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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Overview

Open roles32
Top stateFlorida
Top employerUSAA
Top cityClearwater, FL
Work type50% On-site
Top industryInsurance

Showing 5 of 32+ Claims Customer Service Representative jobs

Customer Service Claims Representative
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New 18h ago
Customer Service Claims Representative
USAA
Phoenix, Arizona
Business Development
Business Strategy
Corporate Development & M&A
Strategy & Corporate Development
Hybrid
High school diploma or GED
10,000+

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Claims Customer Service Representative I
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Added 2d ago
Claims Customer Service Representative I
Integrity Marketing Group
Clearwater, Florida
Customer Service
Customer Service & Support
Customer Support
High school diploma or GED
5,001-10,000

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Claims Customer Service Advocate III
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Added 3d ago
Claims Customer Service Advocate III
Blue Cross Blue Shield
Columbia, South Carolina
Business Operations
Compliance & Risk
Customer Service
High school diploma or GED
1,001-5,000

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Dental Customer Care-Claims Specialist
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Added 1w ago
Dental Customer Care-Claims Specialist
Medical Mutual of Ohio
Cleveland, Ohio
Customer Service & Support
Healthcare Administration
Customer Service
Hybrid
Associate's
1,001-5,000

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Dental Customer Care-Claims Specialist
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Added 1w ago
Dental Customer Care-Claims Specialist
Medical Mutual of Ohio
Dayton, Ohio
Caregiving & Elderly Support
Healthcare Administration
Patient Services & Wellbeing
On-Site
Associate's degree in communications
1,001-5,000

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Claims Customer Service Representative Job Market

Who's Hiring

USAA2 open roles
Capital One2 open roles
Blue Cross Blue Shield2 open roles

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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