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Claims Customer Service Representative Jobs (NOW HIRING)

Jushi USA

Customer Service Representative

Columbia, SC

$13 - $17.75/hr

Reviews claims or appeals issues, complaints, and inquiries referred by claims customer service representatives to determine if desk procedures and guidelines were followed. * Researches to ...

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Claims Customer Service Representative information

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

As of Jun 12, 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.
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 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 June 2026, with employment types broken down into 47% Full Time, and 53% Part Time. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $41,287 per year, or $19.8 per hour.
Senior Claims Customer Service Rep

Senior Claims Customer Service Rep

Pyramid Consulting

Scottsdale, AZ • Remote

Other

Posted 6 days ago

Job description

Senior Claims Customer Service Rep

Immediate need for a talented Senior Claims Customer Service Rep with experience in the Insurance Industry. This is a 06+ Months Contract opportunity with long-term potential and is located in Scottsdale, AZ. Please review the job description below.

Key Responsibilities:

  • Provides first line customer service contact for claims reporting activity.
  • Utilizes claims call center best practices in all activities.
  • Creates loss reports by securing information from policyholders, claimants, agents, and other parties.
  • Establishes the claim master record by direct entry of claim data via computerized claim system.
  • Takes manual loss reports as necessary.
  • Verifies coverage under various policies or policy provisions based on variances of state, jurisdiction and regulatory requirement
  • After taking notice of loss, makes direct assignments to inside or field claims adjustment personnel. In the absence of the -, assigns claims of other claims service representatives within established guidelines and procedures.
  • Refers claimants to preferred repair shops or schedules drive-in appointments as appropriate.
  • Handles inquiries from policyholders, claimants, and others appropriately.
  • Establishes and maintains a follow-up system for completion of incomplete claim reports. Proactively contacts policyholders/claimants for additional information to expedite proper handling of claims
  • Maintains, records and report information.
  • Handles customer service complaint situations as appropriate, or provides information to escalate for resolution.
  • Creates and maintains information screens. Inputs data into other personal computer-based software as required.
  • Handles the duties of coverage verification with other appropriate functions for all state operations when circumstances do not allow a claim to be established on the system. This would include the verification of Assigned Risk as well as Voluntary policy information.
  • Provides technical advice to claims service representatives on personal and commercial lines policy coverage in the absence.Performs other duties as assigned.

Key Requirements and Technology Experience:

  • Education: High school studies. Post-high school studies or insurance industry coursework preferred.
  • Experience: Claims Service Representative I experience and successful completion of formal and on-the-job training of 3-12 months.
  • Knowledge: Extensive knowledge of the duties and responsibilities of the claims service representatives with proven performance as indicated in quality program results.
  • Superior knowledge of claims processing system(s) and the claims reporting process as well as thorough knowledge of insurance coverage, policies and claims handling procedures.
  • Skills/Competencies: Ability to make decisions such as the application of coverage, assignments, and work priorities. Outstanding oral and written communication skills needed to effectively interact with the policyholders, claimants, agents and co-workers.
  • Ability to efficiently operate personal computer and all related claims/business software. Some positions provide service primarily for customers speaking a language other than English.
  • These positions may require skills specific to the language and culture, including bilingual skills.
  • Credit Check: A valid credit check and/or background check may be required as part of the selection process in locations where a State Department of Insurance license is required for the position.

Our client is a leading Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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