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Claim Rep Jobs (NOW HIRING)

CCMSI

Claim Representative, Medical Only

Danville, IL · On-site

$19 - $21/hr

Overview Claim Representative, Medical Only Location : Danville, IL Schedule: In Office for training and eligible for hybrid Salary Range: $19.00/hr-$21.00/hr Build Your Career With Purpose at CCMSI ...

CCMSI

Claim Representative, Medical Only

Danville, IL · On-site

$19 - $21/hr

Claim Representative, Medical Only Location : Danville, IL Schedule: In Office for training and eligible for hybrid Salary Range: $19.00/hr-$21.00/hr Build Your Career With Purpose at CCMSI At CCMSI ...

Berkley

Claim Representative

Hartford, CT · On-site

Directly investigate each claim through prompt and strategic contact with appropriate parties ... Position will require that Claims Representative obtain independent adjuster's licenses for all ...

CCMSI

Claim Representative, Medical Only

Danville, IL · On-site

$19 - $21/hr

Overview Claim Representative, Medical Only Location : Danville, IL Schedule: In Office for training and eligible for hybrid Salary Range: $19.00/hr-$21.00/hr Build Your Career With Purpose at CCMSI ...

Irmarisk

Senior Claim Representative

Westmont, IL · On-site

$80K - $100K/yr

The Senior Claim Representative is part of a team of 4 experienced adjusters in a growing and dynamic work environment. Responsibilities include investigation of complex cases, including litigated ...

Berkley

Claim Representative

West Hartford, CT · On-site

Directly investigate each claim through prompt and strategic contact with appropriate parties ... Position will require that Claims Representative obtain independent adjuster's licenses for all ...

Berkley

Claim Representative (Remote)

West Hartford, CT · On-site +1

$65K - $80K/yr

Directly investigate each claim through prompt and strategic contact with appropriate parties ... Position will require that Claims Representative obtain independent adjuster's licenses for all ...

CCMSI

Claim Representative, Medical Only

Carson City, NV · On-site

$22 - $25/hr

Medical Only Claim Representative Location: Hybrid - Carson City, NV or Reno, NV (Nevada workers' compensation jurisdiction only) Schedule: Monday-Friday, 8:00 AM-4:30 PM (37.5 hours/week) Salary ...

Berkley

Claim Representative

West Hartford, CT · On-site

Directly investigate each claim through prompt and strategic contact with appropriate parties ... Position will require that Claims Representative obtain independent adjuster's licenses for all ...

Blue Cross Blue Shield of Michigan

Claim Representative II: This is the intermediate level of the claim handler career path. Handles moderate to difficult claims. Exercises progressively more discretion in the determination of ...

CCMSI

Claim Representative, Medical Only

Danville, IL · On-site

$19 - $21/hr

Overview Claim Representative, Medical Only Location : Danville, IL Schedule: In Office for training and eligible for hybrid Salary Range: $19.00/hr-$21.00/hr Build Your Career With Purpose at CCMSI ...

CCMSI

Claim Representative, Medical Only

Maitland, FL · On-site

$23 - $25/hr

Job Summary The Medical Only Claim Representative is responsible for claims handling of designated medical only claims and provide support to claim staff. This position may be used as a training ...

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Claim Rep information

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How much do claim rep jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for claim rep in the United States is $19.85, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.63 per hour, depending on experience, location, and employer.

What is the difference between Claim Rep vs Claims Adjuster?

AspectClaim RepClaims Adjuster
CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; licensing often required; certifications like AIC or CPCU beneficial
Work EnvironmentOffice settings, customer service interactions, claims processingField work and office work, investigating claims on-site or remotely
Employer & IndustryInsurance companies, customer service centersInsurance companies, adjusting firms, independent agencies
Search & Comparison IntentUnderstanding roles in insurance claims processingInvestigating claims, assessing damages, determining payouts

Claim Reps primarily handle customer interactions and initial claims processing, often working in office settings. Claims Adjusters investigate and evaluate claims, sometimes in the field, to determine damages and appropriate payouts. Both roles require insurance knowledge, but Adjusters typically need more specialized certifications and field experience.

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Claim Rep jobs near you
Infographic showing various Claim Rep job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, 18% Part Time, and 2% Contract. Highlights an 81% Physical, 6% Hybrid, and 13% Remote job distribution, with an average salary of $41,287 per year, or $19.8 per hour.

Claim Representative, Medical Only

Danville, IL • On-site

CCMSI
Insurance Services • 1 - 5K employees
Learn more about CCMSIexternal

$19 - $21/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

CCMSI rating

7.9

Company rating: 7.9 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

Overview Claim Representative, Medical Only   Location: Danville, IL Schedule: In Office for training and eligible for hybrid Salary Range: $19.00/hr-$21.00/hr Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.  Job Summary 

The Medical Only Claim Representative is responsible for claims handling of designated medical only claims and provide support to claim staff.  This position may be used as a training position for consideration of promotion to an intermediate level claim position.  Is accountable for the quality of claim services as perceived by CCMSI clients and within the corporate claim standards.

Responsibilities When we hire claim reps at CCMSI, we look for detail oriented professionals who understand that every task supports a real person’s claim experience, value accuracy and responsiveness, and contribute to the team’s success through organization, collaboration, and a strong commitment to service. • Set up and manage medical‑only claim files in accordance with corporate claim standards and applicable laws  • Establish reserves and provide reserve recommendations within authorized levels under direct supervision  • Review and approve medical and miscellaneous invoices on designated claims; negotiate disputed bills or invoices under supervision  • Request and monitor medical treatment in accordance with corporate claim handling standards  • Summarize correspondence and medical records in claim system notes and file documentation appropriately  • Close claim files when appropriate and retrieve closed files for re‑filing as requested  • Provide ongoing support to claim staff on client service teams  • Communicate with medical providers, injured workers, and internal partners; frequent phone work is required  • Ensure compliance with corporate claim handling standards and special client handling instructions  Qualifications Required:  • Associate Degree or two (2) years of related business experience  • Customer‑service oriented mindset with comfort communicating by phone  • Strong organizational skills and ability to multitask effectively  • Ability to work efficiently on a computer and manage detailed documentation  • Proficiency with Microsoft Office applications including Word, Excel, and Outlook  • Reliable, predictable attendance during assigned business hours  Nice to Have:  • Knowledge of medical terminology  • Prior experience in claims, insurance, or medical administrative support  • Experience supporting a single client or program environment  • Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.  Why You’ll Love Working Here 

4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year 

Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance 

Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) 

Career growth: Internal training and advancement opportunities 

Culture: A supportive, team-based work environment 

How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:  • Quality claim handling – thorough investigations, strong documentation, well-supported decisions  • Compliance & audit performance – adherence to jurisdictional and client standards  • Timeliness & accuracy – purposeful file movement and dependable execution  • Client partnership – proactive communication and strong follow-through  • Professional judgment – owning outcomes and solving problems with integrity  • Cultural alignment – believing every claim represents a real person and acting accordingly  This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws. Our Core Values At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:  

Lead with transparency We build trust by being open and listening intently in every interaction. 

Perform with integrity We choose the right path, even when it is hard. 

Chase excellence We set the bar high and measure our success. What gets measured gets done. 

Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. 

Win together Our greatest victories come when our clients succeed. 

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you. #CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #MedicalOnlyClaims #IND456

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