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Claim Department Jobs (NOW HIRING)

Customer Service Representative

Boca Raton, FL ยท Remote

$16.50 - $22.25/hr

A claim's department Customer Service Representative is responsible for adjudicating tire claims, pre-paid maintenance claims, reimbursements, and provides information to policy holders and ...

Claims Clerk

Omaha, NE ยท On-site

This job is to provide administrative assistance to the Claim Department. The successful candidate should have a good working knowledge of Microsoft Office and Outlook E-mail system. Along with logic ...

NY ยท On-site

$75 - $100/hr

Works with the Claim Department and Litigation Department on special projects related to the practice or line of business as needed. * Communicates with the Court, witnesses, opposing counsel and ...

New

Participate in accident review with claim department and provide follow-up with appropriate vendors. Maintain appropriate parts and tire inventory to ensure efficient, cost effective maintenance and ...

Claim Administrator

Manhattan, NY ยท On-site

$55 - $80/hr

Collaborate with Supervisors, Attorneys, and other departments to ensure accurate and complete claim work. * Utilize CMS and other third-party portals while adhering to data-security and ...

Participate in accident review with claim department and provide follow-up with appropriate vendors. Maintain appropriate parts and tire inventory to ensure efficient, cost effective maintenance and ...

Participate in accident review with claim department and provide follow-up with appropriate vendors. Maintain appropriate parts and tire inventory to ensure efficient, cost effective maintenance and ...

Showing results 41-60

Claim Department information

See salary details

$13

$21

$28

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.
More about Claim Department jobs
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.

Customer Service Representative

Home - TWS

Boca Raton, FL โ€ข Remote

$16.50 - $22.25/hr

Full-time

Re-posted 2 hours ago


Job description

A claim's department Customer Service Representative is responsible for adjudicating tire claims, pre-paid maintenance claims, reimbursements, and provides information to policy holders and dealerships such as explaining contract coverage, claim decisions, payment status, claim processes, and other general inquiries. All while upholding and providing excellent customer service. To perform this job successfully, an individual must be a proactive team player with a focus on excellent customer service and customer satisfaction, good communication skills, attention to detail, and the ability to work well under pressure. The position requires the customer service representative to be adept at utilizing a computer database, handling several ongoing cases simultaneously and seeing a claim filed to completion while offering efficient solutions to the variety of cases that are presented.

Must be able to work Mon-Thurs 10 AM - 7 PM EST and Friday 9 AM - 6 PM EST.

Essential Duties and Responsibilities

  • Adjudicating various pre-paid maintenance, road hazard tire and wheel, etc. claims.
  • Answering customer questions and concerns all while providing excellent customer service.
  • Verifying eligibility, and parts/labor using contracts' and company's standard quality &
  • Reviewing pictures and videos to aid in determining authorization decision for the claims.
  • Maintaining accurate records of customer/caller interaction and discussion over the phone.
  • Updating customer information.
  • Working with other departments to resolve issues.
  • Meeting or exceeding performance metrics and goals.
  • Reporting any technical difficulties to appropriate channels (Team Lead/Supervisor, and IT).
  • Try de-escalating callers, if necessary, unless escalation to Team Lead or Supervisor is requested.
  • Staying up to date on the contracts' and the company's policies and procedures and participating in necessary training and development opportunities to improve skills and knowledge.
  • Consistent follow through and ability and flexibility to multi-task and effectively balance priorities and meet tight deadlines and working with other departments to resolve issues.
  • Other duties as assigned.