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How much do claims representative associate jobs pay per hour?

As of May 29, 2026, the average hourly pay for claims representative associate in the United States is $20.99, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $23.08 per hour, depending on experience, location, and employer.

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

To thrive as a Claims Representative Associate, you need strong analytical skills, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or relevant work experience. Familiarity with claims management software, customer relationship management (CRM) systems, and basic office tools is essential. Excellent communication, problem-solving, and customer service skills help you effectively handle inquiries and resolve disputes. These skills ensure accurate claim processing, customer satisfaction, and efficient operations within the insurance industry.

What are some common challenges Claims Representative Associates face when handling claims?

Claims Representative Associates often encounter challenges such as managing high caseloads, navigating complex policy details, and addressing discrepancies in documentation. Balancing efficiency with attention to detail is crucial, as errors can impact claim outcomes and customer satisfaction. Additionally, collaborating with policyholders, providers, and internal teams to resolve issues and provide clear communication requires strong interpersonal skills and resilience, especially when dealing with sensitive or disputed claims.

What is a Claims Representative Associate?

A Claims Representative Associate is an entry-level professional who processes and evaluates insurance claims. They review claim details, verify policy coverage, gather necessary documents, and communicate with policyholders and other parties to resolve claims efficiently. Their role is essential in ensuring timely and accurate claims processing, often working under the supervision of more experienced claims professionals. Typical employers include insurance companies, healthcare organizations, and third-party administrators.

What is the role of a claims associate?

A claims associate is responsible for reviewing, investigating, and processing insurance claims to determine coverage and appropriate payouts. They communicate with claimants, gather necessary documentation, and use claims management software to ensure accurate and timely resolution of claims.

What is the difference between Claims Representative Associate vs Claims Adjuster?

AspectClaims Representative AssociateClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance licensesHigh school diploma; state licensing often required
Work EnvironmentOffice setting, customer service interactions, administrative tasksField or office, investigating claims, inspecting damages
Employer & Industry UsageInsurance companies, government agenciesInsurance companies, third-party administrators
Common Search & ComparisonClaims Representative Associate vs Claims Adjuster

The Claims Representative Associate typically handles customer inquiries, processes claims, and provides administrative support within insurance companies. In contrast, Claims Adjusters investigate claims, inspect damages, and determine claim validity. While both roles require similar credentials and work in the insurance industry, Claims Adjusters often have more technical responsibilities and fieldwork. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

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What cities are hiring for Claims Representative Associate jobs? Cities with the most Claims Representative Associate job openings:
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What states have the most Claims Representative Associate jobs? States with the most job openings for Claims Representative Associate jobs include:
What job categories do people searching Claims Representative Associate jobs look for? The top searched job categories for Claims Representative Associate jobs are:
Claims Representative Associate jobs near you
Infographic showing various Claims Representative Associate job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 80% Full Time, 18% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $43,653 per year, or $21 per hour.
Workers' Compensation Claims Representative

Workers' Compensation Claims Representative

Claims Administrative Services, Inc.

Tyler, TX • Remote

Full-time

Medical

Posted 7 days ago

Job description

About Us

Claims Administrative Services, Inc (CAS) has served as a third-party administrator handling workers' compensation and property and casualty claims for a wide array of clients since 1990. In addition to our claims experience, CAS offers safety and loss control, cost containment services, and program administration. Every day our experienced professionals are on the job, reducing the frequency and severity of workplace injuries, managing associated claims costs, and helping injured employees return to work. Our personalized customer service combined with dedicated experience, innovation, and cost efficiency, assists our clients in reducing costs and protecting their employees.

Structure and Ownership

Heartland Security Insurance Group is the holding company for Claims Administrative Services, Inc. Heartland is comprised of seven different insurance and risk management businesses, providing products and services globally. Each of the companies offer solutions to distinct client groups in the federal, state and private sectors. The organization has been under continuous private family ownership for 50 years. Today, it has over 60 stockholders as well as ESOP ownership. In addition to providing an important retirement benefit to associates, the Employee Stock Ownership Plan (ESOP) assures that everyone in the organization has a vested interest in providing the very highest level of service to the client.

Commitment to the Community

Claims Administrative Services, Inc., and the parent organization, Heartland Security Insurance Group, have a long history of philanthropy to the local, national, and international communities.

  • MUST RESIDE IN TEXAS

    • Workers' Compensation Claims Representative

    Primary Responsibility

    The Claims Representative will manage an assigned caseload of medical only and lost time Workers’ Compensation claims from the first report of injury to resolution according to the applicable law. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. The Claims Representative will adjudicate medical only and lost time Workers' Compensation files according to applicable law.

    Essential Functions & Responsibilities

    Manage assigned caseload of workers’ compensation claims.

    Make decisions about compensability, set reserves and negotiate settlements.

    Interact with claimants, clients, medical providers and other third party representatives throughout the claims process.

    Timely initial contacts and investigation of new claims.

    Verify coverage.

    Take recorded statements as needed.

    Document files daily on every conversation and action taken.

    Identify and address subrogation issues.

    Start and stop indemnity benefits timely and accurately.

    Complete jurisdictional forms timely and accurately.

    Monitor ongoing medical treatment.

    Request second medical opinions as needed.

    Request surveillance appropriately.

    Work mail and diary on a daily basis.

    Client visits as required.

    Preparation and handling of hearings

    Additional Functions & Responsibilities

    Communicates directly with client.

    Prepares reports and other analytical data as requested by the management team.

    Required Qualifications

    Must hold a valid Workers’ Compensation Adjuster license.

    Must have at least 2-3 years of experience handling indemnity workers’ compensation claims.

    High school diploma.

    Ability to follow instructions, procedures and rules.

    Must have strong attention to detail.

    Must have good written and oral communication skills.

    Must be well organized and the ability to multi-task.

    Basic computer skills in MS Word, Excel and Outlook.

    Fast, accurate data entry

    Preferred Qualifications

    College degree in business or other related discipline.

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