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Claims Representative Jobs in Reston, VA (NOW HIRING)

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$43

How much do claims representative jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for claims representative in Reston, VA is $25.10, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $28.51 per hour, depending on experience, location, and employer.

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 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 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.

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.

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.

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 certification or training provided by the employer.
More about Claims Representative jobs

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Claims Representative jobs near you
Infographic showing various Claims Representative job openings in Reston, VA as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $52,205 per year, or $25.1 per hour.

Claims Operations Associate I

Great American Insurance Group

Washington, DC • Remote

$18.50 - $25.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Great American Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

57th of 306 rated insurance

Job description

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

Who We Are

Strategic Comp is a leading provider of workers' compensation insurance for large employers committed to protecting their workforce. As part of Great American, we combine the strength and stability of a trusted organization with more than 150 years of history with the entrepreneurial spirit of a growing business.

Through our specialized insurance expertise and field-based service model, we build lasting partnerships and deliver exceptional results for our customers. Our culture is built on collaboration, excellence, and a shared commitment to serving our customers and one another.

Position Overview

The Claims Operations Associate I is an entry-level support role responsible for assisting with the setup, processing, and administration of workers' compensation claims. This position serves as a key member of the Claims Operations team, helping to ensure claims are accurately established, information is properly documented, and customer inquiries are addressed in a timely and professional manner. The role works closely with claims professionals and business partners while developing foundational knowledge of workers' compensation and insurance operations.

This is a remote, work-from-home position. Candidates must reside within the Pacific Time Zone and be available to work 37.5 hours a week from 8:00 a.m. to 4:30 p.m. Pacific Time, Monday through Friday.

Responsibilities

  • Respond to customer, claimant, and internal inquiries via phone, email, and voicemail in a timely and professional manner.

  • Set up and enter new claims while ensuring information is complete and accurate.

  • Review claim submissions and documentation to identify discrepancies or missing information.

  • Utilize claim management and workflow systems to track activities, manage workload, and maintain organization.

  • Verify coverage information and assist with basic claim administration tasks.

  • Process and support routine claim-related transactions in accordance with established procedures.

  • Investigate and gather information needed to resolve straightforward questions and service requests.

  • Document claim activity accurately and maintain detailed records within applicable systems.

  • Assist with creating and distributing general correspondence and claim-related communications.

  • Collaborate with claims professionals and operational partners to support efficient claim handling.

  • Escalate non-routine or complex issues to management or senior team members for resolution.

  • Maintain productivity and service standards while working in a remote environment.

  • Demonstrate professionalism, accuracy, and attention to detail in all interactions and work products.

  • Support special projects and perform additional duties as assigned.

Qualifications

  • High school diploma or equivalent required.

  • Experience in claims operations, claims processing, billing support, customer service, policy services, or a related insurance support role required.

  • Workers' compensation claims experience preferred.

  • Basic understanding of insurance concepts, terminology, and business processes.

  • Strong verbal and written communication skills with the ability to effectively interact with internal and external customers.

  • Demonstrated ability to work accurately, manage multiple priorities, and learn new systems and processes.

  • Must reside within the Pacific Time Zone, be available during standard Pacific business hours, and be self-motivated in a remote work environment.

Business Unit:

Strategic Comp


Salary Range:

$18.50 -$25.50

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

*Excludes seasonal employees and interns.

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