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Claims Call Center Jobs (NOW HIRING)

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Claims Call Center information

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$11

$24

$42

How much do claims call center jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for claims call center 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 are claims call center representatives?

Claims call center representatives are professionals who assist customers with filing, managing, and resolving insurance claims over the phone. They act as the first point of contact for policyholders, answering questions, providing updates, and guiding them through the claims process. These representatives gather necessary information, verify policy details, and ensure all documentation is complete. Their goal is to provide excellent customer service while helping customers navigate often complex claims procedures.

What is the difference between Claims Call Center vs Claims Adjuster?

AspectClaims Call CenterClaims Adjuster
CredentialsHigh school diploma or equivalent; customer service experienceLicensing and certifications often required (e.g., state adjuster license)
Work EnvironmentCall center setting, primarily phone-basedField or office-based, inspecting and evaluating claims
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Search & Comparison IntentCustomer service, claims support rolesClaims evaluation, settlement, and investigation

While Claims Call Center representatives handle customer inquiries and process claims over the phone, Claims Adjusters evaluate and settle claims through inspections and investigations. Both roles are essential in the insurance industry but differ in responsibilities, credentials, and work environment.

What are some common challenges faced by Claims Call Center representatives, and how can applicants prepare for them?

Claims Call Center representatives often encounter high call volumes, emotionally charged conversations with customers, and the need to quickly interpret and apply policy details. To prepare, applicants should develop strong communication and active listening skills, learn basic conflict resolution techniques, and familiarize themselves with insurance terminology. Building resilience and practicing empathy are also important, as these skills help maintain professionalism and customer satisfaction during challenging interactions.

What are the key skills and qualifications needed to thrive as a Claims Call Center Representative, and why are they important?

To thrive as a Claims Call Center Representative, you generally need strong communication skills, attention to detail, and a high school diploma or equivalent. Familiarity with claims management software, CRM systems, and standard office applications is typically required, with some employers preferring relevant certifications. Excellent problem-solving abilities, patience, and emotional resilience are standout soft skills that help in managing challenging customer interactions. These skills are crucial for efficiently resolving claims, maintaining customer satisfaction, and supporting the overall reputation of the organization.
More about Claims Call Center jobs
What cities are hiring for Claims Call Center jobs? Cities with the most Claims Call Center job openings:
What states have the most Claims Call Center jobs? States with the most job openings for Claims Call Center jobs include:
Infographic showing various Claims Call Center job openings in the United States as of May 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 81% Full Time, 13% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.
Supervisor, Claims Call Center

Supervisor, Claims Call Center

Independent Living Systems

Miami, FL โ€ข On-site

Full-time

Posted 6 days ago


Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz


Job description

We are seeking a Supervisor, Claims Call Center to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Supervisor, Claims Call Center plays a vital role in ensuring the efficient processing and resolution of claims for the organization. This position is responsible for supervising a team of representatives, providing guidance and support to enhance their performance and customer service skills. The Supervisor, Claims Call Center will analyze call center metrics to identify areas for improvement and implement initiatives to optimize workflow and productivity. Additionally, this role involves collaborating with other departments to address complex claims issues and ensure compliance with industry regulations. Ultimately, the Supervisor, Claims Call Center will contribute to a high level of provider satisfaction and operational excellence in claims processing.

Minimum Qualifications:

  • Bachelor's degree in a related field or equivalent work experience.
  • Minimum of 3 years of experience in a call center environment, preferably in health care services.
  • Proven leadership experience with the ability to motivate and manage a team.
  • Relevant experience may substitute for the educational requirement on a year-for-year basis.

Preferred Qualifications:

  • Master's degree in a related field or equivalent work experience.
  • Experience with claims processing and knowledge of health care regulations.
  • Familiarity with call center software and performance management tools.
  • Certification in health care management or related field.

Responsibilities:

  • Demonstrate commitment to Our Mission and models ILS Experience Standards of Excellence.
  • Lead and supervise a team of representatives, providing guidance and support to enhance their performance and customer service skills.
  • Oversee daily operations of the claims call center, ensuring adherence to policies and procedures.
  • Monitor call center metrics and generate reports to assess team performance and identify areas for improvement.
  • Resolve escalated claims issues and facilitate communication between representatives and various departments.
  • Collaborate with internal teams such as claims, credentialing, provider relations, and network management and other stakeholders to address audit findings and recommend corrective actions.
  • Implement process improvements to enhance efficiency and customer satisfaction in claims and call handling.
  • Perform other duties as assigned.