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Insurance Claim Representative Jobs (NOW HIRING)

CCMSI

Claim Representative, Medical Only

Danville, IL

$20.50 - $22/hr

Claim Representative, Medical Only Location : Danville, IL Schedule: In Office for training and ... Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock ...

CCMSI

Claim Representative, Medical Only

Danville, IL · On-site

$20.50 - $22/hr

Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock ... every claim represents a real person and acting accordingly This is where we shine, and we hire ...

CCMSI

Claim Representative, Medical Only

Carson City, NV · On-site

$48K - $54K/yr

Knowledge of medical terminology Prior experience in claims, insurance, or medical administrative ... every claim represents a real person and acting accordingly This is where we shine, and we hire ...

CCMSI

Claim Representative, Medical Only

Carson City, NV · On-site

$48K - $54K/yr

Medical, Dental, Vision, Life, and Disability Insurance • Retirement plans: 401(k) and Employee ... every claim represents a real person and acting accordingly This is where we shine, and we hire ...

CCMSI

Claim Representative, Medical Only

Danville, IL · On-site

$20.50 - $22/hr

Knowledge of medical terminology Prior experience in claims, insurance, or medical administrative ... every claim represents a real person and acting accordingly This is where we shine, and we hire ...

CCMSI

Multi-Line Claim Representative I

Chicago, IL · On-site +1

Multi Line Claim Representative I Location: Hybrid- Reporting to Chicago, IL Region Chicago-area ... Provide reports and monitor files, as required by excess insurers. * Compliance with Service ...

CCMSI

Multi-Line Claim Representative I

Chicago, IL · On-site +1

Multi Line Claim Representative I Location: Hybrid- Reporting to Chicago, IL Region Chicago-area ... Provide reports and monitor files, as required by excess insurers. * Compliance with Service ...

CCMSI

Multi-Line Claim Representative I

Chicago, IL · On-site

Multi Line Claim Representative I Location: Hybrid- Reporting to Chicago, IL Region Chicago-area ... Provide reports and monitor files, as required by excess insurers. * Compliance with Service ...

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Insurance Claim Representative information

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How much do insurance claim representative jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for insurance claim representative in the United States is $24.56, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $28.85 per hour, depending on experience, location, and employer.

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

To become a claims adjuster with no experience, focus on gaining relevant skills such as customer service, attention to detail, and knowledge of insurance policies. Completing a pre-licensing course and obtaining the required state license are essential steps, and entry-level positions or internships can provide valuable on-the-job training.

Is claim adjusting a dying field?

Claim adjusting remains a vital part of the insurance industry, as insurers need professionals to evaluate and settle claims. While automation and AI are increasingly used for routine tasks, skilled adjusters are still essential for complex cases and customer interactions, ensuring the field continues to evolve rather than decline.

What does an Insurance Claim Representative do?

An Insurance Claim Representative is responsible for evaluating insurance claims submitted by policyholders. They investigate the details of the claim, review documentation, and determine the validity of the claim in accordance with policy terms. Their duties often include interviewing claimants and witnesses, inspecting property damage, and negotiating settlements. The goal is to ensure fair outcomes for both the insurance company and the customer, while adhering to legal and regulatory requirements.

What kind of claims adjuster makes the most money?

In the insurance industry, specialized claims adjusters such as catastrophe or large-loss adjusters tend to earn higher salaries due to the complexity and scale of claims they handle. These roles often require advanced knowledge, certifications, and the ability to manage high-value or complex cases, which contribute to higher compensation compared to general claims adjusters.

What are the key skills and qualifications needed to thrive as an Insurance Claim Representative, and why are they important?

To thrive as an Insurance Claim Representative, you need a strong understanding of insurance policies, claims processing, and investigation, usually supported by a relevant degree or experience in the insurance industry. Familiarity with claims management systems, documentation software, and sometimes industry certifications like AINS or CPCU is important. Excellent communication, negotiation, and problem-solving skills help in effectively resolving claims and managing customer expectations. These abilities are essential to ensure accurate claim assessments, maintain customer trust, and support the financial health of the insurance provider.

What is an insurance claims representative?

An insurance claims representative is a professional who investigates and evaluates insurance claims to determine coverage and settlement amounts. They review policy details, gather evidence, and communicate with claimants, often using claims management software, to ensure accurate and fair claim processing.

How do Insurance Claim Representatives typically collaborate with other departments during the claims process?

Insurance Claim Representatives frequently work closely with underwriting, legal, and field adjuster teams to ensure thorough evaluation and resolution of claims. They often consult with underwriters to clarify policy coverage, coordinate with adjusters for on-site assessments, and partner with legal teams on complex or disputed claims. This cross-functional collaboration ensures each claim is handled efficiently and accurately, providing both customers and the company with fair outcomes. Effective communication and teamwork are essential skills for success in this role.
More about Insurance Claim Representative jobs
What cities are hiring for Insurance Claim Representative jobs? Cities with the most Insurance Claim Representative job openings:
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Insurance Claim Representative jobs near you
Infographic showing various Insurance Claim Representative job openings in the United States as of July 2026, with employment types broken down into 81% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $51,091 per year, or $24.6 per hour.
Claim Representative, Medical Only

Claim Representative, Medical Only

CCMSI

Danville, IL

$20.50 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 28 days ago

Job description

Claim Representative, Medical Only 
 
Location: Danville, IL
Schedule: In Office for training and eligible for hybrid
Salary Range: $20.50/hr-$22.00/hr
Build Your Career With Purpose at CCMSI
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.
 
Job Summary 

The Medical Only Claim Representative is responsible for claims handling of designated medical only claims and provide support to claim staff.  This position may be used as a training position for consideration of promotion to an intermediate level claim position.  Is accountable for the quality of claim services as perceived by CCMSI clients and within the corporate claim standards.


When we hire claim reps at CCMSI, we look for detail oriented professionals who understand that every task supports a real person’s claim experience, value accuracy and responsiveness, and contribute to the team’s success through organization, collaboration, and a strong commitment to service.
• Set up and manage medicalonly claim files in accordance with corporate claim standards and applicable laws 
• Establish reserves and provide reserve recommendations within authorized levels under direct supervision 
• Review and approve medical and miscellaneous invoices on designated claims; negotiate disputed bills or invoices under supervision 
• Request and monitor medical treatment in accordance with corporate claim handling standards 
• Summarize correspondence and medical records in claim system notes and file documentation appropriately 
• Close claim files when appropriate and retrieve closed files for refiling as requested 
• Provide ongoing support to claim staff on client service teams 
• Communicate with medical providers, injured workers, and internal partners; frequent phone work is required 
• Ensure compliance with corporate claim handling standards and special client handling instructions 

Required: 
 
• Associate Degree or two (2) years of related business experience 
• Customerservice oriented mindset with comfort communicating by phone 
• Strong organizational skills and ability to multitask effectively 
• Ability to work efficiently on a computer and manage detailed documentation 
• Proficiency with Microsoft Office applications including Word, Excel, and Outlook 
• Reliable, predictable attendance during assigned business hours 
Nice to Have: 
 
• Knowledge of medical terminology 
• Prior experience in claims, insurance, or medical administrative support 
• Experience supporting a single client or program environment 
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required. 
Why You’ll Love Working Here
 

4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year 

Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance 

Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) 

Career growth: Internal training and advancement opportunities 

Culture: A supportive, team-based work environment 

How We Measure Success
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: 
 
• Quality claim handling – thorough investigations, strong documentation, well-supported decisions 
• Compliance & audit performance – adherence to jurisdictional and client standards 
• Timeliness & accuracy – purposeful file movement and dependable execution 
• Client partnership – proactive communication and strong follow-through 
• Professional judgment – owning outcomes and solving problems with integrity 
• Cultural alignment – believing every claim represents a real person and acting accordingly 
This is where we shine, and we hire adjusters who want to shine with us.

 

Compensation & Compliance

 

The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

 

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

 

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.

 

ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.

 

Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

 

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.
Our Core Values
At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who: 
 

Lead with transparency We build trust by being open and listening intently in every interaction. 

Perform with integrity We choose the right path, even when it is hard. 

Chase excellence We set the bar high and measure our success. What gets measured gets done. 

Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. 

Win together Our greatest victories come when our clients succeed. 

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.
#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #MedicalOnlyClaims #IND456

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