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Insurance Claims Representative Jobs in Oregon (NOW HIRING)

Join ESIS, a leader in risk management and insurance services, where you can help support effective ... We are seeking a skilled Senior Claims Representative to join our team. Reporting to the Claims ...

Join ESIS, a leader in risk management and insurance services, where you can help support effective ... We are seeking a skilled Senior Claims Representative to join our team. Reporting to the Claims ...

Join ESIS, a leader in risk management and insurance services, where you can help support effective ... We are seeking a skilled Senior Claims Representative to join our team. Reporting to the Claims ...

Assesses policy coverage for submitted claims and notifies the insured of any issues; determines ... trials as a representative of the company. * Acts as senior technical professional on team ...

Temporary Insurance Follow-up Specialist

OR · Remote

$22.30 - $30.11/hr

Claims Supervisor DEPARTMENT: Single Billing Office (SBO) DATE LAST REVIEWED: August 2024 OUR ... representatives, other SBO teams, and other St. Charles departments to resolve denials. This ...

Temporary Insurance Follow-up Specialist

OR · Remote

$22.30 - $30.11/hr

Claims Supervisor DEPARTMENT: Single Billing Office (SBO) DATE LAST REVIEWED: August 2024 OUR ... representatives, other SBO teams, and other St. Charles departments to resolve denials. This ...

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Showing results 1-20

Insurance Claims Representative information

See Oregon salary details

$7

$25

$42

How much do insurance claims representative jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for insurance claims representative in Oregon is $25.97, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $30.48 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.

What are popular job titles related to Insurance Claims Representative jobs in Oregon? For Insurance Claims Representative jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Representative jobs in Oregon look for? The top searched job categories for Insurance Claims Representative jobs in Oregon are:
What cities in Oregon are hiring for Insurance Claims Representative jobs? Cities in Oregon with the most Insurance Claims Representative job openings:
What are popular job titles related to Insurance Claims Representative jobs in OR? For Insurance Claims Representative jobs in OR, the most frequently searched job titles are:
Infographic showing various Insurance Claims Representative job openings in Oregon as of July 2026, with employment types broken down into 88% Full Time, 9% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $54,018 per year, or $26 per hour.
Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA - Hybrid

Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA - Hybrid

Sedgwick

Portland, OR • On-site

Full-time

Medical, Dental, Vision, Retirement

Posted 8 days ago


Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 319 frontline employees who took The Breakroom Quiz

205th of 299 rated insurance


Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA - Hybrid
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
  • Apply your Claims Representative, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.

  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
WORK LOCATIONS: Hybrid work schedule, 2 days in office 3 days working from home.
PRIMARY PURPOSE OF THE ROLE To analyze low level workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
  • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

  • Negotiating settlement of claims within designated authority.

  • Communicating claim activity and processing with the claimant and the client.

  • Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

QUALIFICATIONS
Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience: 2 years of claims management experience or equivalent combination of education and experience required.
Licensing / Jurisdiction Knowledge: WA
TAKING CARE OF YOU
  • Flexible work schedule.

  • Referral incentive program.

  • Opportunity to work in an agile environment.

  • Career development and promotional growth opportunities.

  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
#claimsexaminer #claims #hybrid #LI-REMOTE #Sedgwick #Hotjobs #portland #oregon
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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