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Claims Representative Jobs in Utah (NOW HIRING)

CR England

Liability Claims Adjuster

Salt Lake City, UT · On-site

$65K/yr

Liability Claims Adjuster Pay: $ 60,000+ Location: Corporate Office, SLC UT Schedule: M- F 7AM - 4PM; 8AM - 5PM Position Overview The Liability Claims Adjuster reviews assigned claims, conducts ...

Wcf-Insurance

$89 - $111/hr

Position OverviewThe Workers' Compensation Claims Department has an immediate opening for a Claims Supervisor to lead and develop a team of adjusters while supporting quality claim handling ...

New

Awac

Sr. Claims Analyst - Cyber Claims

Farmington, UT · On-site

Represent Company in the resolution of claims and participate in legal proceedings, including mediations. * Manage response for cyber incidents, which includes verifying coverage, assigning breach ...

Awac

VP, North American Claims Group

Farmington, UT

Represent the Company in the resolution of matters and participate in legal proceedings, including ... Regularly report claim developments and trends to claims and underwriting management. Provide ...

HUB

Personal Effects Claims Specialist

Salt Lake City, UT · On-site

$70K - $75K/yr

Our Personal Effects claims team plays a critical role in delivering compassionate, accurate, and efficient resolutions for customers during stressful transitions. Summary of the Role: The Personal ...

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Claims Representative information

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$10

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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:

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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 Specialist

Planstin Administration

Saint George, UT • On-site

$23 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Job description

Advance Your Career at Planstin
Located in Southern Utah, Planstin is at the forefront of benefits administration and business services. We simplify health insurance for employers and individuals, emphasizing cost-effectiveness and excellent service in a complex market. As our company grows, we're looking for talented individuals eager to progress in their careers.
About the role
We're looking for a detail-oriented Claims Specialist to join our team. This role is a great fit for someone who understands healthcare claims, enjoys solving problems, and takes pride in helping members and healthcare providers navigate the claims and reimbursement process.
As a Claims Specialist, you'll review and process medical, dental, and vision claims while helping ensure claims are handled accurately and reimbursements are completed in a timely manner. You'll work closely with members, healthcare providers, and internal teams to research claim issues, resolve discrepancies, and provide clear information about claim and reimbursement requirements.
What you'll do
  • Review and process medical, vision, and dental claims.
  • Maintain a clear understanding of all current plans and their benefit features.
  • Maintain required productivity and quality standards.
  • Identify process improvement opportunities.
  • Send and track medical record requests.
  • Communicate with healthcare providers and members around claim and reimbursement status and requirements.
  • Maintain accurate records of claims and reimbursements.
  • Identify and correct discrepancies in claims.
  • Send and track provider refund requests.
  • Ensure timely reimbursement for services.
  • Monitor claim status and follow up on outstanding claims.
  • Serve as a backup for clerk tasks during employee absences.
  • Answer questions and provide resources to different team members.
  • Other duties as assigned.

Qualifications
  • Experience in claims and/or billing
  • Understanding of medical terminology
  • Basic knowledge of healthcare concepts including network status, reference base pricing / UCR, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, and plan variations
  • ICD-10, CPT, HCPCS, CDT knowledge
  • Basic understanding of coordination of benefits
  • Excellent communication skills
  • Must be a team player yet able to work independently
  • Attention to detail
  • Ability to multi-task and prioritize
  • Knowledge of appeal and subrogation is preferred

Planstin's Employee Benefits:
  • 12 paid holidays plus 3 weeks of paid time off to balance work and life.
  • Comprehensive insurance coverage including health, dental, vision, and accident plans tailored for your well-being.
  • Free membership for you and your dependents to Primestin Care Clinic.
  • Invest in your future with a 401k plan backed by a solid 4% match from us.
  • Free snacks and regular lunches available onsite.

The pay range for this role is:
23 - 25 USD per hour (STG)
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About Planstin

Sourced by ZipRecruiter

Industry

Business management consulting

Company size

51 - 200 Employees

Headquarters location

Saint George, UT, US

Year founded

2016

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