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Claims Support Representative Jobs (NOW HIRING)

ICW Group

Claims Support Representative

San Diego, CA · On-site

Provides backup assistance to claims support teams. Performs responsibilities required in branch offices as needed. * Provides front desk reception and associated administrative responsibilities.

Wellcove

Claims - Support Representative, Claims

Claims Support Associate This position is responsible for the administrative support duties of most levels of claims in accordance with policy, company, state, and federal guidelines. This position ...

RendER Revenue

Claims Support, Part-Time

Muncie, IN

Claims Support representatives work under the direct supervision of the Operations Manager. RESPONSIBILITIES: * Setting up new claims with insurance carriers. * Obtaining file supports from client ...

RendER Revenue

Claims Support, Part-Time

Muncie, IN · On-site

Claims Support representatives work under the direct supervision of the Operations Manager. RESPONSIBILITIES: * Setting up new claims with insurance carriers. * Obtaining file supports from client ...

EnableComp

Client Support Representative

Franklin, TN · On-site

$16.25 - $21.50/hr

Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert ... The Client Support Representative partners with the Client Delivery team to communicate operational ...

EnableComp

Client Support Representative

Franklin, TN · On-site

$16.25 - $21.50/hr

Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert ... The Client Support Representative partners with the Client Delivery team to communicate operational ...

EnableComp

OR · On-site

$16.50 - $21.75/hr

Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert ... The Client Support Representative partners with the Client Delivery team to communicate operational ...

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Claims Support Representative information

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How much do claims support representative jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for claims support 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 does a claims support representative do?

A Claims Support Representative assists insurance companies by processing and managing claims documentation, communicating with clients, and supporting claims adjusters and examiners. They help ensure all paperwork is accurate and complete, answer questions from policyholders, and may coordinate with other departments to resolve claims. Their role is essential in providing excellent customer service and ensuring claims are handled efficiently and fairly.

What is the difference between Claims Support Representative vs Claims Processor?

AspectClaims Support RepresentativeClaims Processor
CredentialsHigh school diploma; some roles may require insurance certificationsHigh school diploma; often requires insurance or claims processing certifications
Work EnvironmentOffice setting, customer service focusOffice setting, detailed data review
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, claims departments
Common Search & ComparisonYesYes

Claims Support Representatives assist policyholders with inquiries, provide claim status updates, and support claims processing. Claims Processors focus on reviewing, verifying, and processing claim documentation to ensure accuracy and compliance. While both roles work within the insurance industry and may require similar certifications, Claims Support Representatives are more customer service-oriented, whereas Claims Processors handle the technical aspects of claim evaluation.

What are the key skills and qualifications needed to thrive as a claims support representative, and why are they important?

To thrive as a Claims Support Representative, you generally need strong organizational skills, attention to detail, and a high school diploma or equivalent. Familiarity with claims management software, data entry systems, and basic office applications is typically required. Excellent communication, problem-solving abilities, and customer service orientation are standout soft skills in this role. These skills are crucial for efficiently processing claims, ensuring accuracy, and providing a positive experience for clients and colleagues.

What are the most common challenges claims support representatives face in handling multiple cases simultaneously?

Claims Support Representatives often manage a high volume of cases, each at different stages of the claims process. One common challenge is prioritizing tasks effectively while meeting tight deadlines and ensuring accuracy. Additionally, they must communicate clearly with claimants, adjusters, and other stakeholders, often handling sensitive or distressed customers. Successful representatives develop strong organizational and multitasking skills and rely on robust support systems within their team to manage these demands efficiently.
More about Claims Support Representative jobs
What job categories do people searching Claims Support Representative jobs look for? The top searched job categories for Claims Support Representative jobs are:
Claims Support Representative jobs near you
Infographic showing various Claims Support Representative job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 70% Full Time, 24% Part Time, 1% Temporary, and 4% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.

Claims - Support Representative, Claims

Wellcove

Pensacola, FL • On-site

Full-time

PTO

Posted 9 days ago

Job description

Who We Are
Wellcove has been recognized as the nation's leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don't stop there. Wellcove also addresses challenges faced in accident & health, disability, and supplemental health insurance programs.
Our team provides individuals and their families with peace of mind knowing their insurance needs will be met in a thoughtful, efficient manner. We are able to do this because of our dedicated associates, innovative solutions, and state-of-the-art technology.
Job Title
Claims Support Associate
Department
Claims / Operation
Client/Function
Prudential
Reports to
Claims Manager / Billy Pribble
FSLA Status
Non-exempt
PTO Tier
1
Management
No
EEO Job Category
Administrative support workers
Job Summary
This position is responsible for the administrative support duties of most levels of claims in accordance with policy, company, state, and federal guidelines. This position is for Long Term Care Insurance Plans administered by Prudential.
Supervisory Responsibilities:
This job has no supervisory responsibilities.
Duties/Responsibilities:
  • Interact professionally with other business units to gather and analyze data needed to properly adjudicate claims and documentation of claims files.
  • Review requests involving Power of Attorney, Guardianship and Authorizations to Release Information.
  • Assist the Claims team in requesting medical documentation to adequately adjudicate long-term care eligibility. Reviewing the documents received to determine if complete and accurate.
  • Assist Claims Management with assigning work activities to associates within our workflow.
  • Respond professionally and timely to customer inquiries.
  • Ensure service calls are made in a timely, efficient and knowledgeable manner.
  • Follow up on any outstanding documentation with additional correspondence, reviewing fax failures, and reviewing any returned mail.
  • Contact providers and customers to obtain accurate contact information.
  • Maintain current knowledge of federal, state, and insurance regulations and requirements.
  • Maintain working knowledge of all company and services pertaining to business segment.
  • Maintain working knowledge and proficiency in company claims and administrative software systems as well as Microsoft applications.
  • Maintain client and company quality and production standards.
  • Maintain knowledge of applicable company policies and procedures
  • Operate within company regulations regarding HIPAA, fraud, confidentiality, and private health information.
  • Other duties may be assigned

Required Skills/Abilities:
To perform this job successfully, the individual must be able to perform each essential duty effectively. The individual must possess advance product knowledge, comprehensive understanding of insurance terminology and definitions, core knowledge of company and department processes and procedures related to the ability to complete job responsibilities /duties in a proficient and professional manner.
Ability to read, analyze, and interpret complex documents; ability to respond effectively to the most sensitive inquiries or complaints; ability to write policies and procedures; ability to make effective presentations; ability to exhibit excellent verbal and written communication skills
Customer Service; Work Standards; Decision-Making; Communication; Interpersonal Skills; Integrity/Honesty and Adaptability/Flexibility
Must have the ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals; Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form; Ability to deal with problems involving several concrete variables in standardized situations.
Education and Experience:
High School diploma required and previous experience in the Long-Term Care insurance industry and/or administrative preferred but not required.
Physical Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus.
At Wellcove, we strive to create an inclusive culture for all. We understand the importance of listening and incorporating various perspectives at every level of service. Our company does not discriminate based on gender identity, race, sexual orientation, age, religion, or disability.

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