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$14

$49

$79

How much do insurance claims consultant jobs pay per hour?

As of May 28, 2026, the average hourly pay for insurance claims consultant in the United States is $49.12, according to ZipRecruiter salary data. Most workers in this role earn between $32.69 and $67.31 per hour, depending on experience, location, and employer.

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

To thrive as an Insurance Claims Consultant, you need a strong knowledge of insurance policies, claims processes, and investigative techniques, typically supported by a bachelor's degree and relevant industry experience. Familiarity with claims management systems, regulatory compliance software, and occasionally certifications like AIC (Associate in Claims) are highly valuable. Excellent communication, negotiation, and analytical skills help consultants explain complex details to clients and resolve disputes efficiently. These skills are essential to ensure accurate claims processing, client satisfaction, and compliance with industry standards.

What are some common challenges faced by Insurance Claims Consultants, and how can they be managed effectively?

Insurance Claims Consultants often encounter challenges such as handling complex or disputed claims, managing high caseloads, and navigating evolving regulatory requirements. Staying organized, maintaining clear communication with clients and stakeholders, and keeping up-to-date with industry standards are essential for overcoming these hurdles. Building strong relationships with underwriters, adjusters, and legal teams also helps ensure smooth claim resolution and professional growth within the field.

What does an Insurance Claims Consultant do?

An Insurance Claims Consultant helps clients navigate the claims process after an incident or loss covered by insurance. They assess the situation, review policy details, gather documentation, and advocate for the client to ensure they receive the maximum entitled compensation. Consultants also provide advice on the best way to present a claim and may negotiate with insurance companies on the client's behalf. Their expertise ensures claims are processed efficiently and fairly.

What is the difference between Insurance Claims Consultant vs Insurance Adjuster?

AspectInsurance Claims ConsultantInsurance Adjuster
CredentialsMay require industry certifications (e.g., CPCU, ARM)Often licensed and certified depending on state
Work EnvironmentConsults with clients, insurance companies, and legal teamsInvestigates and assesses claims directly for insurance companies
Employer & Industry UsageUsed by consulting firms, insurance companies, and legal firmsPrimarily employed by insurance carriers and third-party administrators
Search & Comparison IntentPeople compare roles related to claims evaluation and consultingPeople compare roles involving claim investigation and settlement

The main difference is that Insurance Claims Consultants provide expert advice and guidance on claims processes, often working independently or for consulting firms, while Insurance Adjusters investigate and settle claims directly for insurance companies. Both roles require knowledge of insurance policies and claims procedures but differ in their focus and work environment.

More about Insurance Claims Consultant jobs
What states have the most Insurance Claims Consultant jobs? States with the most job openings for Insurance Claims Consultant jobs include:
What job categories do people searching Insurance Claims Consultant jobs look for? The top searched job categories for Insurance Claims Consultant jobs are:
Insurance Claims Consultant jobs near you
Infographic showing various Insurance Claims Consultant job openings in the United States as of May 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $102,175 per year, or $49.1 per hour.
Senior Claims Consultant (Hybrid)

Senior Claims Consultant (Hybrid)

Patriot Growth Insurance Services

Media, PA

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

About Patriot Growth Insurance Services: Founded in 2019, Patriot is a growth-focused national insurance services firm that partners with employee benefits and property and casualty agencies across the United States. Patriot is currently ranked as the 25th largest broker in the U.S. by Business Insurance and has been named to the 2025 Inc. 5000 list of fastest-growing companies. With over 2,100 employees operating in 150+ locations in over 45 states, Patriot’s collaborative model delivers resources and strategic support to its agencies. Patriot creates true alignment with its partner agencies, and its operating philosophy fosters enhanced career opportunities for its dedicated and professional team. We are committed to working with like-minded individuals who share our vision of creating an insurance agency focused on operational excellence and a relentless pursuit of growth.

Position Overview: The Senior Claims Consultant serves as a strategic advisor and technical expert, managing complex and high-severity claims while supporting sophisticated client risk portfolios. This role provides advanced claims advocacy, leads claim strategy for large or litigated matters, and collaborates with clients, carriers, and internal teams to drive optimal claim outcomes and long-term risk management improvements.

Work Arrangement: This is a full-time hybrid position reporting to our office located in Media, PA.

Professional Responsibilities:

  • Manage catastrophic, litigated, and high-severity claims while leading strategy and negotiating settlements
  • Analyze policy language and carrier coverage positions to develop claim strategies and support advocacy efforts
  • Collaborate with attorneys, adjusters, and internal teams to resolve complex claims issues
  • Conduct root-cause analysis and coordinate risk control initiatives to mitigate future losses
  • Prepare and present claim reviews, loss trends, and performance analysis to senior client leadership
  • Lead multi-year loss analysis and benchmarking to support renewal strategy and underwriting discussions
  • Develop underwriting narratives and claims summaries to assist with renewal negotiations and pricing discussions
  • Maintain strong relationships with key client contacts, carrier representatives, legal counsel, and other service partners
  • Mentor and support Claims Consultants through technical guidance, training, and process improvement initiatives
  • Oversee assignment of accounts within the Claims Department to ensure proper workload distribution
  • Represent the organization in professional associations, industry forums, and events

Qualifications and Requirements:

  • Bachelor’s Degree or equivalent professional experience
  • Insurance licensing or ability to obtain within 60 days
  • Strong knowledge of commercial insurance policy language and claims processes
  • Experience managing complex or litigated claims and developing claim resolution strategies
  • Strong analytical, negotiation, and problem-solving skills
  • Excellent communication and presentation skills, including experience working with executive-level clients
  • Ability to collaborate effectively across internal teams and external partners
  • CPCU or CIC designation (strongly preferred)
  • AIC or CRIS designation (preferred)
  • Experience working with an Agency Management System such as EPIC or AMS360 (preferred)
  • Proficiency with Microsoft Office applications including Outlook, Excel, Word, and PowerPoint (preferred)

Why Patriot Growth Insurance Services: We offer the opportunity to be a part of one of the fastest-growing insurance companies since its inception. We strive to create a flexible and collaborative environment for our employees, and our goal is to provide enhanced career opportunities for our dedicated and professional team. In addition to a competitive salary, we provide a comprehensive health and welfare program to employees, family members and domestic partners. Employees are eligible for benefits coverage the first of the month following 30 days of employment. We offer:

  • Medical, Dental, and Vision Benefits
  • Flexible Spending Account (FSA) and Health Savings Account (HSA) and Commuter Transit Programs
  • Company paid Short-Term Disability, Long-Term Disability and Group Term Life
  • Company paid Employee Assistance Program
  • Paid Parental Leave
  • Paid holidays
  • Personalized PTO
  • 401 (k)

Patriot Growth Insurance Services is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, citizenship or immigration status, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, leave of absence, compensation, benefits, and training. Patriot makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, read through our EEO and DE&I Policy located on our website at www.patriotgis.com.

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