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Remote Claims Representative Jobs (NOW HIRING)

JGS Insurance

Claims Representative

Holmdel, NJ · Remote

JGS is growing rapidly and as a result has an opportunity for a new Claims Representative in the PPP Department. Our new office in Bell Works truly reflects an innovative and exciting environment ...

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How much do remote claims representative jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for remote claims representative in the United States is $24.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote claims representative?

To thrive as a Remote Claims Representative, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies and claim processes, often supported by a relevant associate's or bachelor's degree. Familiarity with claims management software, CRM systems, and occasionally industry certifications like AIC (Associate in Claims) is highly beneficial. Excellent communication, problem-solving skills, and the ability to work independently are important soft skills for success in this remote role. These competencies ensure accurate evaluation and efficient resolution of claims while maintaining high customer satisfaction and adherence to regulatory standards.

What is a remote claims representative?

A Remote Claims Representative is responsible for reviewing, processing, and resolving insurance claims while working from a remote location. They assess claim details, verify coverage, and communicate with policyholders, medical providers, or other relevant parties to ensure accurate and timely claim settlements. Strong analytical skills, attention to detail, and knowledge of insurance policies are essential for this role. The job often involves using digital tools to document claims and provide customer support.

What are some common challenges faced by remote claims representatives, and how can they be managed?

Remote Claims Representatives often encounter challenges such as managing high caseloads, communicating complex decisions effectively with clients, and staying organized without direct in-person supervision. Successfully navigating these challenges typically involves developing strong time management, self-motivation, and clear digital communication skills. Many companies provide robust training, digital collaboration tools, and regular virtual meetings to support remote staff and maintain team cohesion. Proactively seeking feedback and utilizing available resources can help you stay on track and excel in this dynamic remote environment.

More about Remote Claims Representative jobs
What cities are hiring for Remote Claims Representative jobs? Cities with the most Remote Claims Representative job openings:
What are the most commonly searched types of Claims Representative jobs? The most popular types of Claims Representative jobs are:
What states have the most Remote Claims Representative jobs? States with the most job openings for Remote Claims Representative jobs include:
What job categories do people searching Remote Claims Representative jobs look for? The top searched job categories for Remote Claims Representative jobs are:
Remote Claims Representative jobs near you
Infographic showing various Remote Claims Representative job openings in the United States as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 72% Physical, 1% Hybrid, and 27% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.

Claims Representative II

Society Insurance Company

Fond Du Lac, WI • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Job InformationJob TitleClaims Representative II- General Liability (Bodily Injury focused)Home Department:ClaimsEmployment Status:Exempt; Full-time Schedule:40 hours/week with Flexible Scheduling Opportunities Position Location:Home Office, Telecommuting, and Remote Opportunities in:
CO, GA, IL, IN, IA, MN, TN, TX, & WI 

This position offers flexible remote/hybrid work scheduling and we are targeting candidates who are located within the 9 states which Society conducts business in. Visit us at https://societyinsurance.com/ to learn more.

Overview

Protecting our policyholders’ dreams, passions, and livelihoods has a direct impact on the communities we serve. We work towards excellence, conduct ourselves with high integrity, and take our work seriously, but not ourselves. Small Details. Big Difference. Find out how you can make a difference with a career at Society.

Society Insurance is seeking a Claims Representative II who excels at managing moderate‑to‑complex bodily injury and general liability claims. This role focuses on investigating losses, determining liability, and negotiating out‑of‑court settlements for mildly complex general liability claims. Successful candidates will have experience handling represented bodily injury claims, with a strong emphasis on Commercial General Liability (CGL) and premises liability exposures, along with the judgment and negotiation skills needed to navigate matters that advance into litigation.

 

About the Role 

    Settles mildly complex claims by determining insurance carrier’s liability and reaches agreement with claimant according to policy provisions and authority level.May be involved with litigation by analyzing negotiated settlement options; evaluating evidence, and overseeing attorney in the handling of discovery and settlement.Handles mediations, arbitrations, subrogation, and recorded settlement agreements.Determines coverage through investigations by examining claim forms, policies, and other records; interviewing claimants, insureds, and witnesses; consulting police and hospital records; inspecting damages; and consulting with experts when appropriate.Mentors and trains claims representatives in claims expertise by assisting in identifying training needs and opportunities.Resolves questionable claims by investigating the claim and comparing claims information with evidence.Ensures proper file documentation of assigned files by complying with company and state requirements.Prepares reports by collecting, analyzing, and summarizing claim information.Contributes to team effort (as needed) by participating on catastrophe teams; participating in determining department investigation guidelines; providing feedback to underwriting as needed.

About You

    You enjoy communicating and building relationships with others.You are composed, cool under pressure, and can negotiate without damaging relationships. You hold yourself accountable and act in accordance with rules and regulations.   You enjoy analyzing, investigating, and using the facts to make decisions. You are naturally curious and have a desire to know more.

What it Will Take

    Bachelor’s Degree and 3+ years of claims handling experience OR 5+ years of claims handling experience.Proficiency in general liability claims demonstrated through knowledge and experience in insurance policies and coverage, claim payment procedures, insurance regulations, and legal terminology. Ability to obtain and maintain proper licensing prior to handling a state that requires it. Professional insurance designations highly desirable.Litigation experience highly desirable.Experience using Guidewire Claims System highly desirable.

What Society Can Offer 

    Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and vision insuranceRetirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing PlanWork-Life Balance: Company-paid holidays; flexible scheduling; PTO; telecommuting optionsEducation: Career Coaching; company-paid courses; student loan and tuition reimbursementCommunity: Charitable Match; paid volunteer time; team sponsorshipsWellness: Employee Assistance Program; wellness initiatives/rewards; health coaching; and more

 

Society Insurance prohibits discrimination and harassment of any type against applicants and employees on the basis of race, color, religion, sex, national origin, age, handicap, disability, genetics, veteran status or military service, marital status or sexual orientation, gender identity or expression, or any other characteristic or status protected by federal, state or local laws. Society Insurance also provides reasonable accommodations to qualified individuals with disabilities in accordance with the requirements of the Americans with Disabilities Act and applicable state and local laws. Society Insurance is a drug-free workplace.


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