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How much do claims customer service representative jobs pay per hour?

As of Jul 25, 2026, the average hourly pay for claims customer service representative 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 are the key skills and qualifications needed to thrive as a Claims Customer Service Representative, and why are they important?

To thrive as a Claims Customer Service Representative, you need strong communication skills, attention to detail, and a high school diploma or equivalent, with some employers preferring experience in insurance or customer service. Familiarity with claims management software, CRM systems, and basic office applications is typically required. Empathy, patience, and problem-solving abilities are essential soft skills for effectively assisting customers through stressful situations. These skills and qualifications ensure accurate claim processing, positive customer experiences, and efficient resolution of inquiries.

What is the difference between Claims Customer Service Representative vs Claims Adjuster?

AspectClaims Customer Service RepresentativeClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance certificationsHigh school diploma; state licensing or certification often required
Work EnvironmentOffice setting, customer service calls, data entryField or office, investigating claims, inspecting damages
Employer & Industry UsageInsurance companies, customer service centersInsurance companies, claims departments
Common Search & ComparisonCustomer service, claims support, policy inquiriesClaims investigation, damage assessment, settlement

The main difference is that Claims Customer Service Representatives primarily handle customer inquiries and support related to claims, focusing on communication and policy details. Claims Adjusters investigate and evaluate claims, often inspecting damages and determining settlement amounts. Both roles require insurance knowledge, but their responsibilities and work environments differ significantly.

What does a Claims Customer Service Representative do?

A Claims Customer Service Representative assists customers with filing, processing, and following up on insurance claims. They answer questions about policies, explain the claims process, gather necessary information, and provide updates on claim status. These professionals act as a liaison between customers and insurance adjusters to ensure claims are handled efficiently and accurately. Strong communication, problem-solving, and organizational skills are essential for this role.

What are some common challenges faced by Claims Customer Service Representatives, and how can they be managed?

Claims Customer Service Representatives often handle high volumes of calls from customers who may be experiencing stressful situations. Balancing empathy with efficiency can be challenging, especially when dealing with complex or emotionally charged claims. Developing strong communication and problem-solving skills, along with a thorough understanding of company policies, can help manage these challenges. Many companies provide ongoing training and team support to help representatives maintain a positive and productive work environment.
More about Claims Customer Service Representative jobs
What cities are hiring for Claims Customer Service Representative jobs? Cities with the most Claims Customer Service Representative job openings:
Who are the top companies hiring for Claims Customer Service Representative jobs? The top employers for Claims Customer Service Representative jobs are:
What states have the most Claims Customer Service Representative jobs? States with the most job openings for Claims Customer Service Representative jobs include:
What job categories do people searching Claims Customer Service Representative jobs look for? The top searched job categories for Claims Customer Service Representative jobs are:
What are popular job titles related to Claims Customer Service Representative jobs? For Claims Customer Service Representative jobs, the most frequently searched job titles are:
Claims Customer Service Representative jobs near you
Infographic showing various Claims Customer Service Representative job openings in the United States as of July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $41,287 per year, or $19.8 per hour.

Claims Customer Service Representative

SOUTHWEST SERVICE ADMINISTRATORS IN

Murray, UT • On-site

$17 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

The Benefit & Claims Customer Service Representative provides information on health and welfare, benefits and claim status to hospitals, providers, and participants. Additionally this position will be responsible for providing high quality customer service while documenting telephone, written and walk-in inquiries regarding benefits, or claim status in an efficient, prompt and professional manner.
Responsibilities
Customer Service
  • Provide high quality customer service to all Fund members by documenting telephone, written and walk-in inquiries regarding benefits, or claim status in an efficient prompt and professional manner.
  • Respond to and resolve complex issues, including those escalated by members.
  • Serve as primary, daily contact to clients on delivery of services.
  • Resolve complex plan provision questions and issues addressed.
  • Raise issues as appropriate to Team Supervisor or Department Manager.
  • Learn and use professional excellence tools and concepts to ensure efficient and quality output/service delivery.

Teamwork
  • Work cooperatively with other team members.
  • Actively participate in team meetings and training activities.
  • Perform additional responsibilities and projects as periodically assigned.

Education/Certification:
  • (Minimum) High School Diploma/GED

Skills/Abilities:
  • Minimum 40 WPM and 3,000 KPH proficiency
  • Prior experience in a medical setting (doctor's billing office, hospital billing, etc.) is helpful.
  • Knowledge of medical terminology preferred.
  • Ability to maintain current knowledge of plan benefits to provide correct information to plan participants and providers.
  • Professional, client-focused approach to colleagues and assignments.
  • Strong oral and written communication skills with exceptional attention to detail.
  • Ability to seek out experiences that may change perspective or provide an opportunity to learn new things.
  • Strong dedication to follow-through on all tasks and assignments.
  • Ability to sit for long periods of time operating a computer keyboard.
  • Ability to speak, read and write in both English and Spanish preferred.

Employee Benefits Program
COMPANY PROVIDES:
  • MEDICAL, DENTAL, VISION
  • SHORT-TERM DISABILITY
  • Full coverage benefits for a low weekly premium of $5 (Employee Only), $15 (for Child(ren) and $20 per week for full family or Employee/Spouse.
  • COMPANY PAID supplemental dental coverage of $1,000 per year for Employee.
  • COMPANY PAID LONG TERM Disability & Life/AD&D coverage.
  • 401K Plan including company match up to 5%.
  • COMPANY PAID additional pension plan entirely funded by the company.
  • EXCEPTIONAL TIME OFF package including Paid Personal Leave (PPL) and Vacation with annual BUY BACK options!!!!
  • Annual, automatic pay increases.

Southwest Service Administrators provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, or any other considerations made unlawful by applicable state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence compensation and training. Southwest Service Administrators expressly prohibits any form of workplace harassment based on race, color, religion, sex, national origin, pregnancy, military and veteran status, age physical and mental disability, or genetic characteristics.

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