- Training
- Employees in these occupations usually need several years of work-related experience, on-the-job training, and/or vocational training.
Related careers
Skills & knowledge in Health/Medical Claims Examiner programs
From the U.S. Dept. of Labor for the occupation this specialization most leads to.
Skills you'll build
Knowledge areas
Abilities that matter most
Day-to-day work activities
What graduates do on the job
- Examine claims forms and other records to determine insurance coverage.
- Analyze information gathered by investigation and report findings and recommendations.
- Pay and process claims within designated authority level.
- Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
- Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
- Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
Tools and technology used
Other Health and Medical Administrative Services specializations
The 23 other 6-digit CIP codes under Health and Medical Administrative Services (CIP 51.07).
- Health/CIP 51.0701
Health Care Administration/ Management 28,580 graduates / yr704 institutions - Health Information/CIP 51.0707
Medical Records Technology/ Technician 12,261 graduates / yr314 institutions - Medical Insurance Specialist/CIP 51.0714
Medical Biller 11,432 graduates / yr160 institutions - Medical Insurance Coding Specialist/CIP 51.0713
Coder 10,263 graduates / yr355 institutions - Medical Administrative/CIP 51.0716
Executive Assistant and Medical Secretary 6,024 graduates / yr223 institutions - Medical Office Assistant/CIP 51.0710
Specialist 4,612 graduates / yr186 institutions - Hospital and Health Care Facilities Administration/CIP 51.0702
Management 3,432 graduates / yr63 institutions - Health and Medical Administrative ServicesCIP 51.07993,295 graduates / yr91 institutions
- Health Information/CIP 51.0706
Medical Records Administration/ Administrator 2,865 graduates / yr126 institutions - Medical Office Management/CIP 51.0705
Administration 2,627 graduates / yr115 institutions - Medical/CIP 51.0711
Health Management and Clinical Assistant/ Specialist 1,344 graduates / yr20 institutions - Medical Reception/CIP 51.0712
Receptionist 962 graduates / yr37 institutions - Clinical Research CoordinatorCIP 51.0719342 graduates / yr25 institutions
- Healthcare InnovationCIP 51.0722284 graduates / yr16 institutions
- Long Term Care Administration/CIP 51.0718
Management 148 graduates / yr23 institutions - Health Unit Coordinator/CIP 51.0703
Ward Clerk 109 graduates / yr11 institutions - Regulatory Science/CIP 51.0720
Affairs partial data95 graduates / yr7 institutions - Medical Office Computer Specialist/CIP 51.0709
Assistant partial data75 graduates / yr7 institutions - Health Unit Manager/CIP 51.0704
Ward Supervisor partial data38 graduates / yr5 institutions - Medical Transcription/CIP 51.0708
Transcriptionist partial data30 graduates / yr9 institutions - Medical Staff Services Technology/CIP 51.0717
Technician partial data29 graduates / yr5 institutions - Disease Registry Data ManagementCIP 51.0721partial data28 graduates / yr5 institutions
- Healthcare Information Privacy Assurance and SecurityCIP 51.0723limited data7 graduates / yr2 institutions
See all Health and Medical Administrative Services programs →
Common questions
What is the duration of the program?+
The program awards a credential of at least 1 but less than 2 academic years.
What skills will I develop in this program?+
You will develop skills in reading comprehension, critical thinking, and effective communication.
What types of jobs can I get after graduation?+
You can work as a Claims Adjuster, Examiner, or Investigator in the health insurance field.
Is there a demand for health/medical claims examiners?+
While there is a projected decline in job growth, there are still many annual openings in the field.
What is the CIP code for Health/Medical Claims Examiner?+
Health/Medical Claims Examiner is CIP 51.0715 in the NCES Classification of Instructional Programs (CIP 2020), a 6-digit specialization within Health and Medical Administrative Services (CIP 51.07). NCES defines it as: A program that prepares individuals to perform specialized investigatory, analytical, evaluative, and consultative functions related to health/medical insurance operations and their regulation. Includes instruction in health and medical insurance processes and procedures, health insurance law and regulations, health care industry law, record-keeping, analytic and investigatory techniques, evaluation methods, field operations methods, office procedures, related software applications, oral and written communications skills, interviewing techniques, and professional standards and ethics.
How many institutions offer Health/Medical Claims Examiner programs?+
1 U.S. institutions reported Health/Medical Claims Examiner graduates in IPEDS 2024–25, across 1 states, awarding 11 credentials in the year. That is 0.0% of all Health and Medical Administrative Services graduates.
How much do Health/Medical Claims Examiner graduates earn?+
Earnings are not published at the 6-digit CIP level by any federal source. The Claims Adjusters, Examiners, and Investigators occupation, which Health/Medical Claims Examiner most directly leads to, pays a median of $78,000 a year nationally (BLS OEWS May 2025).
About the data on this page
Every figure comes from an official federal or public source. Here is each one and the release it is currently on.
Program definitions are from the NCES Classification of Instructional Programs (CIP 2020). Skills, knowledge, abilities, work activities, tools, and job zones are from the O*NET database by the U.S. Department of Labor, used under the CC BY 4.0 license.
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