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Insurance Claims Rep Jobs (NOW HIRING)

EquipmentShare

Claims Representative

Saint Louis, MO · On-site

Efficiently process insurance claims from initiation to resolution. This includes verifying claim information, assessing damages, and determining claim validity. * Customer Service: Provide ...

JGS Insurance

Claims Representative

Holmdel, NJ · Remote

Company Description JGS Insurance, located at Bell Works in Holmdel, NJ, is looking for a motivated ... JGS is growing rapidly and as a result has an opportunity for a new Claims Representative in the ...

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How much do insurance claims rep jobs pay per hour?

As of Jun 5, 2026, the average hourly pay for insurance claims rep 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.

What are some common challenges Insurance Claims Representatives face in balancing customer satisfaction with company policies?

Insurance Claims Representatives often encounter situations where customers are under stress or dissatisfied due to claim denials or delays. Balancing empathy for the customer with strict adherence to company policies and regulatory guidelines can be challenging. Representatives must communicate clearly, manage expectations, and diligently document every interaction to ensure transparency while safeguarding the company's interests. Strong problem-solving and negotiation skills help in finding fair resolutions, making this role both rewarding and demanding.

What does an Insurance Claims Representative do?

An Insurance Claims Representative evaluates insurance claims made by policyholders to determine the extent of the insurance company's liability. They review documentation, investigate the circumstances of the claim, and communicate with clients, witnesses, and other relevant parties. Their job is to ensure claims are processed efficiently and according to policy terms, which may involve negotiating settlements and explaining coverage decisions to customers.

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

AspectInsurance Claims RepInsurance Adjuster
CredentialsHigh school diploma or equivalent; some roles may require insurance licensesLicenses often required; certifications like AIC or CPCU beneficial
Work EnvironmentOffice settings, customer service centers, remote optionsField work, office settings, or a combination
Employer & Industry UsageInsurance companies, claims processing centersInsurance companies, independent adjusting firms
Primary FocusAssist policyholders, process claims, customer serviceInvestigate claims, assess damages, determine settlement amounts

While both roles involve working with insurance claims, Insurance Claims Reps primarily handle customer interactions and processing claims, whereas Insurance Adjusters focus on investigating and evaluating damages to determine claim validity and settlement amounts. The roles often overlap in industry and credentials but differ in responsibilities and work environment.

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

To thrive as an Insurance Claims Representative, you need strong analytical skills, attention to detail, and a solid understanding of insurance policies, often supported by a bachelor's degree or relevant experience. Familiarity with claims management software, CRM systems, and sometimes industry certifications like AIC (Associate in Claims) is typically required. Excellent communication, negotiation, and customer service skills help stand out in resolving complex claims and managing client expectations. These skills and qualifications ensure accurate claim processing, efficient customer interactions, and the mitigation of financial risk for the company.
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Insurance Claims Rep jobs near you
Insurance Claims Representative

Insurance Claims Representative

Blackstone Medical Services

Tampa, FL

Full-time

Posted 29 days ago

Job description

Here we Grow Again! Join us for another record breaking year!

We are seeking Insurance Claims Representatives.

Duties include:

  • Following up on outstanding insurance claims.
  • Appealing denials and working with the insurance company to get claims paid.
  • Working accounts receivable to get any unpaid balances paid up.
  • Coordinating with the finance area to make the benefit verification more accurate and efficient.
  • Receive and post payments to patient accounts daily.
  • Performing necessary follow-up to ensure timely resolution of appeals, re-billing's, obtaining updated insurance information.
  • Apply knowledge of third party payer guidelines in reviewing denied claims
  • Correct insurance information on rejected insurance claims and resubmit for processing

Candidate should be:

  • Familiar with and able to utilize various Electronic Claims software
  • Performs duties related to departmental collections including follow-up on outstanding accounts.
  • Follow up on all outstanding accounts via telephone or portal
  • Willing to help others

About Blackstone Medical Services:
The largest Home Sleep Testing company in the country!
Blackstone Medical Services is a rapidly growing diagnostic technology company looking for team members who enjoy working in a productive environment while helping patients improve the quality of their health.
Blackstone Medical provides a new sleep medicine technology (In-Home Diagnostic Sleep Testing) which is growing in demand as awareness increases among healthcare providers and patients.
www.blackstonemedicalservices.com
Company address: 550 N Reo Street, Suite 250, Tampa FL 33609

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