The average pay for a Claims Representative is $45,374 per year. A skill in Negotiation is associated with high pay for this job. Most people move on to other jobs if they have more than 20 years' experience in this field.

$34,202 - $66,458
(Median)
$34K
$45K
$66K
MEDIAN: $45,374
10%
50%
90%

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$11.70 - $21.52
(Median)
$12
$15
$22
MEDIAN: $15.00
10%
50%
90%

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National Salary Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$23K$46K$69K
Salary
$34,202 - $66,458  
   
Bonus
$0.00 - $5,062  
Profit Sharing
$100.00 - $8,134  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$28,332 - $65,785  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 346
National Hourly Rate Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$16$32$48
Hourly Rate
$11.70 - $21.52  
   
Overtime
$18.87 - $45.63  
National Annualized Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$32K$64K$96K
Bonus
$0.00 - $5,062  
   
Profit Sharing
$100.00 - $8,134  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$28,332 - $65,785  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 186
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Job Description for Claims Representative

Insurance companies employ claims representatives to work as the main contact for individuals needing to file claims. Claims representatives guide customers through the claims process, assessing their validity and value. Additionally, they usually have the authority to resolve most uncomplicated, non-injury claims. While these professionals must represent their employer's interests, they must be fair to clients and provide excellent customer service to ensure retention. Claims representatives must make claims adjustment assessments according to company guidelines, but they must also make adjustments fit claimants' needs and expectations. They must also answer any relevant customer questions and information.

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Claims Representative Tasks

  • Collect documentation necessary to substantiate claims, noting problems and discrepancies.
  • Contact insurance companies and other third parties to communicate claims and processes, negotiating when appropriate.
  • Analyze and process simple and complex claims in accordance with policies.

Common Career Paths for Claims Representative


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Insurance Claims Representative Job Listings

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Popular Employer Salaries for Claims Representative

Popular Skills for Claims Representative

Pay by Experience Level for Claims Representative

Median of all compensation (including tips, bonus, and overtime) by years of experience.

Claims Representative Reviews

What is it like working as a Claims Representative at United Healthcare Group?

Claims Representative in Duluth:
"It's an awesome job for an awesome company."
Pros: Training is second to none. The benefits and incentives are amazing. People and management are experienced and very eager to make it your last career choice. They invest in you and make your job worth there investment. I highly recommend working for or utilizing there services as the innovative health insurance leaders.
Cons: I have nothing bad to say. They have made it very comfortable and enjoyable work environment.

Related Job Salaries

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Experience Affects Claims Representative Salaries




National Average
$41,000


Skills That Affect Claims Representative Salaries



National Average
$41,000

Customer Service
up arrow 2%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 63 votes.

Gender

Female
65 %
Male
35 %

Years of Experience

Less than 1 year
15%
1-4 years
44%
5-9 years
20%
10-19 years
13%
20 years or more
8%

Common Health Benefits

medical benefits
Medical: 91%
dental benefits
Dental: 83%
medical benefits
Vision: 70%
dental benefits
None: 7%
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