Claims Customer Service Representative Jobs
Claims Customer Service Representative jobs are open across insurance, healthcare, and financial services, at every level from entry-level to senior and team lead, with specializations in property and casualty, workers' compensation, and medical claims processing. Scan the live roles below and apply to whichever ones fit.
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Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.
We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.
The Opportunity
What you'll do:
- Documents First Notice of Loss by obtaining relevant information for effective claim investigation. Sets up appropriate services, as needed, to proactively move claims forward to the furthest point in the process within scope of role and expectation.
- Creates loss reports, states, or verifies coverage as appropriate, and initiates the most effective method of damage assessment to assign for file handling.
- Assists with questions regarding the claims process and sets expectations for next steps to help ensure claims are effectively resolved and accurately documented.
- Effectively resolves status inquiries and, when necessary, routes to handling adjuster.
- Effectively operates in a fast-paced, high-volume, contact center environment taking back-to-back calls and navigating multiple systems/programs while maintaining an engaging member interaction that occurs across multiple channels.
- Applies strong time management skills by closely adhering to assigned work schedule.
- Applies strong call management skills by assisting members within a timely manner and limiting non-productive time.
- Embraces continuous improvement and development through coaching and collaboration with manager and team members.
- Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
- May assign or initiate emergency services when required on specific claims.
- May be assigned CAT deployment travel with minimal notice during designated CATs.
- Works various types of claims loss notices and inquiries, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
- Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
- High School Diploma or GED
- Up to 1 year of customer service or military experience.
- Active listening, verbal, and written communication skills to communicate clearly, professionally, and empathetically.
- Ability to prioritize and multi-task, including navigating through multiple business applications.
- Interpersonal skills and ability to collaborate effectively in a fast-paced team environment.
- Successful completion of a job-related assessment may be required.
- May require acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts as required by work assignment. (USAA provides all materials and licensing fees.)
What sets you apart:
- US military experience through military service or a military spouse/domestic partner
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Claims Customer Service Representative Jobs by Experience Level
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Who's Hiring



Top Industries Hiring
- Insurance
What Employers Look For
The qualifications that appear most often in claims customer service representative jobs.
- One or more years of customer service or claims processing experience
- Strong written and verbal communication skills for claimant and provider interactions
- Proficiency with claims management software such as Guidewire or Duck Creek
- High school diploma or equivalent required, associate or bachelor's degree preferred
- Ability to interpret policy language and apply coverage guidelines accurately
- Active or eligible-to-obtain state insurance adjuster license where required
Tips for Your Claims Customer Service Representative Job Search
Tailor your resume to claim types
Highlight the specific claim categories you've handled, whether property and casualty, medical, or workers' comp. Hiring managers scan for exact terminology, so a resume that mirrors the posting's claim language moves faster through screening than a generic one.
Certify in claims handling before applying
An Associate in Claims designation or a state-specific adjuster license signals you understand regulatory requirements, not just call handling. Employers in insurance and healthcare treat these credentials as a shortcut past the experience question, especially for mid-level roles.
Apply early to roles that fit
Migrate Mate lists claims customer service representative openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Name the claims systems you have used
Platforms like Guidewire, Duck Creek, or medical billing software come up constantly in job descriptions. If you've logged time in any claims management system, name it in your resume's skills section so automated screening tools pull your application correctly.
Prepare for scenario-based interview questions
Interviewers in this field routinely ask how you'd handle a frustrated claimant disputing a denial. Rehearse a concise answer that covers de-escalation, documentation, and the escalation path, since those three elements reflect the actual workflow of the job.
Negotiate using total compensation, not base only
Claims roles often include production bonuses, shift differentials for evening or weekend work, and licensing reimbursement. When you receive an offer, ask about each component separately so you understand the full package before accepting or countering.
Claims Customer Service Representative Jobs: Frequently Asked Questions
Which companies are hiring the most claims customer service representatives?
The companies hiring the most claims customer service representatives right now include USAA, Capital One, and Blue Cross Blue Shield, with the largest share of openings in Florida, Virginia, and Texas, based on current listings on Migrate Mate as of November 2026. Property and casualty insurers and large health plans consistently account for the highest volume of postings.
How many claims customer service representative jobs are remote?
About 50% of claims customer service representative openings are fully remote or hybrid as of November 2026, with remote availability concentrated in medical claims and auto insurance lines where systems access and documentation can be handled entirely from home. Roles involving in-person claimant inspections or field adjusting are least likely to be listed as remote.
How do you become a claims customer service representative?
Start by building a foundation in customer service, ideally in an insurance, healthcare billing, or financial services setting where you handle disputes and documentation. Earn an adjuster license in your state if the roles you're targeting require one, then pursue an Associate in Claims designation to strengthen your candidacy. Applying to entry-level claims roles while completing certification is a common path in.
Can you get hired as a claims customer service representative with no experience?
Yes, many employers hire candidates with strong customer service backgrounds and train them on claims procedures internally. Emphasize call handling volume, dispute resolution, and any experience reading contracts or policy documents. Entry-level postings at insurance carriers and third-party administrators frequently specify that claims experience is preferred but not required, making them the right starting point.
What does the claims customer service representative interview process look like?
Most processes include a phone screen focused on communication skills and customer service history, followed by one or two structured interviews that use scenario questions about handling denials, irate claimants, and documentation errors. Some employers add a written exercise where you draft a denial or status letter, and roles requiring a license may verify your credentials before extending an offer.
Where can I find and apply to claims customer service representative jobs?
You can find and apply to claims customer service representative jobs on Migrate Mate, which lists current openings from across the United States. Search the roles available, find the ones that match your experience and claim specialization, and apply directly to each listing that fits.
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