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Insurance Claims Representative Jobs in Portland, OR

Join ESIS, a leader in risk management and insurance services, where you can help support effective ... The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for ...

Join ESIS, a leader in risk management and insurance services, where you can help support effective ... The ESIS Senior Claim Representative, under the direction of the Claims Team Leader, investigates ...

Join ESIS, a leader in risk management and insurance services, where you can help support effective ... Representative investigates and resolves claims promptly, fairly, and in accordance with ...

Join ESIS, a leader in risk management and insurance services, where you can help support effective ... Representative investigates and resolves claims promptly, fairly, and in accordance with ...

Join ESIS, a leader in risk management and insurance services, where you can help support effective ... The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for ...

Join ESIS, a leader in risk management and insurance services, where you can help support effective ... The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for ...

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 ...

Claims Assistant

Portland, OR · On-site

$20 - $25.25/hr

... Insurance Claims Assistant Are you looking for an opportunity to join a global industry leader ... Deliver innovative customer-facing solutions to clients who represent virtually every industry and ...

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Insurance Claims Representative information

See Portland, OR salary details

$7

$25

$41

How much do insurance claims representative jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for insurance claims representative in Portland, OR is $25.10, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $29.47 per hour, depending on experience, location, and employer.

Is it hard to be an insurance claims representative?

Being an insurance claims representative involves handling complex cases, requiring strong communication, attention to detail, and knowledge of insurance policies. The job can be demanding due to the need to evaluate claims accurately and manage customer interactions, but it is generally manageable with proper training and experience.

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.

Do you need a degree to be an insurance claims representative?

Typically, a high school diploma or equivalent is sufficient to become an insurance claims representative. Some employers prefer candidates with post-secondary education or relevant certifications, and strong communication and customer service skills are important for the role.

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.

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.

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 Portland, OR? For Insurance Claims Representative jobs in Portland, OR, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Representative jobs in Portland, OR look for? The top searched job categories for Insurance Claims Representative jobs in Portland, OR are:
Infographic showing various Insurance Claims Representative job openings in Portland, OR as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $54,182 per year, or $26 per hour.

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

Sedgwick

Portland, OR • On-site

Full-time

Medical, Dental, Vision, Retirement

Posted 16 days ago


Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 320 frontline employees who took The Breakroom Quiz

207th of 301 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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