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Claims Representative Jobs in Arizona (NOW HIRING)

Hiscox

Portfolio Claims Handler

Scottsdale, AZ

The Temporary Contract Complex Claims Specialist-Professional Liability is an individual contributor engaged for a defined assignment to provide interim claims-handling support across multiple ...

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All JobsClaims Representative JobsClaims Representative Jobs in Arizona

Claims Representative information

See Arizona salary details

$10

$22

$39

How much do claims representative jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for claims representative in Arizona is $22.48, according to ZipRecruiter salary data. Most workers in this role earn between $17.02 and $25.53 per hour, depending on experience, location, and employer.

What is a claims representative?

Claims representatives typically work for insurance companies. They investigate claims made by policyholders to corroborate the accuracy of the filing and determine payouts and reimbursements. As a claims representative, you interview customers and process all paperwork related to the claims. Claims representatives work in all types of insurance industries, including life, property, auto, and workers compensation.

What does a claims representative do?

A Claims Representative is responsible for managing insurance claims from start to finish. They review claim applications, investigate the circumstances of each claim, communicate with policyholders and witnesses, and determine the validity and amount of each claim. Their goal is to ensure fair and timely settlements in accordance with policy terms and regulations. They often work for insurance companies, government agencies, or third-party administrators.

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

To thrive as a Claims Representative, you need strong analytical skills, attention to detail, and a background in insurance or a related field, often supported by a high school diploma or higher education. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, empathy, and problem-solving abilities help a Claims Representative provide effective customer service and resolve disputes. These skills ensure accurate claim processing, customer satisfaction, and compliance with industry standards.

How do claims representatives typically handle challenging or complex claims cases?

Claims Representatives often encounter cases that require thorough investigation and careful judgment. When handling complex claims, they collaborate closely with policyholders, adjusters, legal teams, and sometimes external experts to gather all necessary information and documentation. Clear communication, strong organizational skills, and attention to detail are essential for ensuring claims are processed accurately and fairly. Many companies also provide ongoing training and mentorship to help Claims Representatives navigate difficult cases and stay updated on industry regulations.

What is the difference between Claims Representative vs Claims Adjuster?

AspectClaims RepresentativeClaims Adjuster
CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; often requires state licensing or certifications
Work EnvironmentOffice settings, customer service interactions, claims processingField work, inspecting damages, interviewing claimants and witnesses
Industry UsageInsurance companies, government agenciesInsurance companies, third-party administrators
Common Search/ComparisonClaims Representative vs Claims Adjuster

Claims Representatives primarily handle customer interactions and process claims within an office environment, focusing on policy details and customer service. Claims Adjusters often conduct field inspections, assess damages, and determine claim payouts. While both roles require insurance knowledge and sometimes licensing, Claims Adjusters typically perform more investigative work, whereas Claims Representatives focus on customer communication and claim processing.

Do you need a degree to be a claims representative?

A claims representative typically does not need a college degree, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills such as communication, attention to detail, and knowledge of insurance policies are important, and some roles may require industry certifications or training programs.

Is insurance claims a stressful job?

Claims representatives often handle complex cases and work under deadlines, which can lead to stress. The job requires strong communication skills and attention to detail, and workload fluctuations may also contribute to stress levels.
More about Claims Representative jobs

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

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

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

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

What job categories do people searching Claims Representative jobs in Arizona look for?

The top searched job categories for Claims Representative jobs in Arizona are:

What cities in Arizona are hiring for Claims Representative jobs?

Cities in Arizona with the most Claims Representative job openings:

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

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

Claims Representative jobs near you
Infographic showing various Claims Representative job openings in Arizona as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 12% Part Time, 2% Temporary, and 2% Contract. Highlights an 65% Physical, 1% Hybrid, and 34% Remote job distribution, with an average salary of $46,762 per year, or $22.5 per hour.

Pharmacy Claims Representative (remote)

StateServ Medical

Mesa, AZ • Remote

$22/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 6 days ago

Job description

Schedule: Monday - Friday, 2:30PM - 11:00PM EST & every 4th weekend rotation

Compensation: $22.00/HR + 12% shift differential applied to all hours worked after 6:00PM on weekdays and 5% shift differential applied to all weekend hours worked

Dragonfly Health - A great place to land 

Dragonfly Health is the leading care-at-home data, technology and service platform, and the industry’s first scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history, Dragonfly Health uses advanced technology and robust analytics to manage DME and pharmaceutical services as part of a single, efficient solution for caregivers, patients, and their families. We serve over 145,000 patients every day in all 50 states.

Here, you are an integral part of a team that is transforming the future of hospice and post-acute healthcare. This is where innovation, collaboration and compassion thrive, allowing us to carry out our work at the highest level to serve our patients at a time in their life when they need us most.

We offer a dynamic and inclusive workplace where you'll have the unique opportunity to shape the future of healthcare alongside a passionate and talented team. We believe in empowering our employees to grow both personally and professionally, providing ample opportunities for career advancement, continuous learning, and skill development.

Dragonfly Health is our name for a reason.

The dragonfly is symbolic of the transformational impact we’re making on the industry, our people, and the lives we touch. We are a guiding force for what’s ahead, delivering more than equipment and medications, but also comfort and peace of mind. We are agile and adaptable, able to quickly and easily pivot from one point to the next, ready for whatever situation or patient need that arises. 

Whatever it takes. Wherever it takes us. What we offer
  • Competitive Pay starting at $22.00 per hour + shift differentials applied during evenings (after 6:00PM and all weekend hours)
  • Comprehensive Benefits Package (Health, Dental, Vision, PTO, Sick Time, 401k w/match, etc.) 
  • Growth Opportunity and Career Advancement
  • Agile and Adaptable team culture
  • Innovative and revolutionary technology solutions
  • A higher calling to provide quality patient care

See how Dragonfly Health is transforming the world of hospice and post-acute care.

What you will do
  • In a remote call center environment, you will review, analyze, and process pharmacy claims with accuracy, timeliness, and adherence to company and regulatory standards.
  • Identify discrepancies, investigate claim issues, and determine appropriate resolutions.
  • Communicate effectively with pharmacies, providers, and internal teams to clarify information and resolve errors.
  • Support audits and quality reviews by maintaining detailed, accurate claim documentation.
  • Identify trends and share insights that can improve claim accuracy and efficiency.
  • Uphold confidentiality and compliance with HIPAA and corporate policy standards.
What we look for
  • 1–2 years of pharmacy claims or healthcare operations experience.
  • Working knowledge of pharmacy billing procedures, insurance verification, and third-party payer systems.
  • Strong analytical, organizational, and data-entry skills.
  • Proficiency in claims processing platforms and Microsoft Office tools.
  •  Ability to communicate professionally with providers and team members.
  • High attention to detail and a commitment to getting it right the first time.
Why Pharmacy Claims Representatives are important

Each claim you touch impacts a patient’s access to care. By ensuring claims are processed correctly and efficiently, you help protect both patient satisfaction and business integrity. Your accuracy and dedication directly support our mission to deliver exceptional patient care and strengthen trust with every transaction.

Let's soar together 

Apply