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Claims Pro Jobs (NOW HIRING)

Other duties may be assigned. 1. Submits accurate and timely claims to third party payers. 2. Resolves claim edits and account errors prior to claim submission. 3. Adheres to appropriate procedures ...

Other duties may be assigned. 1. Submits accurate and timely claims to third party payers. 2. Resolves claim edits and account errors prior to claim submission. 3. Adheres to appropriate procedures ...

Other duties may be assigned. 1. Submits accurate and timely claims to third party payers. 2. Resolves claim edits and account errors prior to claim submission. 3. Adheres to appropriate procedures ...

Pro-actively manages the case resolution process. Actively participates in mediations and arbitrations, within limit of settlement authority. Participates in the claims audit process. Provides claims ...

... Pro-actively manages the case resolution process. • Actively participates in mediations and arbitrations, within limit of settlement authority. Participates in the claims audit process. • ...

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Claims Pro information

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$30.5K

$64.6K

$90K

How much do claims pro jobs pay per year?

As of Jun 8, 2026, the average yearly pay for claims pro in the United States is $64,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $75,500.00 per year, depending on experience, location, and employer.

What are some common challenges a Claims Pro might face when handling complex insurance claims, and how can they overcome them?

Claims Pros often encounter complex cases that require in-depth investigation, negotiation with multiple parties, and balancing company policies with customer satisfaction. Challenges include managing tight deadlines, interpreting detailed policy language, and resolving disputes. To overcome these, strong organizational skills, continuous learning about regulatory updates, and effective communication with both clients and internal teams are essential. Collaborating closely with adjusters, legal teams, and underwriters can also help ensure thorough and fair claim resolutions.

What is the difference between Claims Pro vs Claims Adjuster?

AspectClaims ProClaims Adjuster
CertificationsOften requires industry-specific licenses or certificationsTypically requires state licensing and adjuster certifications
Work EnvironmentOffice-based, claims processing centers, or remote workFieldwork, inspecting damages on-site or in the field
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusting firms, independent agencies
Job FocusReviewing and processing claims, data entry, customer communicationInvestigating damages, assessing claims, negotiating settlements

Claims Pro roles primarily focus on processing and managing insurance claims within office settings, often requiring specific certifications. Claims Adjusters typically perform field investigations, inspecting damages firsthand and negotiating settlements. Both roles are essential in the insurance industry but differ in work environment and responsibilities.

What are Claims Pros?

Claims Pros are professionals who handle insurance claims on behalf of individuals or companies. They assess, investigate, and process claims to determine the validity and amount of compensation due. Claims Pros may work for insurance companies, third-party administrators, or as independent adjusters. Their responsibilities include gathering information, communicating with policyholders, and ensuring claims are settled fairly and efficiently.

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

To thrive as a Claims Professional, you need a solid understanding of insurance policies, claims processes, and investigative techniques, often supported by relevant industry certifications or a degree in business, finance, or a related field. Familiarity with claims management software and documentation systems, such as Guidewire or Xactimate, is typically required. Strong analytical thinking, negotiation, and customer service skills help you effectively resolve claims and communicate with policyholders. These competencies ensure accurate claims handling, regulatory compliance, and positive client experiences in a fast-paced environment.
What states have the most Claims Pro jobs? States with the most job openings for Claims Pro jobs include:
Infographic showing various Claims Pro job openings in the United States as of May 2026, with employment types broken down into 92% Full Time, 6% Part Time, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.