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Claims Representative Iii Jobs (NOW HIRING)

The Jonus Group

Senior Claims Rep - GL & Auto

Tulsa, OK · On-site

$70K - $80K/yr

Senior Claims Representative - General Liability & Auto Job Summary Seeking a highly skilled and ... Profit-sharing bonus (up to 3%) * Benefits: * Medical, dental, and vision coverage * Wellness plans

C. H. Robinson

Claims Representative

Kansas City, MO · On-site

$17.13 - $25.36/hr

Robinson is seeking a detail-oriented Claims Representative to join our team. In this role, you ... Three medical plans which include * * Prescription drug coverage * Enhanced Fertility benefits

C. H. Robinson

Claims Representative

Kansas City, MO · On-site

$17.13 - $25.36/hr

Robinson is seeking a detail-oriented Claims Representative to join our team. In this role, you ... Three medical plans which include * * Prescription drug coverage * Enhanced Fertility benefits

NCMIC

Claims Representative

Clive, IA · On-site

Experience: 3-5 years claims-handling experience, with emphasis on professional liability claims preferred. Skills: Excellent time management and ability to prioritize pending work based on urgency.

Berkley

Claims Representative

Glen Allen, VA · On-site

Obtain and maintain adjuster license(s) in assigned jurisdictions * 3 - 5 years of experience handling workers' compensation claims * Excellent written and verbal communication skills * Strong ...

Berkley

Claims Representative

Glen Allen, VA · On-site

Obtain and maintain adjuster license(s) in assigned jurisdictions Qualifications * 3 - 5 years of experience handling workers' compensation claims * Excellent written and verbal communication skills

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All JobsFinance And Insurance JobsInsurance JobsInsurance Claims Specialist JobsClaims Representative III Jobs

Claims Representative Iii information

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$11

$24

$42

How much do claims representative iii jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for claims representative iii in the United States is $24.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

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

CriteriaClaims Representative IiiClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require licensingHigh school diploma; licensing often required
Work EnvironmentOffice setting, customer service interactions, claim processingField or office, investigating claims, inspecting damages
Employer & Industry UsageInsurance companies, government agenciesInsurance companies, third-party administrators
Common Search & Comparison IntentUnderstanding role scope, responsibilities, and qualificationsDifferences in job duties, licensing, and work setting

The Claims Representative III typically handles customer interactions and processes claims within an office environment, often requiring licensing. Claims Adjusters may investigate damages in the field and also need licensing. Both roles are integral in insurance claims but differ mainly in work setting and specific responsibilities.

What cities are hiring for Claims Representative Iii jobs?

Cities with the most Claims Representative Iii job openings:

What states have the most Claims Representative Iii jobs?

States with the most job openings for Claims Representative Iii jobs include:

What are popular job titles related to Claims Representative Iii jobs?

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Claims Representative Iii jobs near you
Infographic showing various Claims Representative Iii job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 64% Physical, 1% Hybrid, and 35% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.

Claims Customer Service Representative III

Redding, CA

Partnership HealthPlan of California
Insurance Services • 501 - 1,000 employees
Learn more about Partnership HealthPlan of Californiaexternal

Full-time

Re-posted 10 days ago

Job description

Overview

Primary duty of the CSR III is to routinely process CIFs. They will be responsible to learn all CIF claim types within 18 months of accepting position.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES

- Research, resolve, and communicate outcome to providers on CIFs, claim tracers, andgeneral claim correspondence within established timeframes.- Participate in provider meetings to resolve claim issues. Along with Provider Relationsstaff, participate in quarterly provider focus group meetings and in-services.- Follow established Partnership policies and procedures, Partnership claims operating instructionmemorandums, EDS provider manual guidelines, and Title 22 regulations when resolvingclaims and claim issues. Complete claim processing accurately within establishedproduction standards.- Enter, process, and resolve claims from all Partnership CIF claim types and in any form (paper orelectronic) within established standards. This will include electronic and paper crossoverclaims, pended claims, and claims which require manual pricing.- Participate in special projects and assignments as required.- Recognize and give feedback to management on procedure changes that would result inmore efficient operations.- Record daily production statistics and related activities on appropriate reports; turn all logsand reports in to Claims Customer Service Supervisor.

SECONDARY DUTIES AND RESPONSIBILITIES

- To provide support to CSR staff when call volume requires additional personnel.- At the Supervisor's discretion and Manager's approval, a CSR III will be authorized toadjust their CIF'd claims. This authorization will be limited in scope to only those claimtypes they have demonstrated proficiency in and are consistently meeting both theirquality and production goals.

Qualifications

Education and Experience

High school diploma or equivalent. Minimum one (1) year of prior claimsprocessing experience in an automated claim environment; or equivalentcombination of education and experience.

 

Special Skills, Licenses and Certifications

Knowledge of CPT, HCPC procedure coding, and ICD-9 diagnosticcoding. Knowledge of medical terminology. Ability to access codingreference guides for accurate information. Typing speed 30 wpm andproficient use of 10-key calculator.

 

Performance Based Competencies

Effective written and oral communication skills. Ability to effectivelyexercise good judgment within scope of authority and handle sensitiveissues with tact and diplomacy. Good organization skills. Ability toaccurately complete tasks within established times.

Work Environment And Physical Demands

Ability to use a computer keyboard. More than 80% of work time is spentin front of a computer monitor. When required, ability to move, carry, orlift objects of varying size, weighing up to 5 lbs.

All HealthPlan employees are expected to:

  • Provide the highest possible level of service to clients;
  • Promote teamwork and cooperative effort among employees;
  • Maintain safe practices; and
  • Abide by the HealthPlan's policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$33.65 - $40.38

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

Employment Type: FULL_TIME

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