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Claims Representative Jobs (NOW HIRING)

Athene

Claims Representative

West Des Moines, IA

A Claims Representative at Athene is responsible for researching and processing claims requests while observing contractual and regulatory guidelines. The ideal candidate is dedicated to being highly ...

Proven Recruiting

Senior Claims Representative

Omaha, NE · On-site

$47K - $72K/yr

Senior P&C Claims Rep - Hybrid in Omaha, Nebraska - $47k-72k Base Local Omaha, NE candidates only! Want to join a mission-driven company with a 36-hour work week, family-oriented culture, and ...

Installs LLC

Claims Representative

Buffalo, NY

$20 - $23/hr

Join CRST as a Claims Representative and help us deliver on our promises while driving success that enables people to live and thrive. We're looking for talented individuals ready to bring this ...

Elevance Health

Claims Representative I

Baltimore, MD · On-site

$16.24 - $20.30/hr

Claims Representative I Claims Representative I (Health & Dental) Shift: Monday-Friday: 830am-5pm EST Location: Virtual - This role enables associates to work virtually full-time, except for required ...

Elevance Health

Claims Representative I

Baltimore, MD

$16.24 - $20.30/hr

Claims Representative I Claims Representative I (Health & Dental) Shift: Monday-Friday: 830am-5pm EST Location: Virtual - This role enables associates to work virtually full-time, except for required ...

Berkley

Claims Representative

Manassas, VA · Remote

Amazingly Easy." Responsibilities As a Claims Representative, you will be responsible for the investigation, evaluation, mitigation and resolution of medical only and lost time workers' compensation ...

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Claims Representative information

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$11

$24

$42

How much do claims representative jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for claims representative 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.

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 jobs pay 2000 a day?

Claims representatives typically do not earn $2,000 a day; such high daily earnings are more common in specialized roles like high-level executives, certain sales positions, or highly experienced consultants. Some professions in finance, law, or executive management can reach this level with bonuses or commissions, but these are not typical for claims representatives. Most claims roles offer salaries or hourly wages significantly below this amount.

What are the key skills and qualifications needed to thrive as a Claims Representative, and why are they important?

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.

What is a claims representative?

A claims representative is a professional who investigates, evaluates, and processes insurance claims to determine coverage and settlement amounts. They often review documentation, interview claimants, and use industry software to ensure accurate and fair claim resolution.

What job makes $10,000 a month without a degree?

Claims representatives can earn around $10,000 per month with experience and strong negotiation skills, especially in high-volume or specialized insurance sectors. Typically, these roles require excellent communication, knowledge of insurance policies, and sometimes industry certifications, but they do not always require a college degree. Income varies based on location, employer, and individual performance.

What are the duties of a claims representative?

A claims representative investigates insurance claims by reviewing policies, collecting evidence, and assessing damages. They communicate with claimants, vendors, and medical providers to determine coverage and settlement amounts, often using claims management software. The role requires attention to detail, knowledge of insurance policies, and adherence to company procedures and industry regulations.
More about Claims Representative jobs
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Claims Representative jobs near you
Claims Representative

Claims Representative

Athene

West Des Moines, IA

Full-time

Posted 18 days ago

Athene rating

7.1

Company rating: 7.1 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

Job description

We are driven to do more. More for our customers and the financial professionals who offer our products. If you are driven to do more and love the challenge of pursuing more, Athene is your kind of company. You will find we offer more than the basics to create an inclusive and dynamic work environment at our various locations.

Purpose:

A Claims Representative at Athene is responsible for researching and processing claims requests while observing contractual and regulatory guidelines. The ideal candidate is dedicated to being highly productive and is able to empathize with customers during difficult times.

Accountabilities:

  • Initiates processing of new claims, investigates and reviews pending claims, and handles outreach via calls and emails to beneficiaries regarding pending claims and outstanding requirements.

  • Recognizes potential issues with claims and refers questionable claims to Escalation-Team, Team Lead or Manager.

  • Aids in administering the company's fraud prevention plan to ensure compliance with regulatory and company requirements.

  • Prepares correspondence to policyholders and agents and takes initiative to determine solutions and efficiencies.

  • Works with agents, agency personnel, claimants, beneficiaries, physicians, medical institutions, and attorneys to provide claim information.


Qualifications and Experience:

  • 1+ years of work experience required; experience with annuities is strongly preferred.

  • Ability to navigate multiple computer systems with minimal assistance required

  • Demonstrated interpersonal skills, including effective verbal and written communications.

  • Understanding of annuity and financial services regulations preferred.

Drive. Discipline. Confidence. Focus. Commitment. Learn more about working at Athene.

Athene is a Military Friendly Employer! Learn more about how we support our Veterans.

Athene is committed to inclusion and is proud to be an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, marital status, sexual orientation, veteran status or any other status protected by federal, state or local law.

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