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Claims Representative Jobs in Utah (NOW HIRING)

Tanner Clinic

Medical Claims Assistant

Kaysville, UT · On-site

Monday - Friday Essential Job Responsibilities: * Assist Senior Rep in resolving insurance claims issues including claims that are paid incorrectly or unpaid. * Review denied claims and sort into ...

Tanner Clinic

Medical Claims Assistant

Kaysville, UT · On-site

Monday - Friday Essential Job Responsibilities: * Assist Senior Rep in resolving insurance claims issues including claims that are paid incorrectly or unpaid. * Review denied claims and sort into ...

Trucordia

Property Claims Adjuster

Provo, UT · On-site

... represent a company that people want to work for and do business with. * We COLLABORATE ... The Property Claims Adjuster assesses property damage, reviews policy coverage, gathers and ...

Awac

AVP, D&O Claims

Farmington, UT · On-site

$115K - $140K/yr

Job Summary Investigate, evaluate, and resolve claims made against the Company's insurance policies ... Base salary represents one component of Allied World's comprehensive total reward package, which ...

Ccfs

Risk Claims Manager

Salt Lake City, UT · Remote

$85K - $95K/yr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes COMPANY OVERVIEW CrossCountry Freight Solutions (CCFS) is an exceptional company with a mission to ...

Awac

AVP, D&O Claims

Farmington, UT · On-site

$115K - $140K/yr

Job Summary Investigate, evaluate, and resolve claims made against the Company's insurance policies ... Base salary represents one component of Allied World's comprehensive total reward package, which ...

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How much do claims representative jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for claims representative in Utah is $21.96, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $24.95 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 Utah?

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

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

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

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

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

What cities in Utah are hiring for Claims Representative jobs?

Cities in Utah with the most Claims Representative job openings:

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

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

Claims Representative jobs near you
Infographic showing various Claims Representative job openings in Utah as of August 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 64% Physical, 1% Hybrid, and 35% Remote job distribution, with an average salary of $45,682 per year, or $22 per hour.

Claims Representative

Red Rock Billing, LLC

South Jordan, UT • On-site

Other

Medical, Dental, Vision

Posted 4 days ago

Job description

Claims Representative

Red Rock Billing | South Jordan, Utah


Red Rock Billing is looking for a motivated, detail-oriented Claims Representative to join our growing team. The ideal candidate is organized, persistent, comfortable working with insurance payers, and enjoys researching and resolving complex billing issues.


At Red Rock Billing, we are committed to exceeding customer expectations, maintaining the highest levels of integrity, and creating an environment where employees can grow and reach their full potential.


What You’ll Do

As a Claims Representative, you will be responsible for managing and following up on insurance claims throughout the revenue cycle. You will work closely with insurance companies, internal billing teams, and clients to identify issues, resolve outstanding claims, and support timely reimbursement.


Your responsibilities will include:


  • Monitor insurance claims from initial submission through final resolution
  • Follow up on outstanding, pending, rejected, and denied claims
  • Research claim status and payment information through payer portals and by contacting insurance companies
  • Identify and resolve claim errors, including eligibility, authorization, coding, billing, and payer-related issues
  • Review payer responses, EOBs, ERAs, and other payment documentation
  • Investigate underpayments and discrepancies between billed, allowed, and paid amounts
  • Submit corrected claims and appeals when appropriate
  • Initiate and track medical record requests and other documentation required by insurance companies
  • Maintain accurate and detailed notes regarding claim activity and payer communication
  • Identify trends in denials, rejections, and delayed payments and communicate recurring issues to leadership
  • Work with internal teams to obtain information needed to resolve claims
  • Maintain consistent follow-up on assigned accounts and meet productivity and quality expectations
  • Maintain HIPAA compliance and follow all applicable company, state, and federal requirements
  • Cross-train in other areas of the revenue cycle and assist the team where needed


What We’re Looking For

  • Previous experience in medical billing, claims, revenue cycle management, or a related healthcare position preferred
  • Behavioral health billing experience is a plus
  • Strong attention to detail and accuracy
  • Excellent research and problem-solving skills
  • Comfortable communicating with insurance companies and navigating payer websites
  • Ability to understand and interpret EOBs, ERAs, claim status information, and payer correspondence
  • Strong organizational and time-management skills
  • Ability to manage a high volume of claims while maintaining accuracy
  • Strong written and verbal communication skills
  • Ability to work independently while also contributing to a team environment
  • Professionalism, reliability, and a positive attitude
  • Willingness to learn and cross-train in different areas of the revenue cycle


Why Join Red Rock Billing?

  • Growing, locally operated company
  • Collaborative and supportive team environment
  • Opportunity to develop expertise in healthcare revenue cycle management
  • Cross-training and opportunities for professional growth
  • Meaningful work supporting behavioral health providers
  • Medical, dental, and vision benefits for eligible full-time employees


Position Details

Position: Claims Representative 

Employment Type: Full-Time 

Location: South Jordan, Utah 

Compensation: Competitive hourly compensation based on experience

Red Rock Billing is an at-will employer. Employment is subject to applicable company requirements and policies.


If you are a problem-solver who enjoys digging into claims, working with insurance companies, and getting outstanding balances resolved, we would love to hear from you!

Apply