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Claims Representative Associate Jobs in Washington

Claims Specialist-WC

Fairfax, VA · On-site

$16.10 - $29.44/hr

... Associate in Claim designation, etc). * Demonstrates a thorough working knowledge of claim ... Competitive base pay - The Pay Range/Salary represents the anticipated low and high pay that may be ...

Showing results 21-40

Claims Representative Associate information

See Washington salary details

$15

$23

$34

How much do claims representative associate jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for claims representative associate in Washington is $23.77, according to ZipRecruiter salary data. Most workers in this role earn between $19.33 and $26.15 per hour, depending on experience, location, and employer.

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

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 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.

How much do claims representative associates make in the US?

Claims representative associates in the US typically earn an average annual salary of around $45,000 to $55,000, depending on experience, location, and employer. Entry-level positions may start lower, while experienced claims reps with specialized skills can earn higher wages and bonuses.

What do claims representative associates do?

Claims representative associates evaluate insurance claims by reviewing reports, documentation, and policy details to determine coverage and liability. They communicate with claimants, investigate claims, and process payments or denials, often using claims management software. Strong attention to detail and knowledge of insurance policies are essential for this role.

What are the most commonly searched types of Claims Representative jobs in Washington?

The most popular types of Claims Representative jobs in Washington are:

What are popular job titles related to Claims Representative Associate jobs in Washington?

For Claims Representative Associate jobs in Washington, the most frequently searched job titles are:

Infographic showing various Claims Representative Associate job openings in Washington as of July 2026, with employment types broken down into 1% As Needed, 71% Full Time, 25% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $49,442 per year, or $23.8 per hour.

Lead Charges and Claims Specialist (Chesapeake Specialty Care)

University of Maryland Faculty Physicians, Inc.

Annapolis, MD • On-site

$21.25 - $31.92/hr

Full-time

Posted 3 days ago

New


Job description

The Lead Charges and Claims Specialist serves as the subject matter expert and team lead for the Charges and Claims function. This position is responsible for overseeing daily charge and claim activities, ensuring the timely and accurate submission of claims, resolving complex billing issues, monitoring team performance, and providing training and support to Charges and Claims Specialists. The Lead works closely with providers, practice staff, and insurance carriers to optimize reimbursement, improve claim quality, and maintain compliance with regulatory and payer requirements
Essential Functions
  • The Lead Charges and Claims Specialist serves as the subject matter expert and team lead for the Charges and Claims function. This position is responsible for overseeing daily charge and claim activities, ensuring the timely and accurate submission of claims, resolving complex billing issues, monitoring team performance, and providing training and support to Charges and Claims Specialists. The Lead works closely with providers, practice staff, and insurance carriers to optimize reimbursement, improve claim quality, and maintain compliance with regulatory and payer requirements.
  • Maintain current knowledge of payer requirements, reimbursement policies, and regulatory updates.
  • Identify trends impacting claims performance and recommend corrective actions.
  • Develop and implement process improvements to enhance efficiency and reduce claim errors.
  • Escalate significant billing or reimbursement concerns to the RCM Director.
  • Assist with reporting, auditing, and special projects as assigned.
  • Ensure all claims are submitted in accordance with payer guidelines and organizational standards.
  • Participate in revenue cycle meetings and process improvement initiatives.
  • Support departmental goals related to cash flow, claim acceptance, and reimbursement performance.
  • Identify and resolve billing complaints and answer questions from staff, patients, and insurance companies.

Education and/or experience
  • High school diploma or equivalent required; Associate degree in Healthcare Administration, Business, or related field preferred.
  • Minimum of 4-5 years of medical billing and claims experience.
  • Minimum of 1-2 years of leadership, supervisory, mentoring, or team lead experience preferred.
  • Strong knowledge of medical insurance plans including commercial, Medicare, Medicaid, and Tricare.
  • Advanced understanding of claim submission, denial management, reimbursement methodologies, and payer policies.
  • Familiarity with medical terminology and CPT, HCPCS, and ICD-10 coding.
  • Experience with practice management systems, clearinghouses, and EHR platforms.
  • Strong analytical and problem-solving abilities.
  • Excellent communication, customer service, and leadership skills.
  • Familiarity with Microsoft Office applications, including Word, Excel, and Outlook.
  • Strong written and verbal communication skills, including the ability to confidently communicate with patients, providers, insurance representatives, and staff.
  • Excellent organizational skills with the ability to manage multiple priorities and deadlines.
  • Demonstrated ability to lead and develop a high-performing team.

Total Rewards
The referenced base salary range represents the low and high end of Chesapeake Specialty Care salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

University of Maryland Faculty Physicians logo

About University of Maryland Faculty Physicians

Sourced by ZipRecruiter

University of Maryland Faculty Physicians, Inc. is made up of more than 1,000 faculty members from the University of Maryland School of Medicine. Our providers conduct cutting-edge research and clinical trials, and offer care in more than 40 medical specialties. With offices located all across Maryland, as well as access to services from one of the nation's leading academic medical centers, patients can receive the highest-quality care and latest treatment options available, right in their neighborhood.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Baltimore, MD, US

Year founded

1983

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