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How much do claims service representative jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for claims service representative in the United States is $19.85, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.63 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a claims service representative?

To thrive as a Claims Service 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 associate degree. Familiarity with claims management software, CRM systems, and sometimes insurance adjuster licensing is typically required. Excellent communication, problem-solving abilities, and empathy help build trust with clients and resolve claims efficiently. These skills ensure accurate claims processing, customer satisfaction, and compliance with industry regulations.

What does a claims service representative do?

A Claims Service Representative assists customers by processing and managing insurance claims. They review claim details, gather necessary documentation, and communicate with claimants to ensure all required information is obtained. Their role involves verifying policy coverage, investigating claims, and coordinating with other departments or adjusters if needed. The goal is to resolve claims efficiently while providing excellent customer service and ensuring compliance with company policies.

What is the difference between Claims Service Representative vs Claims Adjuster?

AspectClaims Service RepresentativeClaims Adjuster
CredentialsHigh school diploma or equivalent; some roles may prefer insurance licensesHigh school diploma; state licensing or certification often required
Work EnvironmentCustomer service centers, insurance officesField or office-based, investigating claims
Job FocusAssisting policyholders, processing claims, providing informationEvaluating damages, determining claim validity, settling claims

Claims Service Representatives primarily handle customer interactions, processing claims and providing information. Claims Adjusters focus on investigating and evaluating claims to determine payouts. Both roles require insurance knowledge and customer service skills, but their responsibilities differ in scope and focus.

What are some common challenges faced by claims service representatives, and how can they be managed effectively?

Claims Service Representatives often encounter emotionally charged situations when assisting clients who have experienced losses. Managing high call volumes while maintaining empathy and accuracy can be challenging. To handle these aspects effectively, it's important to develop strong communication skills, practice active listening, and utilize time management strategies. Most teams offer regular training and support from supervisors to help representatives navigate complex claims and maintain a positive customer experience.

Is it hard to be a claims service representative?

Being a claims service representative involves handling customer inquiries, reviewing claims, and processing documentation, which requires strong communication skills and attention to detail. The job can be demanding during busy periods and may require familiarity with claims processing software and industry regulations, but it is generally considered manageable with proper training and experience.
More about Claims Service Representative jobs
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What job categories do people searching Claims Service Representative jobs look for? The top searched job categories for Claims Service Representative jobs are:
Claims Service Representative jobs near you
Infographic showing various Claims Service Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $41,287 per year, or $19.8 per hour.

Claims Svc Rep.

TPI Global (formerly Tech Providers, Inc.)

Worcester, MA • On-site

Other

Medical, Dental, Vision, Retirement

Posted 11 days ago

Job description


As a Claims Service Representative, you will play a vital role in The Hanover's success by helping our customers when they are in need. You will be the first point of contact a customer has when they experience an unexpected loss to their vehicle, home or business. In that critical moment, you represent The Hanover brand in your ability to respond with empathy so our customers can get back on the road, back in their home and/or back in business as easily as possible. Guided by your manager, you will provide general assistance to agents, insureds, and claimants, matching their needs with our services using provided scripts to assist you in serving our customers.
What's in it For You?
Career Development : Average 4-6 month temp to hire employment;robust training and development, on-the-job experiences, personalized coaching and ongoing mentorship . Must meet metrics for conversion eligibility.
Flexible Schedule: Training schedule is Monday- Friday 8: 30 AM - 5: 00 PM.
Post Training - Monday-Friday 8: 00am-4: 30pm OR 9: 00 AM - 5: 30 PM and shared responsibility of Saturday rotation from 8: 30 - 5: 00 pm (Two Saturdays per month rotation)
Two days per week in-office (Tuesday/Wednesday) before and after training.
Benefits: Yes, Randstad offers major medical insurance, dental, vision, and 401k
Responsibilities:
Respond to electronically and phone submitted claim losses and first notice of loss calls from claimants, insureds and other parties
Respond to calls on established claims in a polite, professional and empathetic manner and determine appropriate course of action
Perform rental reservation, appraisal assignments, Express Claim shops, Towing and water mitigation activities
Utilize established scripts, transcribes personal or commercial loss damage, or injury information into the company s network generating an electronic claim file
Applies basic communication skills to interpret caller s inquiries and offers available options
Utilizes established workflows to initiate claim activities as required
Recognizes coverages, claim processing requirements and related claims systems
Learns to identify claims and takes appropriate actions
Contacts vendor to establish language services for language interpretation and translation
Skills and Experience:
Associate s degree or working towards your associate s degree is strongly preferred
Typically 1 -3 years of experience in the service, financial or hospitality industry preferred
Six months to one year of call center and/or office experience required
Troubleshooting experience desired
Self-starter
Has an energetic, positive and professional attitude
Proficiency in using and toggling between multiple computer applications, dual screens, and MS Office Suite products (Word/Excel, Outlook, SharePoint, Teams);Independent use of provided resources
Excellent written and verbal communication skills
Seeks to collaborate and promotes inclusion and respect
Dedicated to meeting the expectations and requirements of internal and external customers
Understands the importance of teamwork and developing and maintaining cooperative relationships
Exhibits service behaviors that include empathy and patience when communicating with customers. Ability to deal with conflict effectively
Disciplined to follow scripts, while showing initiative to seek additional information as needed Demonstrates attention to detail
Agile and adapts to new, different, or changing situations, requirements, or priorities
Shares knowledge, skills, and expertise with others;collaborates with others
Ability to meet and/or exceed established goals within set training timeline
Physical Demands & Work Environment:
Ability to use a personal computer, call center phone and other standard office equipment
Ability to sit and/or stand for extended periods (75%-90%)
Able to perform in a dynamic/fast paced work environment
Meet Your Recruiter
Mukesh Jha

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