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Insurance Claims Representative Jobs in Alabama (NOW HIRING)

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Insurance Claims Representative information

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$6

$22

$36

How much do insurance claims representative jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for insurance claims representative in Alabama is $22.26, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $26.15 per hour, depending on experience, location, and employer.

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.

What does an Insurance Claims Representative do?

An Insurance Claims Representative is responsible for evaluating insurance claims submitted by policyholders. They investigate the details of each claim, determine the extent of the insurance company's liability, and help ensure that claims are processed accurately and efficiently. They may gather information from claimants, witnesses, and other parties, review documentation, and communicate decisions to customers. Their goal is to provide fair settlements while adhering to company policies and legal guidelines.

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 a solid understanding of insurance policies, claims processes, and investigative techniques, typically supported by a high school diploma or associate degree. Familiarity with claims management software, CRM systems, and occasionally industry certifications such as AIC (Associate in Claims) are commonly required. Strong customer service, analytical thinking, and effective communication skills help you manage claims efficiently and support clients during stressful situations. These abilities are vital for ensuring accurate claims resolution, maintaining customer satisfaction, and upholding the company's reputation.

What claims adjuster makes the most money?

Senior claims adjusters, especially those specializing in complex or high-value claims such as commercial or large-loss claims, tend to earn the highest salaries in the field. Adjusters with extensive experience, specialized certifications, and strong negotiation skills typically command higher pay. Geographic location and employer size can also influence earnings for claims adjusters.

What Does an Insurance Claims Representative Do?

An insurance claims representative assesses customer insurance claims. Your duties in this career include visiting accident sites and interviewing witnesses or customers to determine the scope of the claim. You also determine whether or not it is worth negotiating a settlement, and if so, you ensure all settlement claims are handled quickly. In addition to assessing accidents and claims, you update customer policies depending on their history. Qualifications for the career include experience and job skills. You should have excellent customer service, a firm knowledge of all company policies, and computer literacy.

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

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license and develop strong communication and analytical skills. Entry-level positions often require a high school diploma or equivalent, and some companies offer training programs for new hires to gain industry knowledge on the job.

What are some common challenges Insurance Claims Representatives face when handling complex claims?

Insurance Claims Representatives often encounter challenges such as managing high caseloads, interpreting intricate policy details, and handling sensitive conversations with policyholders during stressful situations. They must balance empathy with adherence to company policies and regulations, all while investigating and verifying the validity of claims. Effective communication, time management, and problem-solving skills are essential to navigate these complexities and deliver fair outcomes for both the client and the insurer.

Is claim adjusting a dying field?

Claim adjusting is a stable profession within insurance, requiring strong analytical skills and knowledge of insurance policies. While automation and digital tools are changing some processes, human adjusters remain essential for complex claims and customer interactions, ensuring the field continues to offer employment opportunities.

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

AspectInsurance Claims RepresentativeInsurance Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require licensingLicensing often required; certifications like AIC or CPCU beneficial
Work EnvironmentOffice settings, customer service interactions, claims processingFieldwork, site inspections, or office-based assessments
Employer & Industry UsageInsurance companies, claims departmentsInsurance companies, independent adjusting firms
Common Search & ComparisonOften compared for claims handling rolesMore focused on damage assessment and investigation

The main difference between an Insurance Claims Representative and an Insurance Adjuster lies in their roles. Claims Representatives primarily handle customer interactions and process claims within an office environment, while Adjusters often conduct field inspections and assess damages. Both roles require relevant licensing and are integral to the insurance industry, but they focus on different aspects of claims management.

More about Insurance Claims Representative jobs
What are popular job titles related to Insurance Claims Representative jobs in Alabama? For Insurance Claims Representative jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Representative jobs in Alabama look for? The top searched job categories for Insurance Claims Representative jobs in Alabama are:
What are popular job titles related to Insurance Claims Representative jobs in AL? For Insurance Claims Representative jobs in AL, the most frequently searched job titles are:
Insurance Claims Representative jobs near you
Infographic showing various Insurance Claims Representative job openings in Alabama as of July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $46,308 per year, or $22.3 per hour.
Insurance Claims Representative

Insurance Claims Representative

Alabama Oncology

Birmingham, AL

Full-time

Posted 2 days ago

Job description

This is an on-site position located at the Birmingham Business Office

Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving billing problems and answering patient inquiries. Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take appropriate action including completion of submissions, reconsiderations, appeals, and denial management to ensure payment is received timely.

Essential Duties and Responsibilities:

Performs audits of patient accounts to ensure accuracy and timely payment.

Follows up on insurance billing to ensure timely receipt of payments.

Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.

Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments.

Reviews credit balance reports for correct recipient of refund.

Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks.

Identifies problems on accounts and follows through to conclusion.

Responds to insurance companies requests for information in a prompt and professional manner.

Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.

Prepares write-off requests with appropriate documentation and submits to supervisor.

Processes insurance/patient correspondence.

Works with provided aging to monitor patient account aging and follows up appropriately.

Maintains confidentiality in regard to patient account status and the financial affairs of clinic/corporation.

Other relevant duties as assigned

Demonstrated knowledge of the federal, state, and local regulatory requirements around medical billing and coding as well as CMS and payer regulations.

Ability to work independently.

Able to manage multiple projects at once working efficiently and effectively under tight deadlines.

Experience with oncology billing experience highly desirable.

Requirements

High school diploma

1 plus years of experience

Experience in medical billing /insurance processing and balancing accounts

Employment Type: FULL_TIME

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