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What is a claims service representative and how to become one
Claims service representatives are the initial point of communication with clients following an accident. They take inbound calls to deliver exceptional customer service, reassure customers, and collect information to inform clients of the next steps to get them back on the road. They accommodate settlements and authorize payments while keeping histories of all actions for the customer's file.
To become a claims service representative, you must possess a minimum education level of a high school diploma or equivalent degree for an entry-level position. However, you will be benefiting from pursuing higher levels of education and experience for higher positions.
The graduates who gravitate toward this field end up laying claim to annual earnings that top out at $60,428. For the claims service representatives, the current median pay ranges from $48,610 to $67,980 in the U.S. However, this figure can vary significantly depending upon your experience, skills, or organization.
Avg. Salary $36,043
Avg. Salary $59,228
Growth rate -4%
Growth rate 0.3%
American Indian and Alaska Native 0.69%
Asian 6.11%
Black or African American 12.79%
Hispanic or Latino 19.90%
Unknown 5.23%
White 55.29%
Genderfemale 70.77%
male 29.23%
Age - 39American 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 - 39Stress level is manageable
7.1 - high
Complexity level is challenging
7 - challenging
Work life balance is good
6.4 - fair
Claims service representative career paths
Key steps to become a claims service representative
Explore claims service representative education requirements
Start to develop specific claims service representative skills
Skills Percentages Insurance Claims 12.30% Customer Service 10.98% Policy Coverage 8.23% Phone Calls 6.75% Claims Process 6.08% Complete relevant claims service representative training and internships
Accountants spend an average of 6-12 months on post-employment, on-the-job training. New claims service representatives learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a claims service representative based on U.S. Bureau of Labor Statistics data and data from real claims service representative resumes.Research claims service representative duties and responsibilities
- Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
- Experience in medical terminology, ICD9, CPT and DRG coding.
- Review types of service on claims base on the CPT codes and diagnosis code.
- Examine injure persons and administer first aid or cardiopulmonary resuscitation, if necessary, using training and medical supplies and equipment.
Prepare your claims service representative resume
When your background is strong enough, you can start writing your claims service 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 service representative resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.
Choose from 10+ customizable claims service representative resume templates
Build a professional claims service representative resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your claims service representative resume.
Apply for claims service representative jobs
Now it's time to start searching for a claims service representative job. Consider the tips below for a successful job search:
- Browse job boards for relevant postings
- Consult your professional network
- Reach out to companies you're interested in working for directly
- Watch out for job scams
How did you land your first claims service representative job
Are you a claims service representative?
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Average claims service representative salary
The average claims service representative salary in the United States is $36,043 per year or $17 per hour. Claims service representative salaries range between $30,000 and $42,000 per year.
What am I worth?
How do claims service representatives rate their job?
Claims service representative reviews
Caring to the customer issues is what I do like first and the other thing it is a job that show determination level on the duty.
I like building relations with other companies, keeping customers satisfied and growing in all areas,
Non caring employer's , standing on my feet all day, working weekends, low pay
Updated January 8, 2025
