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A claims representative works for an insurance company to investigate and process claims. They interact with policyholders to gather information, review policies and coverage, and determine the validity of the claim. Claims representatives also work with adjusters, medical professionals, and experts to evaluate damages and resolve claims efficiently. They must have excellent communication skills, attention to detail, and fair decision-making practices. Overall, they ensure policyholders receive fair compensation and protect the interests of the insurance company.
Avg. Salary $38,796
Avg. Salary $59,228
Growth rate -6%
Growth rate 0.3%
American Indian and Alaska Native 0.50%
Asian 5.14%
Black or African American 11.03%
Hispanic or Latino 16.49%
Unknown 4.39%
White 62.44%
Genderfemale 62.55%
male 37.45%
Age - 43American Indian and Alaska Native 3.00%
Asian 7.00%
Black or African American 14.00%
Hispanic or Latino 19.00%
White 57.00%
Genderfemale 47.00%
male 53.00%
Age - 43Stress level is very high
7.1 - high
Complexity level is advanced
7 - challenging
Work life balance is poor
6.4 - fair
Pros
Competitive salary and benefits
Opportunity to work remotely
Job stability and security
Opportunities for teamwork and collaboration
Flexibility in work schedule
Cons
High stress and pressure to meet deadlines
Repetitive tasks and processes
Long hours or mandatory overtime during peak seasons
Working weekends or holidays
Limited decision-making authority
| Skills | Percentages |
|---|---|
| Customer Service | 25.90% |
| Quality Standards | 6.46% |
| Policy Coverage | 6.39% |
| Reservations | 5.21% |
| Claims Handling | 3.39% |
Claims representative certifications can show employers you have a baseline of knowledge expected for the position. Certifications can also make you a more competitive candidate. Even if employers don't require a specific claims representative certification, having one may help you stand out relative to other applicants.
The most common certifications for claims representatives include Associate in Claims (AIC) and Certified Billing and Coding Specialist (CBCS).
When your background is strong enough, you can start writing your claims representative resume.
You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a claims representative resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.
Now it's time to start searching for a claims representative job. Consider the tips below for a successful job search:

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The average claims representative salary in the United States is $38,796 per year or $19 per hour. Claims representative salaries range between $28,000 and $53,000 per year.
What am I worth?
When customers are not satisfied even when you know you have delivered the best service you could have and have gone beyond the call of duty in delivering same. They appear to not understand the dynamics of the process even if explained to them
Working from home
I'm gratified by forensics, accounting, mistakes, proceedure and changing codes and law.
That I know I make more money working in many other fields.