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Claims Associate Jobs in West Virginia (NOW HIRING)

Great American Insurance Group

$20 - $27/hr

Position Overview The Claims Operations Associate II provides operational and administrative support to workers' compensation claims professionals, helping ensure claims are set up, maintained, and ...

Rsli

LTD Claims Examiner II

Charleston, WV

$52K - $65K/yr

Associates degree in Business, Finance, Social Work, or Human Resources preferred. Level I LOMA designation preferred. * 2 years experience processing long term disability claims. * Demonstrated ...

Forhyre

Claims Business Analyst

Charleston, WV

We are looking for a Claims Business Analyst who will be the vital link between our information ... and technical associates * Collaborate across the entire product team to ensure product ...

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All JobsClaims Associate JobsClaims Associate Jobs in West Virginia

Claims Associate information

See West Virginia salary details

$10

$16

$23

How much do claims associate jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for claims associate in West Virginia is $16.25, according to ZipRecruiter salary data. Most workers in this role earn between $13.22 and $17.88 per hour, depending on experience, location, and employer.

What does a claims associate do?

A claims associate handles claims for an insurance company. As a claims associate, your job duties may include reviewing a customer’s insurance coverage and interviewing those who have filed a claim. Your job is to ensure that a claim is processed correctly, so the customer receives the financial payout to which they are entitled. In this career, you usually work in an office, but you may need to travel to gather information about the claim. There are positions in every insurance industry so that you may work in anything from auto to life insurance. This position requires excellent research and interpersonal skills, and experience in customer service is a plus. Additional qualifications may include an associate degree.

What does a claims associate do?

A Claims Associate is responsible for reviewing, processing, and managing insurance claims submitted by policyholders. Their duties include verifying information, evaluating the validity of claims, and ensuring all necessary documentation is complete. They often communicate with customers, healthcare providers, or other parties to gather additional information and resolve any issues. Claims Associates play a crucial role in ensuring claims are processed accurately and efficiently according to company policies and regulatory guidelines.

What are the key skills and qualifications needed to thrive as a claims associate?

To thrive as a Claims Associate, you need a solid understanding of insurance policies, attention to detail, and basic analytical skills, usually supported by a high school diploma or equivalent. Familiarity with claims management systems, CRM software, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong communication, problem-solving, and customer service abilities set top performers apart. These skills are essential for accurately processing claims, ensuring compliance, and providing a positive experience for clients and policyholders.

What are some common challenges a claims associate may face, and how can they effectively handle them?

Claims Associates often encounter challenges such as managing a high volume of claims, navigating complex policy details, and communicating with clients who may be experiencing stress or frustration. Effectively handling these situations requires strong organizational skills, attention to detail, and clear, empathetic communication. Many Claims Associates find success by proactively prioritizing tasks, seeking guidance from senior team members when needed, and utilizing available technology to streamline documentation and follow-ups.

What is the difference between Claims Associate vs Claims Examiner?

AspectClaims AssociateClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance-related certificationsHigh school diploma; insurance certifications like CPCU or similar beneficial
Work EnvironmentOffice setting, interacting with customers and internal teamsOffice setting, reviewing claims and documentation
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, adjusting departments
Common Search & ComparisonClaims Associate vs Claims Examiner

The main difference between a Claims Associate and a Claims Examiner lies in their responsibilities. Claims Associates typically handle initial customer interactions and basic claim processing, while Claims Examiners review and assess claims in detail, often making determinations on claim validity. Both roles require similar credentials and work in comparable environments, but Claims Examiners usually have more specialized knowledge and decision-making authority.

Is being a claims associate hard?

Claims associates handle insurance claims processing, which requires attention to detail, strong communication skills, and knowledge of insurance policies. The job can be challenging due to the need for accuracy, meeting deadlines, and managing complex cases, but it is generally manageable with proper training and experience.

What is a claims associate in claims?

A claims associate is a professional who reviews, processes, and manages insurance claims to determine coverage and settlement amounts. They often work with claim documentation, use claims management software, and ensure compliance with company policies and industry regulations.
More about Claims Associate jobs

What are the most commonly searched types of Claims jobs in West Virginia?

The most popular types of Claims jobs in West Virginia are:

What are popular job titles related to Claims Associate jobs in West Virginia?

For Claims Associate jobs in West Virginia, the most frequently searched job titles are:

What job categories do people searching Claims Associate jobs in West Virginia look for?

The top searched job categories for Claims Associate jobs in West Virginia are:

What cities in West Virginia are hiring for Claims Associate jobs?

Cities in West Virginia with the most Claims Associate job openings:

Claims Associate jobs near you
Infographic showing various Claims Associate job openings in West Virginia as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 28% Part Time, 1% Temporary, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $33,795 per year, or $16.2 per hour.

Claims Operations Associate II

Great American Insurance Group

Remote

$20 - $27/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 days ago

Great American Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

57th of 310 rated insurance

Job description

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

Who We Are

Strategic Comp is a leading provider of workers' compensation insurance for large employers committed to protecting their workforce. As part of Great American, we combine the strength and stability of a trusted organization with more than 150 years of history with the entrepreneurial spirit of a growing business.

Through our specialized insurance expertise and field-based service model, we build lasting partnerships and deliver exceptional results for our customers. Our culture is built on collaboration, excellence, and a shared commitment to serving our customers and one another.

Position Overview

The Claims Operations Associate II provides operational and administrative support to workers' compensation claims professionals, helping ensure claims are set up, maintained, and processed accurately and efficiently. This role serves as a key partner to adjusters by handling claim-related transactions, correspondence, documentation, and customer inquiries while maintaining high standards of service and accuracy. The position requires strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment.

This is a remote, work-from-home position for candidates located within the Mountain or Central Time Zone and available to work 37.5 hours per week, Monday through Friday from 8:00 a.m. to 4:30 p.m. Mountain/Central Time.

Responsibilities

  • Provide operational support to workers' compensation adjusters by managing claim-related administrative activities.

  • Set up and maintain claim files, ensuring information is entered accurately and updated in a timely manner.

  • Verify coverage, process claim-related transactions, and support payment and financial processing activities.

  • Respond to inquiries received by phone, email, and voicemail, resolving routine issues and escalating complex matters as appropriate.

  • Utilize problem-solving and investigative skills to gather information, identify discrepancies, and support issue resolution.

  • Prepare and distribute correspondence, forms, and other claim-related documentation.

  • Coordinate phone outreach to collect information, schedule appointments, and support claim file development.

  • Assist with litigation support by organizing and providing required claim documentation.

  • Maintain organized workloads and activities through systems such as ClaimConnect, ClaimCenter, OpsNow, Outlook, and other claims platforms.

  • Support policy, claim, and data management processes to ensure accuracy and compliance with established procedures.

  • Collaborate effectively with adjusters, internal departments, and external contacts to facilitate claim handling activities.

  • Maintain professionalism and confidentiality in all interactions and communications.

  • Meet productivity, quality, and service expectations while managing multiple priorities.

  • Follow established guidelines and procedures while seeking guidance on complex or non-routine issues.

Qualifications

  • High school diploma or equivalent required.

  • Experience in claims operations, claims processing, claims support, or a related insurance administrative role required.

  • Experience supporting workers' compensation adjusters or claims professionals strongly preferred.

  • Strong verbal and written communication skills with the ability to interact professionally with internal and external stakeholders.

  • Demonstrated ability to work accurately, manage multiple tasks, and maintain attention to detail in a fast-paced environment.

  • Must be located within the Mountain or Central Time Zone and able to work standard business hours in those time zones.

Business Unit:

Strategic Comp


Salary Range:

$20.00 -$27.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

*Excludes seasonal employees and interns.

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