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How much do claims customer service jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for claims customer service 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 is a claims customer service representative?

A Claims Customer Service representative is a professional who assists customers with insurance claims, answering their questions, guiding them through the claims process, and resolving issues related to their policies. They act as a liaison between the insurance company and the customer, ensuring a smooth and efficient claims experience. Their role typically includes gathering necessary information, explaining coverage, processing claims, and providing updates on claim status. Strong communication and problem-solving skills are essential in this position.

What are the key skills and qualifications needed to thrive as a claims customer service representative?

To excel 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 prior insurance or customer service experience. Familiarity with claims management software, CRM systems, and basic office applications is typically required. Patience, problem-solving abilities, and empathy help you handle customer concerns and resolve claims efficiently. These skills ensure accurate claims processing, positive customer experiences, and support the overall reputation and efficiency of the organization.

What are some common challenges faced by claims customer service representatives, and how can they be managed?

Claims Customer Service representatives often encounter challenges such as handling emotionally distressed customers, managing high call volumes, and navigating complex claim processes. Effective communication, empathy, and strong organizational skills are crucial for managing these situations. Many organizations provide ongoing training, support from supervisors, and access to knowledge bases to help representatives resolve issues efficiently and maintain customer satisfaction.

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

AspectClaims Customer ServiceClaims Adjuster
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; state licensing or certifications often required
Work EnvironmentOffice setting, customer support centersField and office settings, investigating claims
Employer & IndustryInsurance companies, customer service centersInsurance companies, adjusting claims on-site or remotely
Primary FocusAssisting policyholders, answering inquiries, processing claimsEvaluating damages, determining claim validity, settling claims

Claims Customer Service roles focus on assisting policyholders with inquiries and processing claims, while Claims Adjusters evaluate damages and determine claim validity. Both roles require insurance knowledge and customer interaction but differ in responsibilities and work environment.

More about Claims Customer Service jobs

What cities are hiring for Claims Customer Service jobs?

Cities with the most Claims Customer Service job openings:

What are the most commonly searched types of Claims Customer Service jobs?

The most popular types of Claims Customer Service jobs are:

What states have the most Claims Customer Service jobs?

States with the most job openings for Claims Customer Service jobs include:

What are popular job titles related to Claims Customer Service jobs?

For Claims Customer Service jobs, the most frequently searched job titles are:

Claims Customer Service jobs near you
Infographic showing various Claims Customer Service job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $41,287 per year, or $19.8 per hour.

Claims Customer Service Representative

Clearwater Beach, FL • On-site

Insurance Administrative Solutions
Insurance Services • 201 - 500 employees
Learn more about Insurance Administrative Solutionsexternal

Other

Posted 5 days ago

Job description

Job Title

Job Summary: Receive, organize and make daily use of information regarding benefits, contract coverage, and policy decisions to provide prompt, courteous customer service, which meets or exceeds service standards. Interpret contract benefits in accordance with specific claims processing guidelines.

Primary Responsibilities

Other duties may be assigned as necessary:

  • Interpret contract benefits accurately to policyholder, agents, and providers.
  • Provide claim status to policyholders or providers.
  • Send out refund request letters and follow-up as necessary.
  • Produce correspondence to customers.
  • Answer calls as required by company policy in a helpful, professional, timely manner.
  • Place outgoing calls as needed to provide or obtain information.
  • Document (written/on-line) all calls while in progress.
  • Transfer calls to employees in other departments as required to meet customer needs.
  • Fully document policy file or imaging system with all related material so as to leave a clear and concise audit trail.
  • Actively participate in cross training and group training sessions to maximize team efficiency and maintain or exceed service standards.
  • Communicate problems identified relevant to the claims processing system to the appropriate people.
  • Maintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a positive and professional approach.
  • Communicate openly with Supervisor, Team Lead and other team members to ensure accurate responses and avoid duplication of efforts.
Primary Skills and Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

  • A high school diploma or GED equivalent.
  • Insurance background preferred
  • 0-2 years of proven customer support experience; prior call center experience preferred
  • Strong phone contact handling skills and active listening
  • Familiarity with Microsoft Office products
  • Ability to adapt and respond to different types of people and tasks
  • Excellent communication and documentation skills
  • Ability to multi-task, prioritize, and manage time effectively and efficiently
  • Reliable transportation and the ability to be punctual and dependable
  • May have agent license but no active appointments
About Integrity

Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead.

Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind.

Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are — in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com.

Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.

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