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Claim Representative Jobs (NOW HIRING)

CCMSI

Claim Representative, Medical Only

Wall, NJ · On-site

$21 - $24/hr

Overview Claim Representative, Medical Only Location : Wall Township, NJ Schedule: In Office for training and eligible for hybrid Salary Range: $21.00/hr-$24.00/hr Build Your Career With Purpose at ...

CCMSI

Claim Representative, Medical Only

Belmar, NJ · On-site

$21 - $24/hr

Claim Representative, Medical Only Location: Wall Township, NJ Schedule: In Office for training and eligible for hybrid Salary Range: $21.00/hr-$24.00/hr Build Your Career With Purpose at CCMSI At ...

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How much do claim representative jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for claim representative in the United States is $24.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

What is a claim representative?

Claim representatives, also known as claims adjusters or insurance claim specialists, are professionals who investigate insurance claims to determine the extent of an insurance company's liability. They review documentation, interview claimants and witnesses, inspect property damage or injuries, and negotiate settlements. Their role is to ensure that claims are handled efficiently, fairly, and in accordance with policy terms. Claim representatives play a crucial part in the insurance industry by helping resolve claims for policyholders and maintaining trust in the company.

What are the key skills and qualifications needed to thrive as a claim representative?

To thrive as a Claim Representative, you need a solid understanding of insurance policies, strong analytical abilities, and typically a bachelor's degree or relevant experience in insurance or finance. Familiarity with claims management software, CRM systems, and sometimes industry certifications like AIC (Associate in Claims) are common requirements. Excellent communication, negotiation, and customer service skills help you effectively resolve disputes and support clients during stressful situations. These skills are vital for ensuring accurate claim assessments, maintaining customer satisfaction, and upholding the company's reputation.

What are some common challenges a claim representative might face, and how can they be addressed?

Claim Representatives often encounter challenges such as managing a high volume of claims, handling complex or disputed cases, and maintaining clear communication with policyholders, service providers, and legal teams. Developing strong organizational skills and time management strategies can help prioritize tasks effectively. Additionally, staying up to date with industry regulations and company protocols, as well as building rapport with customers, can make navigating difficult situations more manageable and lead to better outcomes for all parties involved.

What is the difference between Claim Representative vs Claims Adjuster?

AspectClaim RepresentativeClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; insurance licenses often required
Work EnvironmentOffice settings, customer interactions, claims processingFieldwork and office work, investigating claims
Employer & Industry UsageInsurance companies, government agenciesInsurance companies, third-party administrators

Both Claim Representatives and Claims Adjusters work in the insurance industry, handling claims and assisting clients. Claim Representatives typically focus on customer service and initial claim processing, while Claims Adjusters investigate and evaluate claims, often in the field. Understanding these differences helps job seekers find roles aligned with their skills and credentials.

Do you need a degree to be a claim representative?

A claim representative typically does not need a college degree, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills such as communication, attention to detail, and knowledge of insurance policies are important, and some roles may require industry certifications or training programs.

Is it hard to be a claim representative?

Being a claim representative can be challenging as it requires strong communication skills, attention to detail, and the ability to analyze complex information. The job often involves handling difficult situations and working under pressure, but it also offers opportunities for professional growth and certification in insurance claims adjusting.
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Claim Representative jobs near you
Infographic showing various Claim Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 65% Physical, 1% Hybrid, and 34% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.

Claim Representative II - Casualty

Capital Insurance Group

Bakersfield, CA • On-site

$58K - $97K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

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

Job description

Why CIG?
At Capital Insurance Group we offer our employees more than just a job. We foster career growth, provide opportunities to give back to our communities, and help you take the next step in your career!
CIG was founded in 1898 by a group of earnest farmers in need of protection and today, we are the leading West Coast Property & Casualty insurer. CIG is certified as a Great Place to Work and provides a collaborative, inclusive, and fun work culture for all employees.
Why Choose CIG's Claim's Team?
CIG claims department is here to support our insureds throughout their claims process. We work directly with our agency partners and policyholders to accomplish successful claim resolutions. Join the claims operation and you can be part of a team who provides excellent service, build relationships, and achieves successful outcomes for our clients.
Learn more about what it means to be a Claim Representative II - Casualty HERE!
Benefits
  • Accrue twenty-one days of Paid Time Off during your first year
  • Up to eighty-seven percent of benefits are covered by CIG for you and your family members
    • Medical, Dental, Vision plans, Telehealth
  • One hundred percent covered plans
    • Basic Life & AD&D
    • Employee Assistance
    • Leave Management
    • Long Term Disability
    • Short Term Disability (Outside of CA)
    • Employee Benefit Advocacy Hot Line
  • Family Caregiver Support (Homethrive)
  • Child Care Resources (Tootris)
  • Business Travel Accident Protection
  • Voluntary benefit offerings
    • Short-term Disability (CA only)
    • Voluntary Life AD&D self, spouse, and child plans
    • Flexible Spending (FSA)
    • Health Savings (HSA)
    • Hospital Indemnity
    • Accidental Injury
    • Pet Insurance
    • Commuter Benefit
  • Critical Illness
  • ARAG Legal Services
  • Norton LifeLock
  • Nine paid holidays, plus two floating holidays
  • Above and Beyond Reward Recognition Program
    • Kudos & Shout Out Points Program
    • Quarterly Above and Beyond Bonus Program
    • Annual Above and Beyond Bonus Program
  • Competitive compensation
    • Base compensation
    • Salary Management Spot Bonuses
    • Annual Incentive/Profit sharing program, potential payout annually based on company results.
  • Discount partnerships
    • Gym memberships, credit union, travel, shopping, restaurants, theme parks, and more
  • Insurance, educational reimbursement, and bonus programs
  • Employee Referral Bonus Program
  • Home and Auto Insurance Discount Program.
  • Paid Volunteer Time - Through company-planned community events and choose your own adventure PVT in giving back in ways that are meaningful to you!
  • Retirement savings benefit (401k and Roth + match)
  • Health & Financial Wellness
    • Wellness platform, tools, and events - Vitality
    • Health Savings Account - match
    • Financial Wellness Resources

Work Environment
This is a hybrid-eligible position, where Monday through Wednesday would be working in our Bakersfield, CA offices, with Thursday and Friday eligible for work-from-home days.
Job Summary
The primary purpose of a Casualty Claim Representative II - Casualty is to investigate, evaluate, and resolve commercial and personal lines casualty claims. Specific emphasis should be given to analyzing coverage, bodily injuries, negotiating and working with outside counsel. Focus on managing expenses and understanding personal and commercial line policies, including issuance of Reservations of Rights. Demonstrates superior claim service and produces appropriate claim settlements to our clients. It is incumbent upon this individual to understand regulations and the jurisdiction(s) involved in the claims being evaluated.
Minimum Requirements
  • Bachelor's degree and three to five years of casualty claim handling experience or five + years casualty claim handling experience.
  • Advanced technical training in insurance claim field and/or recognized insurance designation is preferred.
  • Must have experienced understanding and detailed knowledge of Commercial and Personal Lines Auto and General Liability, and policy language and coverages
  • Mathematically proficient with the ability to comprehend charts and graphs
  • Proven ability to comprehend contracts pertaining to relationships amongst insured parties and/or landlord/tenant/property management.
  • Ability to multi-task and deal with numerous complex problems or issues simultaneously
  • Must be able to travel within assigned territory and maintain a valid driver's license

Career Path potential:
  • Claim Representative II & III- Habitability/Casualty
  • Claim Representative III & IV- Commercial and General Liability

Salary Range: $58,755.00 - 97,926.00
The salary range listed here has been provided to comply with local regulations and represents a potential base salary range for this role. Please note that actual salaries may vary within the range above or below, depending on experience and location. We look at compensation for each individual and base our offer on your unique qualifications, experience, and expected contributions. This position may also be eligible for other types of compensation in addition to base salary, such as benefits and bonus programs.

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