Workers' Compensation Claim Representative I
Claim Processor Job In Saint Louis, MO
Workers' Compensation Claim Representative I
Work Hours: Monday-Friday, 8:00 AM to 4:30 PM (1-hour unpaid lunch) Salary Range: $45,000 - $55,000
Please note: This position offers a hybrid work arrangement with the potential for local travel to conduct claim reviews. As a Workers' Compensation Claim Representative I, you'll have the opportunity to work across multiple accounts in Missouri's governmental and school industries while building your expertise in workers' compensation claims handling.
At CCMSI, we pride ourselves on being an Employee-Owned Third Party Administrator. Certified as a Great Place to Work, we foster a collaborative, supportive, and dynamic work environment where your contributions matter. This role is an excellent introduction to the world of claims adjusting, with opportunities for professional growth within a nationwide organization.
Why You'll Love Working Here
Culture: Join a team that values integrity, passion, and enthusiasm, while encouraging collaboration and innovation.
Support & Training: We provide hands-on training, manageable caseloads, and continuous feedback to ensure your success.
Career Development: This position serves as a springboard for future growth within CCMSI, including advancement to senior-level claims roles.
Comprehensive Benefits: Enjoy 4 weeks of PTO in your first year, 10 paid holidays, and a robust benefits package, including Medical, Dental, Vision, Life Insurance, Short & Long-Term Disability, 401K, and ESOP.
Responsibilities Responsibilities
As a Workers' Compensation Claim Representative I, you'll play a vital role in investigating and adjusting Missouri workers' compensation claims. Your primary responsibilities will include:
Claims Investigation: Analyze and adjust assigned workers' compensation claims according to CCMSI's guidelines and procedures.
Multi-Account Management: Handle claims for governmental and school industry clients in Missouri.
Payment Processing: Authorize and process claim payments in line with established protocols and industry standards.
Negotiation & Settlement: Work with claimants and attorneys to negotiate settlements within client-approved authority levels.
Collaboration: Assist in selecting and supervising defense attorneys and monitor subrogation claims.
Compliance: Meet service commitments and ensure all claims adhere to CCMSI's corporate standards and client expectations.
Local Travel: Conduct claim reviews as needed at client locations in the St. Louis area.
Qualifications What You Bring to the TableMust-Have Skills:
A minimum of 2+ years of Missouri workers' compensation claim handling experience.
Exceptional organizational skills, with the ability to prioritize and pivot between tasks efficiently.
Proficiency in Microsoft Office programs, especially Excel and Outlook.
Excellent written and verbal communication skills.
Ability to work effectively both independently and as part of a team.
Nice-to-Have Skills:
Familiarity with Missouri jurisdictional laws specific to governmental and school industries.
Prior experience with employee recognition programs or payroll systems.
Knowledge of Adobe PDF tools.
How Your Success Will Be Measured
Audit Performance: Regular quality reviews of your work by supervisors and auditors.
Client Satisfaction: Adherence to service commitments and responsiveness to client needs.
Productivity: Efficient and accurate handling of claims within assigned caseloads.
Ready to Advance Your Career?
This role is perfect for individuals with a background in Missouri workers' compensation claims looking to develop professionally in a hybrid work environment. If you're ready to make an impact while contributing to a supportive, employee-focused company, apply today!
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefits package, including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP, and 401K. Background checks are conducted in accordance with applicable federal, state, and local laws.
Disclaimer:
The posted salary range reflects the anticipated base pay for this role. Actual pay will depend on qualifications, experience, location, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay.
#StLouisJobs #HybridWork #WorkersCompensation #ClaimsAdjuster #CareerGrowth #GovernmentAccounts #SchoolIndustry #MissouriJobs #InsuranceCareers #ClaimsManagement #EmployeeOwned #GreatPlaceToWork #AttentionToDetail #SelfStarter #MOJurisdiction #ProfessionalDevelopment #IN123 #LI-Hybrid
Associate Claims Examiner
Claim Processor Job 21 miles from Saint Louis
You desire impactful work. You're RGA ready RGA is a purpose-driven organization working to solve today's challenges through innovation and collaboration. A Fortune 500 Company and listed among its World's Most Admired Companies, we're the only global reinsurance company to focus primarily on life- and health-related solutions. Join our multinational team of intelligent, motivated, and collaborative people, and help us make financial protection accessible to all.
A Brief Overview
The Associate Claims Examiner processes claims, performs robust treaty liability reviews, reviews for accuracy, calculates interest as needed, and processes payment for approved claims.
What you will do
* Reviews, verifies, and confirms claims.
* Verifies that the cession claimed on was properly ceded to RGA Re and was properly established on RGA Re administration system. Takes all initial steps to resolve questions that arise from the above action. Makes corrections within accepted parameters and escalates unresolved discrepancies to supervisor.
* Calculates interest and/or expense to ensure accuracy.
* Contacts other RGA Re associates or clients to help resolve/correct data discrepancies.
* Processes payment for approved claims via ACH, wire transfers or check.
* May assist in training of new or junior associates.
* Recognizes early death claims to be escalated.
* Maintains regular and predictable attendance.
* Performs other duties as assigned.
Qualifications
* Associate's Degree (AA) or equivalent work experience in insurance, reinsurance, or financial services Required
* 0+ Years claims experience Required
* Basic Microsoft Outlook, Word, and Excel Skills Required
* Basic math skills Required
* Ability to be flexible when needed, take initiative, and demonstrate accountability Required
* Basic oral and written communication skills demonstrating ability to share and impart knowledge Required
* Ability to quickly adapt to new methods, work under tight deadlines and stressful conditions Required
* Ability to set goals, multitask and prioritize workload Required
* Ability to work well within a team environment Required
* Basic investigative, analytical and problem solving skills Required
* Prior life claims experience Preferred
* Intermediate Excel skills Preferred
* Progress toward FLMI, ALHC or other relevant professional accreditation Preferred
#LI-OJ1
#LI-Hybird
What you can expect from RGA:
* Gain valuable knowledge from and experience with diverse, caring colleagues around the world.
* Enjoy a respectful, welcoming environment that fosters individuality and encourages pioneering thought.
* Join the bright and creative minds of RGA, and experience vast, endless career potential.
Compensation Range:
$43,450.00 - $58,450.00 Annual
Base pay varies depending on job-related knowledge, skills, experience and market location. In addition, RGA provides an annual bonus plan that includes all roles and some positions are eligible for participation in our long-term equity incentive plan. RGA also maintains a full range of health, retirement, and other employee benefits.
RGA is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, age, gender identity or expression, sex, disability, veteran status, religion, national origin, or any other characteristic protected by applicable equal employment opportunity laws.
Claims Processor II - R00000064997
Claim Processor Job 16 miles from Saint Louis
Responsible and accountable for the accurate and timely processing of all claims. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.
- Adjudicates claims and adjustments as required.
- Resolves claims edits and suspended claims.
- Maintains and updates required reference materials to adjudicate claims.
- Provides backup support to other team/group members in the performance of job duties as assigned.
- Manually prices claims with various tools and processes to pay the claims.
- Utilizes reference materials and analyzes updated materials to adjudicate claims. This includes reviewing material updates daily and sharing feedback or suggestions if any concerns arise.
- Partners with the Quality team for clarity on procedures and complex claims and receives coaching from leadership.
**Other Job Requirements**
**Responsibilities**
Demonstrated ability to navigate computer applications.
Experience with list of ICD-9/10 codes and Current Procedural Terminology (CPT).
Demonstrated basic analytical skills.
Basic written/oral communication skills.
Demonstrated reading comprehension and ability to follow provided directions.
****General Job Information****
**Title**
Claims Processor II
**Grade**
19
**Work Experience - Required**
Claims
**Work Experience - Preferred**
**Education - Required**
GED, High School
**Education - Preferred**
**License and Certifications - Required**
****License and Certifications - Preferred****
**Salary Range**
Salary Minimum:
$37,725
Salary Maximum:
$56,595
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity
Claims Processor
Claim Processor Job 16 miles from Saint Louis
Responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.
Essential Functions:
- Adjudicate claims and adjustments as required.
- Resolve claims edits and suspended claims.
- Maintain and update required reference materials to adjudicate claims.
- Provide backup support to other team/group members in the performance of job duties as assigned.
·
Requirements/Certifications:
-
Ability to quickly use a 10-key machine- Experience with list of ICD-9 codes and Current Procedural Terminology (CPT) Claims
High School (Required) GED (Required)
Additional Information
All your information will be kept confidential according to EEO guidelines.
Outside Property Claim Representative Trainee - St. Louis, MO
Claim Processor Job In Saint Louis, MO
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$48,700.00 - $80,400.00
**Target Openings**
2
**What Is the Opportunity?**
This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.
**What Will You Do?**
+ Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.
+ The on the job training includes practice and execution of the following core assignments:
+ Handles 1st party property claims of moderate severity and complexity as assigned.
+ Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.
+ Broad scale use of innovative technologies.
+ Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate.
+ Establishes timely and accurate claim and expense reserves.
+ Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
+ Negotiates and conveys claim settlements within authority limits.
+ Writes denial letters, Reservation of Rights and other complex correspondence.
+ Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
+ Meets all quality standards and expectations in accordance with the Knowledge Guides.
+ Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
+ Manages file inventory to ensure timely resolution of cases.
+ Handles files in compliance with state regulations, where applicable.
+ Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
+ Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
+ Identifies and refers claims with Major Case Unit exposure to the manager.
+ Performs administrative functions such as expense accounts, time off reporting, etc. as required.
+ Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
+ May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
+ Must secure and maintain company credit card required.
+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
+ In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards.
+ This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience preferred.
+ Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic
+ Verbal and written communication skills -Intermediate
+ Attention to detail ensuring accuracy - Basic
+ Ability to work in a high volume, fast paced environment managing multiple priorities - Basic
+ Analytical Thinking - Basic
+ Judgment/ Decision Making - Basic
+ Valid passport preferred.
**What is a Must Have?**
+ High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required.
+ Valid driver's license - required.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
Outside Property Claim Representative Trainee - St. Louis, MO
Claim Processor Job In Saint Louis, MO
ATTENTION MILITARY AFFILIATED JOB SEEKERS
- Our organization works with partner companies to source qualified talent for their open roles. The following position is available to
Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers
. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post.
Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$48,700.00 - $80,400.00
Target Openings
2
What Is the Opportunity?
This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.
What Will You Do?
Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.
The on the job training includes practice and execution of the following core assignments:
Handles 1st party property claims of moderate severity and complexity as assigned.
Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.
Broad scale use of innovative technologies.
Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate.
Establishes timely and accurate claim and expense reserves.
Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters.
Negotiates and conveys claim settlements within authority limits.
Writes denial letters, Reservation of Rights and other complex correspondence.
Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
Meets all quality standards and expectations in accordance with the Knowledge Guides.
Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
Manages file inventory to ensure timely resolution of cases.
Handles files in compliance with state regulations, where applicable.
Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners.
Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
Identifies and refers claims with Major Case Unit exposure to the manager.
Performs administrative functions such as expense accounts, time off reporting, etc. as required.
Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
Must secure and maintain company credit card required.
In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards.
This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position
Perform other duties as assigned.
Additional Qualifications/Responsibilities
What Will Our Ideal Candidate Have?
Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience preferred.
Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic
Verbal and written communication skills -Intermediate
Attention to detail ensuring accuracy - Basic
Ability to work in a high volume, fast paced environment managing multiple priorities - Basic
Analytical Thinking - Basic
Judgment/ Decision Making - Basic
Valid passport preferred.
What is a Must Have?
High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required.
Valid driver's license - required.
What Is in It for You?
Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Claims Specialist, Motor Truck Cargo/Ocean Marine
Claim Processor Job In Saint Louis, MO
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
This individual contributor position works under moderate direction, and within defined authority limits, to manage primarily motor truck cargo claims with moderate to high complexity and exposure. There may also be opportunity to handle ocean marine claims. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s).
JOB DESCRIPTION:
Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
* Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims.
* Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate.
* Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service.
* Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation.
* Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements.
* Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* May serve as a mentor/coach to less experienced claim professionals
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or above
Skills, Knowledge & Abilities
* Solid working knowledge of motor truck cargo claims handling, liability analysis, policy coverage and claim practices.
* Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed.
* Demonstrated ability to develop collaborative business relationships with internal and external work partners.
* Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions.
* Demonstrated investigative experience with an analytical mindset and critical thinking skills.
* Strong work ethic, with demonstrated time management and organizational skills.
* Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity.
* Developing ability to negotiate low to moderately complex settlements.
* Adaptable to a changing environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas
Education & Experience:
* Bachelor's Degree or equivalent experience.
* Typically a minimum four years of relevant experience, preferably in claim handling.
* Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Professional designations are a plus (e.g. CPCU)
#LI-AR1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Maryland, New York and Washington, the national base pay range for this job level is $49,000 to $98,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
On Campus Legal Claims Specialist
Claim Processor Job 25 miles from Saint Louis
Full-time Description
Overview (prior mechanic, adjuster, deep service desk knowledge)
This position serves as support to a supervisor/manager but more primarily as a vehicle technical expert for the claims resolution (some legal aspects) team. You will be responsible for reviewing and researching high-level escalated automotive breakdown claims issues by analyzing the details of complaints in conjunction with vehicle service contracts (often referred to as “warranties”), estimates, feedback from the repair facility and payment history to ensure a prompt and satisfactory complaint resolution for the contract holder or provide testimony as needed for arbitrations and other legal proceedings. Deep understanding of the systems, repairs, parts, resolutions, customer service that are attendant to vehicle repair. There is a lot of phone time, screen time, in-person meetings on our campus, and the position does not qualify for remote work. Now is the time to leave the dirty fingernails and socket sets behind - come use your experience at a keyboard. Pay commensurate with experience and communication skills.
Responsibilities
Review assigned high-level complaint submissions to determine correct claim adjudication.
Complete calls to repair facilities, and contract holders or their representatives as directed to resolve claim issues.
Track all complaint actions in the company's claim administration and legal systems.
Provide accurate, courteous, and timely information to all external and internal customers concerning claim status and other claim inquiries.
Conduct and coordinate loss investigations on all claims escalated to the legal department.
Present facts of claim adjudication and investigative findings on assigned claims as a professional witness in arbitration hearings or other legal proceedings as assigned by the Legal Claims Director.
Execute all communications with Contract holders, repair facilities, customer representatives IE Attorneys, regulatory agency staff, or other agencies with the utmost professionalism, empathy, candor, and accuracy as possible to include setting an example for all AAS corporate staff.
Provide quality, actionable, detailed, and concise feedback through assigned processes for issues relating to Claims Adjusters and Customer Service staff on all assigned claim reviews.
Audit operations feedback forms submitted by the Legal Claims Specialist Team for accuracy and quality.
Carry out responsibilities in accordance with the organization's policies and applicable laws.
Provide support to Legal Department.
Interact with other departments within the company.
Assist and develop the Legal Claims Specialist team.
Manage current and outstanding open legal matters assigned to the Legal Claims Specialist team to ensure correct handling of matters by performing audits on assigned claims.
Develop and continue to improve upon standard operating procedures for the operations of the Legal Claims Specialist team.
Provide training for new hires to the Legal Claims Specialist team.
Work with other departments on legal issues relating to claims and company operations.
Assist the Legal Claims Manager, Legal Department, as well as Corporate Counsel.
As required; provide recorded verbal or video responses/interviews as needed to media inquiries in the absence of the Legal Claims Director.
Other duties may be assigned.
Competencies
Integrity and Accountability
Communication-Written, Speaking, and Listening
Commitment to Customer Service Excellence
Initiative
Planning and Organization
Team Management
Requirements
Required Experience, Skills & Abilities
Ability to work 100% in-office.
Ability to write routine reports and correspondence.
Ability to deal with problems involving several concrete variables in standardized situations.
Experience with Database Software, Internet Software, Word Processing Software (Microsoft Word), Spreadsheet Software (Microsoft Excel) and Electronic Mail Software (Microsoft Outlook).
Ability to be friendly, courteous, service-oriented, flexible, and enjoy working with a variety of staff.
Ability to be detail-oriented and work effectively under pressure while meeting deadlines.
Ability to be professional, accurate and complete in all oral and written communications
Ability to exercise de-escalation techniques and remain calm and professional in stressful situations.
Ability to work independently and productively with minimum supervision; able to manage multiple projects.
Ability to recognize problems, identify possible causes and resolve routine problems.
Ability to establish and maintain effective working relationships with internal and external organizations, groups, team members and individuals.
Ability to be proactive in addressing potential problems or holdups in all processes and procedures.
Significant automotive mechanical, electrical and hydraulic knowledge.
Required Education/Certifications
Two-year technical automotive degree, six months of claims handling experience with the company, and minimum two years related experience and/or training; or equivalent combination of education and experience.
Currently certified and maintaining ASE Certifications, P2 Parts Specialist, C1 Service Consultant, L1 Automobile Advanced Engine Performance and A1-A9 certifications. It is highly preferred that certifications are also obtained and maintained for L2 Electronic Diesel Engine Diagnosis, and L3 Light Duty Hybrid/Electric Vehicles Certifications.
Salary Description $78,000 - $100,000
Liability Claims Manager (3 Openings)
Claim Processor Job In Saint Louis, MO
Stop searching. Start growing. It's time to build a meaningful career where you can grow, your ideas can thrive, and you are recognized and valued. Join a team committed to your excellence, and apply to Safety National today!
Ready for a rewarding career? Follow this link to view all of our available careers and apply: ********************************************
This opportunity is in the Claims Department.
Our Claims department oversees both high-exposure workers' compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess and large deductible carrier, the high exposure claims we handle keep our group challenged, but the uniqueness provides plenty of growth opportunities.
Role Description:
In the role of Liability Claims Manager, you will be part of a dynamic team that handles complex claims of various insurance products from identification through closure. You will work closely with Third Party Administrators (TPA) and self-administered accounts, other internal claims managers, department leaders, and internal and external legal counsel. By representing Safety National and managing intricate insurance claims responsibly and ethically, your impact will be felt throughout the organization.
Your day-to-day responsibilities as a Liability Claims Manager include maintaining ongoing case evaluations and managing litigation, including the selection and monitoring of counsel in accordance with department litigation guidelines. Conducting thorough coverage review and advising TPAs regarding claims handling and reporting will be required of you in this role. You may also be assigned to identify cost-effective resolution strategies; directly or indirectly negotiate claim settlements within your established authority and collaborate with your leadership team on settlements over your authority limit.
The ideal candidate is someone with extensive claims management experience, a strong collaborator, and someone who is skilled at building strong relationships with external partners and internally. Some of the essential functions required of you in this role are to maintain timely expense and indemnity reserves, identify claims with reinsurance, collaborate with our Underwriters and travel for audits, meetings, settlement conferences and trial monitoring as needed. . Proficiency with Microsoft Excel, Word, and Outlook is required.
If this role describes you, don't delay. Apply today!
Qualifications:
Education:
A Bachelor's in a related field is required
A Juris Doctor (JD) is desired
Required Qualifications:
5 or more years of related experience
Prior experience with active litigation or adjusting higher exposure, Automobile Liability, General Liability, Employers Liability, Public Entity, Cyber, Excess, Umbrella, or Construction Liability claims
Experience analyzing coverage issues and drafting reservation of rights and coverage letters
Must have strong organizational and analytical skills, as well as excellent written and oral communication skills
Motivated, self-starter with the ability to work independently and to prioritize work effectively
Willingness to travel as required to meet business needs (Mediations, Mock Trials, Trials, Client Meetings, TPA Audits, Industry Seminars and Conferences).
Preferred Qualifications:
Experience in multiple jurisdictions with an insurance carrier or Third Party Administrator
Experience with all phases of claims litigation from inception through post judgment, including complex mediations, settlement conferences, and trials
Designations such as, AIC, SCLA, or CLCS
Protect the confidentiality, integrity and availability of information and technology assets against unauthorized disclosure, destruction and/or alteration, in accordance with Safety National policies, standards, and procedures.
Safety National is a leading specialty insurance and reinsurance provider. Our culture is built upon relationships, which allow us to demonstrate our expertise gained through our rich 80-year history. As a wholly-owned subsidiary of Tokio Marine, Inc., we appreciate the benefits and support provided by our affiliation with one of the top 10 insurance companies in the world.
Total Rewards That Put Employees First
In our vision to be First with Co-Workers, compensation that includes base salary, holiday bonus, and incentive awards is only a small portion of the comprehensive total rewards package we offer. Our total rewards approach recognizes and rewards the time, talents, efforts, and results of our valued employees. Highlights of our exceptional benefits include generous health, dental, and vision coverage, health savings accounts, a 401(k) retirement savings match and an annual profit sharing contribution. We proudly offer family forming benefits for adoption, fertility, and surrogacy, generous paid time off and paid holidays, paid parental and caregiver leave, a hybrid work environment, and company paid life insurance and disability. To support employees in their career journeys, we provide professional growth and development opportunities in addition to employee recognition and well-being programs. Apply today to learn more.
Safety National is committed to fair, transparent pay and we strive to provide competitive, market-based compensation. In our vision to be First with Co-Workers, compensation is only one piece of the comprehensive total rewards package we offer. The target salary range for this position is $84,000 to $109,500. Compensation for the successful candidate will consider the candidate's particular combination of knowledge, skills, competencies, experience and geographic location.
#LI-Hybrid
Police Firearms and Tool Marks Examiner
Claim Processor Job In Saint Louis, MO
An employee in this job class performs work of marked difficulty in the analysis of firearms, and related evidence in criminal cases to develop facts useful in courtroom proceedings. Work is performed under the supervision of the Crime Laboratory Section Supervisor. Work involves analyzing weapons and ammunition and testifying as an expert witness. Work is reviewed for accuracy and effectiveness through reports, testimony, and results obtained.
Duty Hours: 8:00 AM to 4:30 PM, Monday through Friday, with flexibility to meet Department needs.
Per the Department's Collective Bargaining Agreement, newly hired employees who do not possess corresponding experience will start at the base starting pay listed in this posting.
Examples of Duties
Examines bullets, bullet fragments, cartridge cases, firearms, and related evidence.
Identifies makes, calibers, and origins of firearms and weapons.
Identifies calibers, manufacturers, and origins of ammunition and their components.
Conducts test firing of firearms and weapons to determine the functioning condition of the submitted firearms.
Discharges weapons to produce spent ammunition for test firing characteristics and to facilitate microscopic comparisons of bullets and spent shells.
Enters test shots and evidence from crimes into the National Integrated Ballistic Information Network (NIBIN).
Performs standardized tests on other articles of evidence using chemical agents, physical testing equipment, and measuring instruments.
Restores obliterated or defaced serial numbers on serialized items.
Prepares written reports of all findings and provides testimony as an expert witness at depositions, hearings, and trials.
Performs maintenance on equipment as required.
Successfully conducts and completes one proficiency annually in each discipline of expertise.
Performs related work as required.
Note: The example of duties should not be interpreted as all-inclusive. It is intended to identify the essential functions and requirements of the job. Individuals may be requested to perform job related responsibilities and tasks other than those stated in this specification.
Minimum Qualifications
Knowledge, Skills and Abilities:
Knowledge of the theory and principles of ballistics as applied in forensic investigation and analysis.
Knowledge of forensic and ballistics laboratory analysis and standardized test procedures.
Knowledge of chemical agents, physical testing equipment, and measuring instruments used in forensic and ballistic analysis.
Knowledge of the standard practices, methods, and techniques used in the preparation of test results and scientific reports.
Knowledge of firearms, ammunition, and their manufacture.
Knowledge of the judicial process.
Considerable skill in using chemical agents, physical testing equipment and measuring instruments in the performance of forensic and ballistics laboratory tests.
Skill in the proper handling of evidence.
Skill in performing standardized laboratory tests on items designated as evidence.
Skill in analyzing laboratory findings; identifying and comparing bullets, cartridge cases, and other ammunition components.
Skill in preparing and presenting scientific reports in a clear, concise, and accurate manner resulting from conclusions of laboratory analysis.
Skill and ability to successfully complete assigned proficiency tests.
Ability to activate and de-activate the Police Crime Laboratory Security System.
Ability to establish and maintain effective working relationships with co-workers, prosecutors, and members of the law enforcement community.
Ability to communicate effectively orally and in writing.
Ability to utilize knowledge and skill of computers and related software for analysis of evidence.
Physical Demands:
Ability to stand for long periods, bend, reach, lift, and carry moderate weight.
Capacity to work in potentially uncomfortable or hazardous environments, including exposure to chemicals, biohazards, and potentially disturbing crime scene elements.
Occasionally work in extreme weather conditions if responding to a scene.
Training and Experience:
Graduation from an accredited college or university with a baccalaureate or an advanced degree in a natural science or forensic science.
Two (2) years of experience as a forensic examiner in the Firearms Discipline in an ISO 17025 accredited crime laboratory.
Special Requirements:
The position will require the submission of a buccal swab to the local DNA database
Possess a valid state driver's license.
Ability to operate the Mobile Crime Laboratory Utility Vehicle.
Perform other duties as required.
Additional Information
CITIZENSHIP
: Citizen of the United States or valid work permit, and apply for citizenship when eligible.
AGE LIMITS
: Eighteen (18) years of age at the time of appointment.
EDUCATION
: Educational requirements and skills will be determined by the position classification.
ARREST
: Must be free from conviction of a felony or a Class "A" misdemeanor.
MILITARY
: Must not have a
"Dishonorable"
discharge or
"Bad Conduct"
discharge if having served in the military. All
"Other Than Honorable"
discharges will be reviewed on an individual basis.
COMPETITIVE SELECTION PROCESS
Under the regulations of the Police Department, all appointments to the St. Louis County Police Department are made on the basis of a continuously open, competitive hiring process conducted under the supervision of the Personnel Services Unit. Each applicant must successfully complete each stage of the selection process before becoming eligible to proceed to the next step.
AN EQUAL OPPORTUNITY EMPLOYER: The Board of Police Commissioners resolved that subject to all applicable State and Federal statutory or judicial exemptions, all qualified applicants for employment and/or advancement, whether commissioned or civilian, shall be given equal opportunity for consideration, selection, appointment and retention, regardless of race, color, religion, sex, national origin, age, disability, or political affiliation.
Auto Claim Specialist
Claim Processor Job 30 miles from Saint Louis
* Analyze first reports and promptly contact insured/claimants. * Effectively evaluate contract language and identify coverage issues. * Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis.
* Maintain an active file diary to move file toward resolution.
* Establish accurate and timely reserves.
* Recognize and pursue recovery.
* Adhere to all statutory and regulatory fair claims practices.
* Recognize and identify potential fraudulent claims.
* Effectively manage the use, work product and expenses of outside vendors.
* Effectively evaluate claim facts and negotiate claim settlements.
* Develop and maintain strong business relationships with internal and external customers.
* Serve as a technical resource to lesser experienced Adjusters on the team.
* Successfully contribute to the development and delivery of the team's goals, objectives and results.
* Supports workload surges and/or Catastrophe Operations as needed to include working overtime during designated CATs.
Claims Specialist, E&S
Claim Processor Job 30 miles from Saint Louis
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Overview
Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Excess Casualty Team as a Claims Specialist. In this role, the responsibilities include actively managing commercial claims for unsupported Excess Casualty high severity, complex general liability, and auto accounts and providing oversight to underlying carrier(s) claims handlers for coverage, liability, and damages in jurisdictions throughout the United States.
Primary Responsibilities, specific duties include but not limited to the below:
Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis
Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care
Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures
Maintain contact with the underlying carrier(s)' claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary
Investigate claims and review the insureds' materials, pleadings, and other relevant documents
Identify and review each jurisdiction's applicable statutes, rules, and case law
Review litigation materials including depositions and expert's reports
Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues
Retain counsel when necessary and direct counsel in accordance with resolution strategy
Analyze coverage, liability and damages for purposes of assessing and recommending reserves
Prepare and present written/oral reports to senior management setting forth all issues influencing evaluations and recommending reserves
Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter
Negotiate resolution of claims
Select and utilize structure brokers
Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims
Qualifications
Bachelor's degree or 10 years of working experience in lieu of degree
Seven to ten (7-10) years of working experience with a primary and or excess carrier supporting commercial accounts for Casualty claims; professional liability claims experience with Energy Casualty and Construction a plus
Proper & active adjuster licensing in all applicable states
Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
Strong time management and organizational skills
Ability to take part in active strategic discussions
Ability to work well independently and in a team environment
Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word
Willing and able to travel 10%
#LI-SW1
#LI-HYBRID
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.
Examiner
Claim Processor Job In Saint Louis, MO
UMSL - Center for Behavioral Health is amongst the largest psychological assessment practices in Missouri and is considered to be the primary provider of psychological evaluation services in the St. Louis region. For over 40 years, we have provided comprehensive, high-quality assessments to some of the most underserved members of our community. The Center maintains strong referral relationships with more than 60 community partners including, state agencies, school districts, outpatient and inpatient mental health facilities, and primary care providers. As a training clinic at UMSL, CBH remains at the forefront of assessment practice and our staff regularly benefit from our extensive ongoing professional development program.
Responsibilities
The primary responsibility of this position is to conduct psychological evaluations of children, adolescents and adults in inpatient, outpatient and educational settings under the supervision of a licensed psychologist.
For further information, please contact Heather Derix at ************, ***************
Applicants must be authorized to work in the United States. The University will not sponsor applicants for this position for employment visas.
Shift
20 hours/ week
Minimum Qualifications
Master's degree in psychology, counseling, marriage and family therapy, or social work and relevant licensure (or eligible to be licensed within 12 months) within the State of Missouri.
Anticipated Hiring Range
Pay commensurate with education and experience.
Hiring Range: $30.00 per hour
Grade: GGS-010
University Title: Senior Counselor Health/Welfare/Wellness
Application Materials
Application materials include a cover letter and resume. Finalists will be asked to provide references at a later date.
Applicants must combine all application materials into one PDF or Microsoft Word document and upload as a resume attachment to the UMSL Job site: *****************
Limit document name to 50 characters. Maximum size limit is 11MB. Do not include special characters (e.g., /, &, %, etc.). For questions about the application process, please email *******************. If you are experiencing technical problems, please email **************************.
Benefit Eligibility
This position is not eligible for University benefits. Individuals in non benefit eligible positions may choose to participate in the Tax Deferred Annuity Plan (403b). For information about this plan, please visit the Faculty & Staff Benefits website at ***********************************************
Values Commitment
We value the uniqueness of every individual and strive to ensure each person's success. Contributions from individuals with diverse backgrounds, experiences and perspectives promote intellectual pluralism and enable us to achieve the excellence that we seek in learning, research and engagement. This commitment makes our university a better place to work, learn and innovate.
In your application materials, please discuss your experiences and expertise that support these values and enrich our missions of teaching, research and engagement.
Equal Employment Opportunity
The University of Missouri System is an Equal Opportunity Employer. Equal Opportunity is and shall be provided for all employees and applicants for employment on the basis of their demonstrated ability and competence without unlawful discrimination on the basis of their race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, or protected veteran status, or any other status protected by applicable state or federal law. This policy applies to all employment decisions including, but not limited to, recruiting, hiring, training, promotions, pay practices, benefits, disciplinary actions and terminations. For more information, visit *********************************** or call the Director of Employee and Labor Relations at ************.
To request ADA accommodations, please email the Office of Human Resources at ***************.
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Outside Property Contents Claim Representative Trainee
Claim Processor Job 16 miles from Saint Louis
Who Are We?
Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job CategoryClaimCompensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range$46,400.00 - $76,600.00Target Openings1What Is the Opportunity?This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property contents. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.What Will You Do?
Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.
The on the job training includes practice and execution of the following core assignments:
Handles 1st party property content claims with moderate to high severity, i.e. Major Case Unit losses.
Occasionally handles 1st party property claims of moderate complexity as assigned.
Completes field inspection of losses including accurate scope of contents damages, photographs, written estimates and/or computer assisted estimates.
Broad scale use of innovative technologies.
Investigates and evaluates all relevant facts to determine coverage, damages and liability of first party property damage claims. Secures recorded or written statements as necessary and works with proper business partners to maximize company resources for specialized investigation and evaluation.
Works with and effectively manages contents vendors involved with the claim i.e. textile, electronic and contents' restoration vendors.
Negotiates with vendors or insured's representatives.
Establishes timely and accurate claim and expense reserves.
Determines appropriate settlement amount based on independent judgment, computer assisted contents estimate, estimation of actual cash value and replacement value, vendor estimate validation, appraisals, application of applicable limits and deductibles.
Negotiates and conveys claim settlements within authority limits.
Writes denial letters, Reservation of Rights and other complex correspondence.
Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
Meets all quality standards and expectations in accordance with the Knowledge Guides.
Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
Manages file inventory to ensure timely resolution of cases.
Handles files in compliance with state regulations, where applicable
Provides excellent customer service to meet the needs of the insured, agent, and all other internal and external customers/business partners.
Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
Performs administrative functions such as expense accounts, time off reporting, etc. as required.
Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
Actively provides mentoring and coaching to less experienced claim professionals.
May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
Partners with other Property Claim professionals to provide training and to share knowledge and expertise in the adjustment and handling of contents claims.
CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states.
Must secure and maintain company credit card required.
In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position.
Perform other duties as assigned.
What Will Our Ideal Candidate Have?
Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience preferred.
Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic
Strong verbal and written communication skills - Basic
Attention to detail ensuring accuracy - Basic
Ability to work in a high volume, fast paced environment managing multiple priorities - Basic
Analytical Thinking - Basic
Judgment/ Decision Making - Basic
Valid passport preferred.
What is a Must Have?
High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required.
Valid driver's license required.
What Is in It for You?
Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
Examiner I
Claim Processor Job 21 miles from Saint Louis
Company Details
Midwest Employers Casualty (MEC) is a member of the W. R. Berkley Corporation, a fortune 500 company, rated A+ (Superior) by A.M. Best Company, based in Chesterfield, MO. We improve the quality of life for employees severely injured on the job and help companies understand and mitigate their risk for workers' compensation injuries. MEC has a friendly, results-focused work environment. We seek employees who take initiative, are quick to adapt, are dependable, and like working as part of a team.
***************************
The company is an equal employment opportunity employer.
Responsibilities
The ideal Examiner I is someone who has a passion for customer service and setting claims on a course to reach better outcomes. A patient and conscientious individual with the ability to work independently and as part of a team to support the daily functions of the Claims department will thrive in this role. This position requires particular attention to detail, the ability to reprioritize, and is often task oriented.
Key functions include but are not limited to:
Manages Claims department intake inboxes with team and process items from internal/external stakeholders; updates, enters, and images (scans) data into claims systems.
Investigates and verifies coverage through file library searches.
Communicates with external partners to confirm and gather first notice of loss information.
Triages complex claim exposures by meticulously documenting accident and claim history, verifying compensability, evaluating for interventional and settlement opportunities, assigning claims to team and escalating when necessary.
Receives and processes insureds' reimbursement requests.
Helps with extra tasks outside of the regular workload.
Meets and/or exceeds the given monthly goals and best practice standards.
Processes paper mail and faxes.
Provides customer service by answering telephones and redirecting callers.
Responds to all requests and inquiries from claims staff, vendors, and others as appropriate.
Mentors and trains new or junior team members.
May assist with meeting and event preparation.
Responsible for collecting and analyzing data to support and enhance claims business operations.
Conducts research to enhance operating efficiency.
Qualifications
Bachelor's degree preferred.
1+ years of workers' compensation claim handling experience preferred.
Knowledge of workers' compensation insurance, legal, and medical terminology preferred.
Experience working with Third Party Administrators, brokers, and insureds.
Basic experience in Word and Excel a plus.
Experience evaluating detailed check (payment) registers and common WC claim documents.
Self-motivated, informed decision making with the drive to get things done.
Collaborative, open to others' views and supportive of decisions made.
Ownership, must anticipate, identify solutions, and effectively manage a given process.
Influence, effectively communicate direction and demonstrate credibility.
Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role
Claims Specialist, E&S
Claim Processor Job 30 miles from Saint Louis
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Overview
Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Excess Casualty Team as a Claims Specialist. In this role, the responsibilities include actively managing commercial claims for unsupported Excess Casualty high severity, complex general liability, and auto accounts and providing oversight to underlying carrier(s) claims handlers for coverage, liability, and damages in jurisdictions throughout the United States.
Primary Responsibilities, specific duties include but not limited to the below:
Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis
Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care
Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures
Maintain contact with the underlying carrier(s)' claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary
Investigate claims and review the insureds' materials, pleadings, and other relevant documents
Identify and review each jurisdiction's applicable statutes, rules, and case law
Review litigation materials including depositions and expert's reports
Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues
Retain counsel when necessary and direct counsel in accordance with resolution strategy
Analyze coverage, liability and damages for purposes of assessing and recommending reserves
Prepare and present written/oral reports to senior management setting forth all issues influencing evaluations and recommending reserves
Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter
Negotiate resolution of claims
Select and utilize structure brokers
Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims
Qualifications
Bachelor's degree or 10 years of working experience in lieu of degree
Seven to ten (7-10) years of working experience with a primary and or excess carrier supporting commercial accounts for Casualty claims; professional liability claims experience with Energy Casualty and Construction a plus
Proper & active adjuster licensing in all applicable states
Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
Strong time management and organizational skills
Ability to take part in active strategic discussions
Ability to work well independently and in a team environment
Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word
Willing and able to travel 10%
#LI-SW1
#LI-HYBRID
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.
Workers' Compensation Claim Representative I
Claim Processor Job In Saint Louis, MO
Workers' Compensation Claim Representative I
Work Hours: Monday-Friday, 8:00 AM to 4:30 PM (1-hour unpaid lunch) Salary Range: $45,000 - $55,000
Please note: This position offers a hybrid work arrangement with the potential for local travel to conduct claim reviews. As a Workers' Compensation Claim Representative I, you'll have the opportunity to work across multiple accounts in Missouri's governmental and school industries while building your expertise in workers' compensation claims handling.
At CCMSI, we pride ourselves on being an Employee-Owned Third Party Administrator. Certified as a Great Place to Work, we foster a collaborative, supportive, and dynamic work environment where your contributions matter. This role is an excellent introduction to the world of claims adjusting, with opportunities for professional growth within a nationwide organization.
Why You'll Love Working Here
Culture: Join a team that values integrity, passion, and enthusiasm, while encouraging collaboration and innovation.
Support & Training: We provide hands-on training, manageable caseloads, and continuous feedback to ensure your success.
Career Development: This position serves as a springboard for future growth within CCMSI, including advancement to senior-level claims roles.
Comprehensive Benefits: Enjoy 4 weeks of PTO in your first year, 10 paid holidays, and a robust benefits package, including Medical, Dental, Vision, Life Insurance, Short & Long-Term Disability, 401K, and ESOP.
Responsibilities Responsibilities
As a Workers' Compensation Claim Representative I, you'll play a vital role in investigating and adjusting Missouri workers' compensation claims. Your primary responsibilities will include:
Claims Investigation: Analyze and adjust assigned workers' compensation claims according to CCMSI's guidelines and procedures.
Multi-Account Management: Handle claims for governmental and school industry clients in Missouri.
Payment Processing: Authorize and process claim payments in line with established protocols and industry standards.
Negotiation & Settlement: Work with claimants and attorneys to negotiate settlements within client-approved authority levels.
Collaboration: Assist in selecting and supervising defense attorneys and monitor subrogation claims.
Compliance: Meet service commitments and ensure all claims adhere to CCMSI's corporate standards and client expectations.
Local Travel: Conduct claim reviews as needed at client locations in the St. Louis area.
Qualifications What You Bring to the TableMust-Have Skills:
A minimum of 2+ years of Missouri workers' compensation claim handling experience.
Exceptional organizational skills, with the ability to prioritize and pivot between tasks efficiently.
Proficiency in Microsoft Office programs, especially Excel and Outlook.
Excellent written and verbal communication skills.
Ability to work effectively both independently and as part of a team.
Nice-to-Have Skills:
Familiarity with Missouri jurisdictional laws specific to governmental and school industries.
Prior experience with employee recognition programs or payroll systems.
Knowledge of Adobe PDF tools.
How Your Success Will Be Measured
Audit Performance: Regular quality reviews of your work by supervisors and auditors.
Client Satisfaction: Adherence to service commitments and responsiveness to client needs.
Productivity: Efficient and accurate handling of claims within assigned caseloads.
Ready to Advance Your Career?
This role is perfect for individuals with a background in Missouri workers' compensation claims looking to develop professionally in a hybrid work environment. If you're ready to make an impact while contributing to a supportive, employee-focused company, apply today!
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefits package, including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP, and 401K. Background checks are conducted in accordance with applicable federal, state, and local laws.
Disclaimer:
The posted salary range reflects the anticipated base pay for this role. Actual pay will depend on qualifications, experience, location, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay.
#StLouisJobs #HybridWork #WorkersCompensation #ClaimsAdjuster #CareerGrowth #GovernmentAccounts #SchoolIndustry #MissouriJobs #InsuranceCareers #ClaimsManagement #EmployeeOwned #GreatPlaceToWork #AttentionToDetail #SelfStarter #MOJurisdiction #ProfessionalDevelopment #IN123 #LI-Hybrid
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Claims Processor II - R00000065192
Claim Processor Job 16 miles from Saint Louis
Responsible and accountable for the accurate and timely processing of all claims. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.
- Adjudicates claims and adjustments as required.
- Resolves claims edits and suspended claims.
- Maintains and updates required reference materials to adjudicate claims.
- Provides backup support to other team/group members in the performance of job duties as assigned.
- Manually prices claims with various tools and processes to pay the claims.
- Utilizes reference materials and analyzes updated materials to adjudicate claims. This includes reviewing material updates daily and sharing feedback or suggestions if any concerns arise.
- Partners with the Quality team for clarity on procedures and complex claims and receives coaching from leadership.
**Other Job Requirements**
**Responsibilities**
Demonstrated ability to navigate computer applications.
Experience with list of ICD-9/10 codes and Current Procedural Terminology (CPT).
Demonstrated basic analytical skills.
Basic written/oral communication skills.
Demonstrated reading comprehension and ability to follow provided directions.
****General Job Information****
**Title**
Claims Processor II
**Grade**
19
**Work Experience - Required**
Claims
**Work Experience - Preferred**
**Education - Required**
GED, High School
**Education - Preferred**
**License and Certifications - Required**
****License and Certifications - Preferred****
**Salary Range**
Salary Minimum:
$37,725
Salary Maximum:
$56,595
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Outside Property Contents Claim Representative Trainee
Claim Processor Job In Saint Louis, MO
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$46,400.00 - $76,600.00
**Target Openings**
1
**What Is the Opportunity?**
This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property contents. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence.
**What Will You Do?**
+ Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel.
+ The on the job training includes practice and execution of the following core assignments:
+ Handles 1st party property content claims with moderate to high severity, i.e. Major Case Unit losses.
+ Occasionally handles 1st party property claims of moderate complexity as assigned.
+ Completes field inspection of losses including accurate scope of contents damages, photographs, written estimates and/or computer assisted estimates.
+ Broad scale use of innovative technologies.
+ Investigates and evaluates all relevant facts to determine coverage, damages and liability of first party property damage claims. Secures recorded or written statements as necessary and works with proper business partners to maximize company resources for specialized investigation and evaluation.
+ Works with and effectively manages contents vendors involved with the claim i.e. textile, electronic and contents' restoration vendors.
+ Negotiates with vendors or insured's representatives.
+ Establishes timely and accurate claim and expense reserves.
+ Determines appropriate settlement amount based on independent judgment, computer assisted contents estimate, estimation of actual cash value and replacement value, vendor estimate validation, appraisals, application of applicable limits and deductibles.
+ Negotiates and conveys claim settlements within authority limits.
+ Writes denial letters, Reservation of Rights and other complex correspondence.
+ Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
+ Meets all quality standards and expectations in accordance with the Knowledge Guides.
+ Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures.
+ Manages file inventory to ensure timely resolution of cases.
+ Handles files in compliance with state regulations, where applicable
+ Provides excellent customer service to meet the needs of the insured, agent, and all other internal and external customers/business partners.
+ Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
+ Performs administrative functions such as expense accounts, time off reporting, etc. as required.
+ Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed.
+ Actively provides mentoring and coaching to less experienced claim professionals.
+ May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
+ Partners with other Property Claim professionals to provide training and to share knowledge and expertise in the adjustment and handling of contents claims.
+ CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states.
+ Must secure and maintain company credit card required.
+ In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
+ This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience preferred.
+ Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic
+ Strong verbal and written communication skills - Basic
+ Attention to detail ensuring accuracy - Basic
+ Ability to work in a high volume, fast paced environment managing multiple priorities - Basic
+ Analytical Thinking - Basic
+ Judgment/ Decision Making - Basic
+ Valid passport preferred.
**What is a Must Have?**
+ High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required.
+ Valid driver's license required.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
Police Firearms and Tool Marks Examiner
Claim Processor Job 7 miles from Saint Louis
An employee in this job class performs work of marked difficulty in the analysis of firearms, and related evidence in criminal cases to develop facts useful in courtroom proceedings. Work is performed under the supervision of the Crime Laboratory Section Supervisor. Work involves analyzing weapons and ammunition and testifying as an expert witness. Work is reviewed for accuracy and effectiveness through reports, testimony, and results obtained.
Duty Hours: 8:00 AM to 4:30 PM, Monday through Friday, with flexibility to meet Department needs.
Per the Department's Collective Bargaining Agreement, newly hired employees who do not possess corresponding experience will start at the base starting pay listed in this posting.
Examples of Duties
* Examines bullets, bullet fragments, cartridge cases, firearms, and related evidence.
* Identifies makes, calibers, and origins of firearms and weapons.
* Identifies calibers, manufacturers, and origins of ammunition and their components.
* Conducts test firing of firearms and weapons to determine the functioning condition of thesubmitted firearms.
* Discharges weapons to produce spent ammunition for test firing characteristics and tofacilitate microscopic comparisons of bullets and spent shells.
* Enters test shots and evidence from crimes into the National Integrated Ballistic InformationNetwork (NIBIN).
* Performs standardized tests on other articles of evidence using chemical agents, physicaltesting equipment, and measuring instruments.
* Restores obliterated or defaced serial numbers on serialized items.
* Prepares written reports of all findings and provides testimony as an expert witness atdepositions, hearings, and trials.
* Performs maintenance on equipment as required.
* Successfully conducts and completes one proficiency annually in each discipline of expertise.
* Performs related work as required.
Note: The example of duties should not be interpreted as all-inclusive. It is intended to identify the essential functions and requirements of the job. Individuals may be requested to perform job related responsibilities and tasks other than those stated in this specification.
Minimum Qualifications
Knowledge, Skills and Abilities:
* Knowledge of the theory and principles of ballistics as applied in forensic investigation and analysis.
* Knowledge of forensic and ballistics laboratory analysis and standardized test procedures.
* Knowledge of chemical agents, physical testing equipment, and measuring instruments used in forensic and ballistic analysis.
* Knowledge of the standard practices, methods, and techniques used in the preparation of test results and scientific reports.
* Knowledge of firearms, ammunition, and their manufacture.
* Knowledge of the judicial process.
* Considerable skill in using chemical agents, physical testing equipment and measuring instruments in the performance of forensic and ballistics laboratory tests.
* Skill in the proper handling of evidence.
* Skill in performing standardized laboratory tests on items designated as evidence.
* Skill in analyzing laboratory findings; identifying and comparing bullets, cartridge cases, and other ammunition components.
* Skill in preparing and presenting scientific reports in a clear, concise, and accurate manner resulting from conclusions of laboratory analysis.
* Skill and ability to successfully complete assigned proficiency tests.
* Ability to activate and de-activate the Police Crime Laboratory Security System.
* Ability to establish and maintain effective working relationships with co-workers, prosecutors, and members of the law enforcement community.
* Ability to communicate effectively orally and in writing.
* Ability to utilize knowledge and skill of computers and related software for analysis of evidence.
Physical Demands:
* Ability to stand for long periods, bend, reach, lift, and carry moderate weight.
* Capacity to work in potentially uncomfortable or hazardous environments, including exposure to chemicals, biohazards, and potentially disturbing crime scene elements.
* Occasionally work in extreme weather conditions if responding to a scene.
Training and Experience:
* Graduation from an accredited college or university with a baccalaureate or an advanced degree in a natural science or forensic science.
* Two (2) years of experience as a forensic examiner in the Firearms Discipline in an ISO 17025 accredited crime laboratory.
Special Requirements:
* The position will require the submission of a buccal swab to the local DNA database
* Possess a valid state driver's license.
* Ability to operate the Mobile Crime Laboratory Utility Vehicle.
* Perform other duties as required.
Additional Information
CITIZENSHIP: Citizen of the United States or valid work permit, and apply for citizenship when eligible.
AGE LIMITS: Eighteen (18) years of age at the time of appointment.
EDUCATION: Educational requirements and skills will be determined by the position classification.
ARREST: Must be free from conviction of a felony or a Class "A" misdemeanor.
MILITARY: Must not have a "Dishonorable"discharge or "Bad Conduct"discharge if having served in the military. All "Other Than Honorable" discharges will be reviewed on an individual basis.
COMPETITIVE SELECTION PROCESS
Under the regulations of the Police Department, all appointments to the St. Louis County Police Department are made on the basis of a continuously open, competitive hiring process conducted under the supervision of the Personnel Services Unit. Each applicant must successfully complete each stage of the selection process before becoming eligible to proceed to the next step.
AN EQUAL OPPORTUNITY EMPLOYER: The Board of Police Commissioners resolved that subject to all applicable State and Federal statutory or judicial exemptions, all qualified applicants for employment and/or advancement, whether commissioned or civilian, shall be given equal opportunity for consideration, selection, appointment and retention, regardless of race, color, religion, sex, national origin, age, disability, or political affiliation.