Claims Representative Interview Questions

Claims Representative Interview Questions

Because a claims representative works with customers and insurance companies, having listening, communication, and other soft skills are essential. Expect interview questions that will ask about your ability to deal with frustrated, confused, or injured customers. Additional questions may regard how you negotiate fair payments and your basic administrative skills.

Top Claims Representative Interview Questions & How to Answer

Question 1

Question #1: How do you deal with a stressed-out customer?

How to answer
How to answer: This question is designed to deduce your social skills as a claims representative. Answer with comments with a calm voice, showing that you acknowledge the customer's frustration, apologize to them that they're feeling this way, and let them know you'll take action to resolve their situation.
Question 2

Question #2: How do you manage to negotiate a fair payment?

How to answer
How to answer: Negotiating skills are of paramount importance as a claims representative. Answer that you'll use deductive reasoning and consider the facts surrounding the claim. As a professional claims representative, you understand the normal standards for a variety of claims.
Question 3

Question #3: Do you have the skills to catch a fraudulent claim?

How to answer
How to answer: Claims representatives will occasionally come across fraudulent claims. When asked if you have the conceptual skills to catch a false claim, answer with comments like you pay attention to detail, have knowledge of what a clean claim looks like, and that you always double-check your work. In addition, mention that if you suspect a fraudulent claim, you would alert the insurance company immediately.

3,066 claims representative interview questions shared by candidates

Describe a time when you solved a problem for someone in a way that exceeded their expectations. Please describe the situation, how you responded, and the results. How did you know what would exceed their expectations?
avatar

Medical Claims Representative

Interviewed at Progressive Insurance

3.9
May 30, 2021

Describe a time when you solved a problem for someone in a way that exceeded their expectations. Please describe the situation, how you responded, and the results. How did you know what would exceed their expectations?

Why Progressive? Tell me about a time a customer told you no and you changed their mind to yes. Tell me about a time you exceeded a customers expectations. Tell me about a mistake you made and how you fixed it. Tell me about a time you received difficult or constructive feedback and what you did with that feedback. Tell me about a time you were overwhelmed by a difficult change - how did you remain accountable for your work? Tell me about a time you had to adapt to substantial change at work. Tell me about a time you had to make a decision quickly but were faced with conflicting information.
avatar

Medical Claims Representative

Interviewed at Progressive Insurance

3.9
Sep 1, 2021

Why Progressive? Tell me about a time a customer told you no and you changed their mind to yes. Tell me about a time you exceeded a customers expectations. Tell me about a mistake you made and how you fixed it. Tell me about a time you received difficult or constructive feedback and what you did with that feedback. Tell me about a time you were overwhelmed by a difficult change - how did you remain accountable for your work? Tell me about a time you had to adapt to substantial change at work. Tell me about a time you had to make a decision quickly but were faced with conflicting information.

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Glassdoor has 3,066 interview questions and reports from Claims representative interviews. Prepare for your interview. Get hired. Love your job.