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Senior Claims Representative Jobs (NOW HIRING)

Brookfield

Sr Claims Representative

Albany, NY · On-site

$43K - $67K/yr

... claims. This includes analyzing coverage, contacting the customers, investigating the facts ... The Representatives work closely with other departments,vendorsand defense counsel as needed ...

MEM

Senior Claims Representative (Remote)

Columbia, TN · On-site +1

MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal role, you'll manage high-exposure workers' compensation claims, lead investigations into coverage and ...

Brookfield

Sr Claims Representative

Omaha, NE · On-site

$43K - $67K/yr

... claims. This includes analyzing coverage, contacting the customers, investigating the facts ... The Representatives work closely with other departments,vendorsand defense counsel as needed ...

Missouri Employers Mutual

$72K - $109K/yr

MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal role, you'll manage high-exposure workers' compensation claims, lead investigations into coverage and ...

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How much do senior claims representative jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for senior 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 senior claims representative, and why are they important?

To thrive as a Senior Claims Representative, you need in-depth knowledge of insurance policies, claims adjudication, and investigative techniques, usually backed by relevant experience or a related degree. Familiarity with claims management systems, regulatory compliance tools, and sometimes industry certifications like AIC or CPCU is typically expected. Excellent negotiation, analytical thinking, and customer service skills help build trust and resolve complex claims efficiently. These abilities ensure accurate, fair, and timely claims processing, maintaining customer satisfaction and minimizing organizational risk.

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

AspectSenior Claims RepresentativeClaims Adjuster
Required CredentialsHigh school diploma or equivalent; often some insurance certificationsHigh school diploma or equivalent; insurance licenses often required
Work EnvironmentOffice setting, claims departmentField or office-based, investigating claims
Employer & Industry UsageInsurance companies, claims departmentsInsurance companies, third-party administrators
Common Search & ComparisonSenior Claims Representative vs Claims Adjuster

The main difference is that Senior Claims Representatives often handle more complex claims and may have additional responsibilities, while Claims Adjusters focus on investigating and settling claims, sometimes in the field. Both roles require similar credentials and work within insurance companies, but Senior Claims Representatives typically have more experience and authority in decision-making.

What does a senior claims representative do?

A Senior Claims Representative is responsible for handling complex insurance claims, investigating and evaluating them, and determining the extent of the insurance company’s liability. They review documentation, interview claimants and witnesses, and negotiate settlements in accordance with company and legal guidelines. In addition, they may mentor junior staff and ensure that claims are processed efficiently and in compliance with policies. Their role is critical in ensuring fair outcomes for both the insurer and the insured.

What are some common challenges faced by senior claims representatives, and how can they effectively manage complex claims?

Senior Claims Representatives often handle high-value or intricate claims that require thorough investigation, negotiation, and adherence to regulatory guidelines. Challenges can include managing multiple cases simultaneously, working with difficult claimants, and balancing the interests of clients, policyholders, and the company. Effective management involves strong organizational skills, continuous communication with stakeholders, and staying current with industry best practices. Collaboration with legal teams, adjusters, and underwriters is also crucial to ensure fair and timely resolutions.
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What cities are hiring for Senior Claims Representative jobs? Cities with the most Senior 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 Senior Claims Representative jobs? States with the most job openings for Senior Claims Representative jobs include:
What job categories do people searching Senior Claims Representative jobs look for? The top searched job categories for Senior Claims Representative jobs are:
Senior Claims Representative jobs near you
Infographic showing various Senior 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.

ESIS Senior Claims Representative, WC

Chubb

Glen Allen, VA

Full-time

Medical, Life

Re-posted 29 days ago

Chubb rating

8.2

Company rating: 8.2 out of 10

Based on 66 frontline employees who took The Breakroom Quiz

141st of 303 rated insurance

Job description

ESIS Senior Claims Representative, WC

Description

Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we're dedicated to providing exceptional service and innovative solutions, and we're looking for passionate individuals to be part of our dynamic team. If you're eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere!

The Workers' Compensation Senior Claims Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.

Duties may include but are not limited to:

  • Receive assignments. 
  • Reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business. 
  • Contacts, interviews, and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. 
  • Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract. 
  • Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. 
  • Sets reserves within authority limits and recommends reserve changes to Team Leader. 
  • Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. 
  • Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims. 
  • Settles claims promptly and equitably. 
  • Obtains releases and timely issues indemnity benefits if due and owing. 
  • Informs claimants, insureds/customers, or attorney of denial of claim when applicable. 
  • May assist Team Leader and company attorneys in preparing cases for trial by taking statements. Continues efforts to settle claims before trial. 
  • Refers claims to subrogation as appropriate.
  • May participate in claim file reviews and audits with customer/insured and broker. Administers Workers' Compensation benefits timely and appropriately per Jurisdiction. Maintains control of claim's resolution process to minimize current exposure and future risks 
  • Establishes and maintains strong customer relations 

OTHER DUTIES MAY INCLUDE:

  • Working all queues and diary in a timely manner
  • Investigating compensability and benefit entitlement 
  • Reviewing and approving medical bill payments 
  • Managing vocational rehabilitation 
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
  • 3-5 years' experience handling Workers' Compensation claims
  • Knowledge of claims handling and familiarity with claims terminologies 
  • Effective negotiation skills 
  • Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc. in a positive manner concerning losses. 
  • Ability to self-motivate and work independently, excels in organization and time management skills 
  • Knowledge of company products, services, coverages, and policy limits, along with awareness of the company's claims best practices and client service instructions
  • Knowledge of applicable state and local laws.
  • Experience in any of the jurisdictions serviced in the region (MD, DC, VA, NC, SC, TN, KY, WVA, OH, IN, MI) is preferred but not required.   

  • An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters.  Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.

ESIS, a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. ESIS provides a full range of sophisticated risk management services, including workers compensation claims handling; a broad spectrum of casualty insurance products, such as general liability, automobile liability, products liability, professional liability, and medical malpractice claims handling; and disability management. 

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About Chubb

Sourced by ZipRecruiter

Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. We are a unique global organization with a culture of individuals passionately committed to our respective crafts. With underwriting at our core, each of us contributes to providing the best insurance coverage and service to our clients. Our highly collaborative, inclusive nature helps us drive better business outcomes through diversity of background, experiences, insights and values.

Industry

Insurance services

Company size

10,000+ Employees

Headquarters location

Warren, NJ, US

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