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Claim Department Jobs (NOW HIRING)

Optimum Life Reinsurance

Claims Assistant

Dallas, TX · On-site

$38K - $41K/yr

Ensure administrative support for the claim department as well as all administrative tasks relating to the workflow management of the claim department. Responsibilities: * Set up claim files and ...

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How much do claim department jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for claim department in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

What is a claim department?

A Claim Department is a division within an insurance company or organization responsible for processing and managing insurance claims. This department evaluates claims submitted by policyholders, determines the validity of each claim, and ensures that payment or service is provided according to the terms of the insurance policy. The Claim Department may also investigate claims for potential fraud and work with customers to resolve any disputes. Their goal is to provide fair and efficient service to both the company and its clients.

What are the key skills and qualifications needed to thrive in a claim department role?

To thrive in a Claim Department role, you need strong analytical abilities, attention to detail, and a background in insurance or finance, often supported by relevant education or certifications. Familiarity with claims management systems, insurance software, and regulatory compliance tools is typically required. Excellent communication, negotiation, and problem-solving skills help professionals effectively resolve claims and interact with policyholders. These capabilities ensure accurate claim processing, customer satisfaction, and adherence to legal and company standards.

What are some common challenges faced by professionals working in a claim department, and how can they be managed?

Professionals in a claim department often deal with high volumes of cases, tight deadlines, and complex investigations that require attention to detail. Balancing efficiency with accuracy can be challenging, especially when handling sensitive customer information and making fair decisions. Effective time management, ongoing training, and strong communication skills are essential to manage these challenges. Collaborating closely with team members and leveraging claim management software can also help streamline workflows and reduce stress.

What is the difference between Claim Department vs Claims Adjuster?

AspectClaim DepartmentClaims Adjuster
CredentialsVaries; often requires insurance knowledge, sometimes certificationsTypically requires licensing and certifications like state adjuster licenses
Work EnvironmentOffice setting, team-based, administrativeField or office-based, investigative and evaluative
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Search & Comparison IntentUnderstanding roles within insurance claims processingEvaluating claims, determining coverage and settlement

The Claim Department oversees the entire claims process within an insurance organization, managing multiple claims and coordinating teams. A Claims Adjuster focuses on investigating individual claims, assessing damages, and determining settlement amounts. While both roles require insurance knowledge and certifications, the Claim Department has a broader administrative scope, whereas the Claims Adjuster is more hands-on with claim evaluation.

What does a claim department do?

A claim department handles the processing and investigation of insurance claims, verifying coverage, assessing damages, and determining payouts. Employees in this department often review documentation, communicate with claimants, and use specialized software to ensure accurate and timely claim resolution.
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Claim Department jobs near you
Infographic showing various Claim Department job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $43,783 per year, or $21 per hour.

Claims Assistant

Optimum Life Reinsurance

Dallas, TX • On-site

$38K - $41K/yr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Claims Assistant:
Ensure administrative support for the claim department as well as all administrative tasks relating to the workflow management of the claim department.

Responsibilities:
  • Set up claim files and prepare them for adjudication by the analysts.
  • Provide clerical support such as letter writing, copying, scanning, and mailing as needed.
  • Organize incoming documents in a paperless environment.
  • Prepare documents to send to business partners.
  • Process payments and denials that have been adjudicated by the analysts.
  • Mail claim payments to clients.
  • Monitor current inventory of pending claims and correspond with clients as needed.
  • Process semi-monthly, monthly, and quarterly retrocession billing.
  • Provide back-up assistance for claims intake from email and USPS.
  • Provide back-up assistance for retrocession cash posting.
  • Other duties as requested by management.

Qualifications:
  • Basic skills using Microsoft Outlook, Excel and Word.
  • Good communication skills.
  • High School Diploma or GED.

Abilities:
  • Ability to work within a team environment in a non-supervisory capacity supporting analysts in achieving their service objectives.
  • Ability to exercise high attention to detail to minimize data entry and filing errors.
  • Ability to work independently.