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Claims Customer Service Representative Jobs (NOW HIRING)

Collabera

Claims Analyst (CSR)

Cockeysville, MD · On-site

$18 - $22/hr

Understand and adhere to established service level agreements and set appropriate expectation with the clients and customers regarding the claims process. Tier Pricing: Tier I must have credit card ...

CareVet

CSR

Lincoln, IL · On-site

$15 - $17.50/hr

Customer Service Representative (CSR) - VeterinaryLocation: Lincoln, IL 62656Position Overview We ... Process payments, handle billing, and manage insurance claims as needed. * Coordinate communication ...

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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 Sep 5, 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 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 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 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 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.

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:

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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 August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $41,287 per year, or $19.8 per hour.

Claims Customer Service Advocate II

Ourhrconnect

Columbia, SC • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Job description


Summary
 Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures.
Description
 

Location:

This position is full time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have flexibility to work any of our 8-hour scheduled shifts during the hours of 8:00 AM -6:00 PM. Training will be Monday - Friday 8:00 AM - 4:30 PM for approximately 6-8 weeks. This role is located on site at 4101 Percival Road, Columbia SC.

Sponsorship: This position is not eligible for sponsorship now or in the future.

What You'll Do:

  • Ensure effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries. Handles situations which may require adaptation of response or extensive research. Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.

  • Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes. Ensure claims are processed according to established quality and production standards.

  • Identifies complaints and inquiries of a complex level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and reports potential fraud and abuse situations.

To Qualify for This Position, You'll Need the Following:

  • Required Education:

  • High School Diploma or equivalent

  • Required Work Experience:

  • 2 years of customer service experience including 1 year of claims or appeals processing experience OR Bachelor's Degree in lieu of work experience.

  • Required Skills and Abilities:

  • Good verbal and written communication skills.

  • Strong customer service skills.

  • Good spelling, punctuation and grammar skills.

  • Basic business math proficiency.

  • Ability to handle confidential or sensitive information with discretion.

  • Required Software and Tools:

  • Microsoft office

Our Comprehensive Benefits Package Includes the Following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.

  • Subsidized health plans, dental and vision coverage

  • 401K retirement savings plan with company match

  • Life Insurance

  • Paid Time Off (PTO)

  • On-site cafeterias and fitness centers in major locations

  • Wellness program and healthy lifestyle premium discount

  • Tuition assistance

  • Service recognition

  • Employee Assistance

  • Discounts to movies, theaters, zoos, theme parks and more

What We can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.comor call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's moreinformation.

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