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Claims Representative Jobs (NOW HIRING)

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 ...

Berkley

Claims Representative III

Towson, MD

$70K - $85K/yr

Claims Representative III conducts the handling of claims in the utmost of good faith in compliance with the rules, regulations and state statutes. The Claims Representative III is expected to ...

Berkley

Claims Representative III

Towson, MD

$70K - $85K/yr

Claims Representative III conducts the handling of claims in the utmost of good faith in compliance with the rules, regulations and state statutes. The Claims Representative III is expected to ...

Pinnacol Assurance

Claims Representative

Denver, CO · On-site

Serve as resource to other claims representatives as requested by the business team as well as the claims discipline as needed. * Serve on projects and committees as requested. * Continue education ...

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How much do claims representative jobs pay per hour?

As of Jul 19, 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.

What jobs make $3,000 a day?

Claims representatives typically do not earn $3,000 a day; such high daily earnings are more common in executive roles, specialized surgeons, or high-level financial traders. Most claims reps earn salaries or hourly wages, with top earners reaching high six-figure annual incomes, but daily earnings of this magnitude are rare in this field.

What kind of claims adjuster makes the most money?

In the claims adjusting field, specialized roles such as catastrophe or large-loss claims adjusters tend to earn higher salaries due to the complexity and scale of claims they handle. These adjusters often require advanced knowledge, certifications, and experience, and may work in high-stakes environments like natural disaster sites or large commercial claims.

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.

How to get a job as a claims adjuster with no experience?

To become a claims representative with no experience, candidates should focus on developing strong communication, customer service, and problem-solving skills. Entry-level positions often require a high school diploma or equivalent, and obtaining relevant certifications such as the Property and Casualty (P&C) license can improve job prospects; some employers offer on-the-job training for new hires.

How much does a claims adjuster make?

The average annual salary for a claims adjuster in Florida is approximately $60,000, but it can range from around $45,000 to over $80,000 depending on experience, certifications, and the employer. Adjusters with specialized skills or in senior roles tend to earn higher salaries, and some work overtime or on-call hours. Certification through the State of Florida or industry organizations can also impact earning potential.

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, 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.

Is a claims job a good career?

A claims representative role offers stable employment opportunities in insurance and related industries, often requiring strong communication and analytical skills. It can provide career advancement, certifications, and experience in customer service and risk assessment, making it a viable long-term career option for many individuals.
More about Claims Representative jobs
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What are popular job titles related to Claims Representative jobs? For Claims Representative jobs, the most frequently searched job titles are:
Claims Representative jobs near you
Infographic showing various Claims Representative job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.
Claims Representative II

Claims Representative II

Society Insurance

North Fond Du Lac, WI • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

Job description

Job Information
Job Title
Claims Representative II- General Liability (Bodily Injury focused)
Home Department:
Claims
Employment Status:
Exempt; Full-time
Schedule:
40 hours/week with Flexible Scheduling Opportunities
Position Location:
Home Office, Telecommuting, and Remote Opportunities in:
CO, GA, IL, IN, IA, MN, TN, TX, & WI
This position offers flexible remote/hybrid work scheduling and we are targeting candidates who are located within the 9 states which Society conducts business in. Visit us at https://societyinsurance.com/ to learn more.
Overview
Protecting our policyholders' dreams, passions, and livelihoods has a direct impact on the communities we serve. We work towards excellence, conduct ourselves with high integrity, and take our work seriously, but not ourselves. Small Details. Big Difference. Find out how you can make a difference with a career at Society.
Society Insurance is seeking a Claims Representative II who excels at managing moderate-to-complex bodily injury and general liability claims. This role focuses on investigating losses, determining liability, and negotiating out-of-court settlements for mildly complex general liability claims. Successful candidates will have experience handling represented bodily injury claims, with a strong emphasis on Commercial General Liability (CGL) and premises liability exposures, along with the judgment and negotiation skills needed to navigate matters that advance into litigation.
About the Role
  • Settles mildly complex claims by determining insurance carrier's liability and reaches agreement with claimant according to policy provisions and authority level.
  • May be involved with litigation by analyzing negotiated settlement options; evaluating evidence, and overseeing attorney in the handling of discovery and settlement.
  • Handles mediations, arbitrations, subrogation, and recorded settlement agreements.
  • Determines coverage through investigations by examining claim forms, policies, and other records; interviewing claimants, insureds, and witnesses; consulting police and hospital records; inspecting damages; and consulting with experts when appropriate.
  • Mentors and trains claims representatives in claims expertise by assisting in identifying training needs and opportunities.
  • Resolves questionable claims by investigating the claim and comparing claims information with evidence.
  • Ensures proper file documentation of assigned files by complying with company and state requirements.
  • Prepares reports by collecting, analyzing, and summarizing claim information.
  • Contributes to team effort (as needed) by participating on catastrophe teams; participating in determining department investigation guidelines; providing feedback to underwriting as needed.
About You
  • You enjoy communicating and building relationships with others.
  • You are composed, cool under pressure, and can negotiate without damaging relationships.
  • You hold yourself accountable and act in accordance with rules and regulations.
  • You enjoy analyzing, investigating, and using the facts to make decisions.
  • You are naturally curious and have a desire to know more.
What it Will Take
  • Bachelor's Degree and 3+ years of claims handling experience OR 5+ years of claims handling experience.
  • Proficiency in general liability claims demonstrated through knowledge and experience in insurance policies and coverage, claim payment procedures, insurance regulations, and legal terminology.
  • Ability to obtain and maintain proper licensing prior to handling a state that requires it.
  • Professional insurance designations highly desirable.
  • Litigation experience highly desirable.
  • Experience using Guidewire Claims System highly desirable.
What Society Can Offer
  • Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and vision insurance
  • Retirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing Plan
  • Work-Life Balance: Company-paid holidays; flexible scheduling; PTO; telecommuting options
  • Education: Career Coaching; company-paid courses; student loan and tuition reimbursement
  • Community: Charitable Match; paid volunteer time; team sponsorships
  • Wellness: Employee Assistance Program; wellness initiatives/rewards; health coaching; and more

Society Insurance prohibits discrimination and harassment of any type against applicants and employees on the basis of race, color, religion, sex, national origin, age, handicap, disability, genetics, veteran status or military service, marital status or sexual orientation, gender identity or expression, or any other characteristic or status protected by federal, state or local laws. Society Insurance also provides reasonable accommodations to qualified individuals with disabilities in accordance with the requirements of the Americans with Disabilities Act and applicable state and local laws. Society Insurance is a drug-free workplace.

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