Claim processor jobs in Saint Peters, MO - 295 jobs
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Tort Examiner/Adjudicator
United States Postal Service 4.0
Claim processor job in Saint Louis, MO
Facility Location
SAINT LOUIS LAW OFFICE
1720 MARKET ST RM 2400
SAINT LOUIS, MO 63155-9948
Information
NON-SCHEDULED DAYS: Saturday/Sunday
HOURS: 08:00 A.M. to 05:00 P.M.
BENEFIT INFORMATION: The salary will be based on previous experience, salary history, and current postal pay policies. We offer excellent benefits including health and life insurance, retirement plan, savings/investment plan with employer contribution, flexible spending, flextime scheduling of core work hours, annual and sick leave.
Functional Purpose
Processes and adjudicates significant tort claims filed with the Postal Service under the Federal Tort Claims Act, including but not limited to determining liability and monetary value, negotiating settlements, and resolving Medicare liens and insurance coverage issues. Provides litigation support to Postal Service Tort Attorneys.
DUTIES AND RESPONSIBILITIES
1. Conducts secondary investigations of tort claims that involve demands of $50,000 and higher including but not limited to locating and interviewing Postal Service employees and third-party witnesses, gathering and reviewing investigative documents, and collecting and evaluating other evidence. Researches and analyzes case law, jury verdict research, and historical records of Postal settlements and judgments.
2. Integrates and analyzes the specific facts discovered during investigation with primary and secondary law to determine the Postal position regarding the nature of each claim, the Postal Service's potential liability pursuant to the Federal Tort Claims Act and the monetary value of the injuries and/or damages.
3. Obtains settlement authority from postal attorneys to negotiate settlements with claimants or legal representatives to reach settlements in amounts that are often greater than $100,000. Similarly negotiates resolutions of the amount of Medicare or other liens attached to tort claim recoveries and the amount of insurance coverage available to the Postal Service.
4. Manages a large (200+ a year) tort claim caseload; processing claims within statutory deadlines and according to individual performance goals. Handles larger collection matters for damages caused to Postal property and vehicles forwarded to the National Tort Center by Operations or Finance.
5. Writing or drafting correspondence with Postal District Managers, claimants and their attorneys; comprehensive claim summaries for postal attorneys; medical chronologies based on the review and interpretation of complex medical records, reports, diagnostics and medical billings; interrogatory and request for production responses; Freedom of Information Act responses; demand letters; settlement agreements; and other work product as required.
6. Prepares and certifies Postal discovery responses and various pleadings in connection with tort litigation, and provide other assistance as requested by Postal attorneys and the Chief Counsel.
7. Provides advice to Tort Claim Coordinators (TCCs) and other local postal officials with regard to the FTCA, tort liability issues under state laws, the value of lesser claims handled directly by the TCCs, and other related matters.
8. Responds to requests for information and/or subpoenas pursuant to the Freedom of Information Act (FOIA) and/or Touhy regulations ensuring compliance with applicable deadlines, statutory exemptions and reporting requirements.
REQUIREMENTS
1. Ability to conduct legal research utilizing standard legal research materials, including statutory and regulatory materials, policy handbooks and manuals, and legal research databases such as LEXIS and Westlaw.
2. Ability to research, interpret, and apply state and federal case law, statutes and regulations sufficient to assess personal injury and/or property damage claims filed pursuant to the Federal Tort Claims Act.
3. Ability to analyze and evaluate medical records sufficient to draft a concise medical chronology for use in the adjudication of personal injury claims.
4. Ability to evaluate the degree of liability, monetary value, and make comparative fault assessments on claims submitted to the Postal Service.
5. Ability to work effectively on multiple projects with stringent deadlines in a team environment.
6. Ability to orally present the results of research and investigative finding as requested and to continually communicate high level legal and medical concepts while engaging in often heated negotiations with attorneys, claims adjusters and pro se claimants.
Qualified applicants must successfully pass a pre-employment drug screening to meet the U.S. Postal Service's requirement to be drug free.
Applicants must also be a U.S. citizen or have permanent resident alien status.
$33k-45k yearly est. 3d ago
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Claims Processor
Integrated Resources 4.5
Claim processor job in Maryland Heights, MO
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.
$29k-41k yearly est. 13h ago
Claims Examiner I
Americo Financial Life and Annuity 4.7
Claim processor job in Kansas City, MO
We are currently looking for a Claims Examiner to join our team! The Claims Examiner processes the notification of death claims, ensures state regulations are being maintained in the follow up process, reviews and adjudicates claims, and provides assistance to the beneficiaries through calls and written correspondence.
Job Responsibilities
Review and process death claims
Create payments and letters to settle claims
Correspond with claimants via phone, letter, and email
Follow all state regulations, being mindful of Unfair Claim Practice regulations
Provide excellent, prompt customer service to beneficiaries and other callers
Reconcile suspense items, returned mail, and other items in workflow according to service level agreements
Job Qualifications
Good understanding or ability to learn in house systems (Workflow/Imaging System, Life Insurance Policy Administration systems, Microsoft Office applications)
Knowledge of life and disability insurance
Well organized, detail oriented, uses time efficiently
Able to work independently and think critically
Excellent written and verbal communication
Able to operate effectively in a fast-paced environment while maintaining a professional image and positive attitude
Previous life insurance claims experience
Education Qualifications
Four year degree from an accredited college or university, or relevant industry experience
About Us
Americo: We re in this for life!
The roots of the Americo family of companies date back more than 100 years. Americo is a life insurance and annuity company providing innovative products to our customers. At Americo, it s the people who make things work, so we hope you join us!
What you ll love about working at Americo:
Compensation:
Our competitive pay and robust bonus program, offered to all associates, will make you feel valued.
Learning and development:
We prepare you for success with a comprehensive, paid training program. Additionally, our Talent Development team creates various development opportunities for associates at every stage of their careers.
Work-life balance:
We value work-life balance with our generous paid time off; you begin accruing hours every month, and they increase with tenure. All new hires earn over three weeks of paid time off annually, plus 11 paid company holidays! We also support new mothers with a maternity leave program, along with paid STD and LTD.
Health and well-being:
We commit to your health and well-being and are proud to offer comprehensive health and life insurance options, including FSA or HSA accounts and subsidies to support your health and fitness goals through vendor partnerships at The Y, Orange Theory, WW, and more.
Future planning:
Americo offers a 401(k) with a company match. We also have tuition reimbursement programs to further your education.
Giving back:
We support several local organizations, such as Ronald McDonald House, Hope Lodge, the American Red Cross, Harvesters, and many more. Our associates volunteer their time and donate money alongside the company to make a difference in our community.
The fun stuff:
Americo participates in the Kansas City Corporate Challenge, a great way to connect with coworkers. Additionally, we host events like a Royals Party at the K, a legendary Holiday Party, and in-office events with local vendors to allow associates to step away from work and enjoy each other s company.
Bustling environment:
Our newly renovated offices are conveniently located in downtown Kansas City, within walking distance of your favorite restaurants and attractions. Plus, you ll receive complimentary paid parking near our Americo offices downtown parking is a premium, but we ve got you covered.
#AMERICO
$36k-61k yearly est. 60d+ ago
Multi-Line Claim Specialist (Auto and GL)
Cannon Cochran Management 4.0
Claim processor job in Chicago, IL
Multi-Line Claim Specialist (Auto and GL)
Chicago-area candidates preferred. This remote role may be performed in states where CCMSI is authorized to hire. Pay transparency requirements are met for applicable jurisdictions.
Schedule: Monday-Friday, 8:00 AM-4:30 PM CT
Compensation: $75,000-$85,000 annually
Build Your Career With Purpose at CCMSI
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.
Job Summary
The Multi-Line Claim Specialist (Auto & General Liability) is responsible for the full investigation, evaluation, negotiation, and resolution of assigned auto and general liability claims across multiple jurisdictions. This role supports multiple client accounts.
This position is ideal for an experienced adjuster who believes that every claim represents a real person's livelihood, owns outcomes, and takes pride in delivering accurate, compliant, and timely claim resolutions. The role may also serve as an advanced career step for future leadership consideration.
This is a true adjusting role. It is not an HR, consulting, or administrative position. The Specialist is accountable for end-to-end claim handling, decision-making, and results.
Responsibilities
When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.
Investigate, evaluate, and adjust auto and general liability claims in compliance with corporate standards, client-specific handling instructions, and applicable state laws
Establish reserves and provide reserve recommendations within assigned authority
Review, approve, and negotiate medical, legal, damage, and miscellaneous invoices to ensure accuracy, reasonableness, and claim-relatedness
Authorize and issue claim payments in accordance with established procedures and authority levels
Negotiate settlements in alignment with corporate claim standards, jurisdictional requirements, and client expectations
Coordinate with and oversee outside vendors, including legal counsel and other claim-related service providers
Maintain accurate and timely claim documentation and diary management within the claim system
Identify and monitor subrogation opportunities through resolution
Communicate effectively and consistently with clients, claimants, attorneys, and internal partners
Ensure compliance with corporate claim handling standards and audit expectations
Provide timely notice of qualifying claims to excess or reinsurance carriers, when applicable
Qualifications Required
10+ years of auto liability claim handling experience
Demonstrated experience handling injury claims
Strong analytical, negotiation, and decision-making skills
Ability to manage workload independently in a fast-paced, multi-jurisdiction environment
Excellent written and verbal communication skills
Strong organizational skills with consistent attention to detail
Reliable, predictable attendance during core client service hours
Nice to Have
Multiple state adjuster licenses
Professional designations such as AIC, ARM, or CPCU
Bilingual (Spanish) proficiency - This role may involve communicating with injured workers, employers, or vendors where Spanish-language skills are beneficial but not required.
Why You'll Love Working Here
4 weeks PTO + 10 paid holidays in your first year
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
Career growth: Internal training and advancement opportunities
Culture: A supportive, team-based work environment
How We Measure Success
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:
Quality claim handling - thorough investigations, strong documentation, well-supported decisions
• Compliance & audit performance - adherence to jurisdictional and client standards
• Timeliness & accuracy - purposeful file movement and dependable execution
• Client partnership - proactive communication and strong follow-through
• Professional judgment - owning outcomes and solving problems with integrity
• Cultural alignment - believing every claim represents a real person and acting accordingly
This is where we shine, and we hire adjusters who want to shine with us.
Compensation & Compliance
The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.
Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Our Core Values
At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who:
Lead with transparency We build trust by being open and listening intently in every interaction.
Perform with integrity We choose the right path, even when it is hard.
Chase excellence We set the bar high and measure our success. What gets measured gets done.
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
Win together Our greatest victories come when our clients succeed.
We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.
#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #ClaimsJobs #LiabilityAdjuster #AutoClaims #RemoteJobs #InsuranceCareers #ChicagoJobs #LI-Remote
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$75k-85k yearly Auto-Apply 11d ago
Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations
Stout Risius Ross 4.1
Claim processor job in Chicago, IL
At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.
About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.What You'll DoAs an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include:
Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations.
Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies.
Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic.
Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning.
Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives.
Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support.
Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations.
Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery.
Continue developing technical, analytical, and consulting skills while building credibility with clients.
Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement.
Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team.
What You Bring
Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred.
Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles.
Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance.
Epic Resolute or other hospital billing system experience preferred; Epic certification a plus.
Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required.
Additional certifications such as CHC, CFE, or AHFI preferred.
Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization.
Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred.
Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act.
Willingness to travel up to 25%, based on client and project needs.
How You'll Thrive
Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions.
Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships.
Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time.
Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment.
Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility.
Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions.
Why Stout?
At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life.
We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve.
We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals.
Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.
Learn more about our benefits and commitment to your success.
*****************************************
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job.
Stout is an Equal Employment Opportunity.
All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law.
Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.
A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - *****************************************.
$40k-50k yearly est. Auto-Apply 13d ago
Mechanical Claims Analyst
Axiom Product Administration
Claim processor job in OFallon, MO
Axiom is looking for Automotive Technicians, Service Advisors, or Parts Specialists, who are looking for a change. Axiom is an industry-leading automotive product provider and administrator. We create, sell, and service contracts and other products via our state-of-the-art facility and systems. Axiom is looking for a full-time Mechanical Claims Analyst II to handle auto repair claims. In this role, you will be responsible for evaluating and processing claims. You will serve as the main point of contact for dealers and customers, by answering and resolving questions regarding claim coverage. The ideal candidate will possess automotive technical knowledge, problem-solving and organizational skills, as well as a dedication to providing excellent customer service. The analyst will play a critical role in maintaining our reputation of honesty, fairness, and excellence by combining exceptional customer service with automotive expertise to assist our dealers and customers.
About Axiom Product Administration
Named one of the fastest growing private companies in St. Louis by the St. Louis Business Journal, ranked No. 72 on Deloitte's Technology Fast 500™ in 2019, annual recipient of Auto Dealer Today's Dealers' Choice Award 2018 through 2023, and winner of St. Louis Post Dispatch's Top Workplaces in St. Louis 2023, Axiom is a full-service, nationwide F&I (finance and insurance) administrator, building the transformative roadmap of success for dealers and their customers in an evolving automotive marketplace.
Job Responsibilities
Process automobile, RV, and powersports repair claims in accordance with Axiom policies and procedures
Use your automotive excellence to confirm the customer's concern, cause, and correction, which is prepared by the shop
Ensure that all inbound calls are answered and resolved in accordance with expected performance metrics
Respond to and resolve questions and issues from customers, service advisors, and dealers in a timely and professional manner
Guide customers and repair facilities through the claim process and communicate the information needed to process the claim efficiently
Document all interactions with customers, service advisors, dealers, inspection reports, verifications, research, and other claims-related information
Adjudicate claims efficiently by reviewing and verifying estimates submitted by the repair facility, evaluate contract coverage to determine claims eligibility, order inspections if required, and request any additional information that is needed to process the claim
Escalate issues to a supervisor, as needed
Ensure compliance with applicable laws and regulations
Maintain a comprehensive understanding of Axiom's products, systems, and applications
Other duties as assigned
Qualifications
Qualifications
High School Diploma or equivalent
Minimum 2 years of automotive experience
Proficient use of Microsoft and web-based applications
Familiarity with All data, Mitchell Pro-demand, Factory labor time and other labor guides
Ability to think creatively and to analyze and solve problems effectively
Detail-oriented with excellent time management skills and punctuality
Strong, effective written communication skills via the Claims documents, email, chat messenger, etc.
Strong, effective verbal communication skills with the ability to answer all calls in a timely manner from customers, dealerships, etc.
Ability to work independently as well as working as part of a team, in a fast-paced environment
Ability to work a variety of shifts between Monday through Friday (7 am - 6 pm with a one-hour lunch) and the ability to work a rotation schedule on Saturdays
Preferred Qualifications
Understanding of service contracts
ASE Certification
What you'll love about Axiom
Comprehensive Benefits Package that includes Medical, Dental, Vision & Ancillary Policies
401K Retirement Plan with a 5% company match
Paid Time Off Accrual Plan starting with 15 days for new hires' first two years of service
Paid Holidays & Floating Holidays
Casual Dress Code
Free Roadside Assistance
Education Reimbursement
Childcare Reimbursement
Paid Parental Leave
Career advancement opportunities
Company Sponsored Outings
To learn more about Axiom, go to ******************* To apply for this position, go to **************************************
Axiom is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, creed religion, national origin, ethnicity, physical or mental disability, sex (including pregnancy, sexual orientation, gender identity or expression, or transgender status), age, genetic information (including family medical history), or any other protected characteristic protected by law. Disclaimer: The above statements are not intended to be a complete statement of job content, but rather to act as a guide to the essential job functions performed by the employee assigned to this classification. Axiom retains the discretion to add or change the duties of the position at any time
About Us We're not like other insurance companies. From our specialty products to our business model, our culture to our results - we're different. Different is who we are, and how we work, interact, deliver and succeed together. Creating a different and better insurance experience doesn't just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us.
RLI is a Glassdoor Best Places to Work company with a strong, successful background. For decades, our financial track record has been stellar - a testament to our culture and validation of our reputation as an excellent underwriting company.
Principal Duties & Responsibilities
* Proactively handle Personal Umbrella Liability claims (auto, premises and personal liability) with a detailed focus on claim investigation, evaluation, and monitoring of primary carrier activity to achieve optimum results.
* Effectively investigate and analyze complex coverage issues and write coverage letters as appropriate.
* Complete timely and thorough investigations into liability and damages for early exposure recognition.
* Focus on claims resolution with timely and effective liability investigations and damage evaluations and reserve setting.
* Handle claims in accordance with RLI's Best Practices.
Education & Experience
* Typically requires a bachelor's degree and 6+ years of relevant legal or technical claims experience.
* Experience handling large exposure third-party liability claims on a primary/excess basis is preferable.
* Significant experience in effective handling of policy limit demands in states such as Florida, Texas and California.
* Must be able to excel in a fast-paced environment with little supervision.
* Effectively work with primary carriers and defense counsel and understand umbrella/excess handling and management of outside counsel.
* Ideal candidate will have superior working knowledge of Florida, California, New York and Texas case law, statutes and procedures impacting the handling and value of liability claims.
Knowledge, Skills, & Competencies
* Ability to use analytical methods in complex claim processes to find workable solutions.
* Ability to generate innovative solutions within the claims department.
* Ability to communicate findings and recommendations to internal and external contacts on claim matters.
Compensation Overview
The base salary range for the position is listed below. Please note that the base salary is only one component of our robust total rewards package at RLI. The salary offered will take into account a number of factors including, but not limited to, geographic location, experience, scope & responsibilities of the role, qualifications/credentials, talent availability & specialization, as well as business needs. The below range may be modified in the future.
Base Pay Range
$108,348.00 - $157,917.00
Total Rewards
At RLI, we're all owners. We hire the best and the brightest employees and allow them to share in the company's success through our Total Rewards. With the Employee Stock Ownership plan at its core, the Total Rewards program includes all compensation, benefits and perks that come with being an RLI employee.
Financial Incentives
* Annual bonus plans
* Employee stock ownership plan (ESOP)
* 401(k) - automatic 3% company contribution
* Annual 401k and ESOP profit-sharing contributions (Up to 15% of eligible earnings)
Work & Life
* Paid time off (PTO) and holidays
* Paid volunteer time off (VTO) to support our communities
* Parental and family care leave
* Flexible & hybrid work arrangements
* Fitness center discounts and free virtual fitness platform
* Employee assistance program
Health & Wellness
* Comprehensive medical, dental and vision benefits
* Flexible spending and health savings accounts
* 2x base salary for group life and AD&D insurance
* Voluntary life, critical illness, & accident insurance for purchase
* Short-term and long-term disability benefits
Personal & Professional Growth
RLI encourages its employees to pursue professional development work in insurance and job-related areas. We make a commitment to employees to provide educational opportunities that help them enhance their skills and further their career advancement. RLI fosters a true learning culture and encourages professional growth through insurance courses, in-house training and other educational programs. RLI covers the cost for most programs and employees typically earn a bonus upon successful completion of approved courses and certifications. Our personal and professional growth benefits include:
* Training & certification opportunities
* Tuition reimbursement
* Education bonuses
Diversity & Inclusion
Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers. We actively support, and participate in, initiatives led by the American Property Casualty Insurance Association that aim to increase diversity in the insurance industry. Cultivating an exceptional and diverse workforce to deliver excellent customer service reinforces our culture and is a key to achieving superior business results.
RLI is an equal opportunity employer and does not discriminate in hiring or employment on the basis of race, color, religion, national origin, citizenship, gender, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law.
$108.3k-157.9k yearly Auto-Apply 60d+ ago
Auto Casualty Claims Specialist
FCIC
Claim processor job in Oak Brook, IL
Are you unhappy at your present job?
?
Is it time for a change?
Are you an experienced Auto Bodily Injury Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities?
If you answered YES to the above, it's time to talk to First Chicago Insurance Company!
We offer:
Competitive Salaries
Excellent benefits
Growth opportunities!
Apply only if you consider yourself a career professional who loves to work, because we work hard here!
If you are an experienced AUTO CLAIMS PROFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFESSIONAL!!
We are seeking an experienced Auto Bodily Injury Claims Specialist!
The Auto Bodily Injury Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation.
DUTIES & RESPONSIBILITIES:
Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss
Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim
Process Bodily Injury, and coverage claims in accordance with established office procedures
Work closely with Third Parties, plaintiff counsel, Claim Director and Chief
Operating Officer to determine necessary injury and coverage investigation
Research case and statutory law in order to conduct proper claim investigation
Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims
Prepare and present claim evaluations for the appropriate settlement authority
Maintain reasonable expense factors
Handle other duties as assigned
QUALIFICATIONS REQUIRED:
3-5 Years in Auto Casualty claims experience a MUST!
Non-Standard Auto Claims experience a plus, not required
Knowledge of legal and medical terminology
Excellent negotiation, communication, written, organizational and interpersonal skills
Ability to pass written examinations where required by state statutes to become a licensed claims adjuster
Proficiency in Microsoft Office products
First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive:
Competitive Salaries
Commitment to your Training & Development
Medical and Dental and Vision Reimbursement
Short Term Disability/Long Term Disability
Life Insurance
Flexible Spending Account
Telemedicine Benefit
401k with a generous company match
Paid Time Off and Paid Holidays
Tuition Reimbursement
Wellness Program
Fun company sponsored events
And so much more!
Estimated Compensation Range: $54,750/year-$97,500/year*
*Published ranges are estimates. Offered compensation will be based on experience, skills, education, certifications, and geographic location.
$54.8k-97.5k yearly 20d ago
Auto Casualty Claims Specialist
First Chicago Insurance Company (FCIC
Claim processor job in Oak Brook, IL
Job Description
Are you unhappy at your present job?
?
Is it time for a change?
Are you an experienced Auto Bodily Injury Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities?
If you answered YES to the above, it's time to talk to First Chicago Insurance Company!
We offer:
Competitive Salaries
Excellent benefits
Growth opportunities!
Apply only if you consider yourself a career professional who loves to work, because we work hard here!
If you are an experienced AUTO CLAIMS PROFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFESSIONAL!!
We are seeking an experienced Auto Bodily Injury Claims Specialist!
The Auto Bodily Injury Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation.
DUTIES & RESPONSIBILITIES:
Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss
Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim
Process Bodily Injury, and coverage claims in accordance with established office procedures
Work closely with Third Parties, plaintiff counsel, Claim Director and Chief
Operating Officer to determine necessary injury and coverage investigation
Research case and statutory law in order to conduct proper claim investigation
Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims
Prepare and present claim evaluations for the appropriate settlement authority
Maintain reasonable expense factors
Handle other duties as assigned
QUALIFICATIONS REQUIRED:
3-5 Years in Auto Casualty claims experience a MUST!
Non-Standard Auto Claims experience a plus, not required
Knowledge of legal and medical terminology
Excellent negotiation, communication, written, organizational and interpersonal skills
Ability to pass written examinations where required by state statutes to become a licensed claims adjuster
Proficiency in Microsoft Office products
First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive:
Competitive Salaries
Commitment to your Training & Development
Medical and Dental and Vision Reimbursement
Short Term Disability/Long Term Disability
Life Insurance
Flexible Spending Account
Telemedicine Benefit
401k with a generous company match
Paid Time Off and Paid Holidays
Tuition Reimbursement
Wellness Program
Fun company sponsored events
And so much more!
Estimated Compensation Range: $54,750/year-$97,500/year*
*Published ranges are estimates. Offered compensation will be based on experience, skills, education, certifications, and geographic location.
Job Posted by ApplicantPro
$54.8k-97.5k yearly 19d ago
Senior Liability Reinsurance Claims Manager
Safety National
Claim processor job in Saint Louis, MO
At Safety National, we don't just offer jobs - we build careers with purpose! Since 1942, we've been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success-both personally and professionally. Ready to grow with us? Apply today!
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 carrier, the catastrophic claims we handle keep our group challenged, but the uniqueness provides plenty of growth opportunities.
Role Description:
Are you an expert in complex liability claims, particularly those involving facultative reinsurance or runoff operations? In this role, you'll take ownership of high-exposure litigation cases, guide TPAs and self-administered programs, and play a crucial role in managing our umbrella runoff program. You'll conduct detailed coverage reviews, set and monitor reserves, and participate in litigation management, settlement, and reporting. This role calls for strategic oversight and collaboration across multiple business units, ensuring timely reporting, reinsurance recovery efforts, and client engagement. With opportunities to travel for mediations, audits, and trials, your impact will be both national and deeply strategic. If you're looking for a challenging claims role where your litigation knowledge, analytical abilities, and project experience can shine-this is your opportunity to lead and make a difference.
Qualifications:
Education:
Bachelor's Degree from an accredited college or university required. JD preferred.
Required Qualifications:
Must be presently authorized to work in the U.S. without a requirement for work authorization sponsorship by our company for this position now or in the future.
10 or more years of litigation or claims experience handling complex, high-exposure liability claims, including facultative reinsurance, umbrella run-off, and construction liability claims.
5 or more years handling environmental and latent disease claims.
Strong knowledge of coverage issues, with the ability to draft reservation of rights and coverage letters.
Preferred Qualifications:
Experience across multiple jurisdictions with an insurance carrier or Third-Party Administrator.
Proficiency with all phases of claims litigation, including mediations, settlement conferences, and trials.
Demonstrated project leadership and cross-functional influence.
Exceptional organizational, analytical, and communication skills.
Self-starter with the ability to independently prioritize a high-volume workload.
Proficiency with Microsoft Excel, Word, and Outlook.
AIC, SCLA, or CLCS designation preferred.
Ability to travel as business needs require.
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 base salary range for this position is $99,000 to $128,500. Compensation for the successful candidate will consider the candidate's particular combination of knowledge, skills, competencies, experience and geographic location.
#LI-Hybrid
#LI-Remote
$99k-128.5k yearly 60d+ ago
Claims - Field Claims Representative
Cincinnati Financial Corporation 4.4
Claim processor job in Saint Louis, MO
Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person.
If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.
Build your future with us
The Field Claims department is currently seeking Field Claims Representatives to service the territory surrounding: St. Louis, MO. The candidate is required to reside within the territory.
This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements.
Be Ready to:
* complete thorough claim investigations
* interview insureds, claimants, and witnesses
* consult police and hospital records
* evaluate claim facts and policy coverage
* inspect property and auto damages and write repair estimates
* prepare reports of findings and secure settlements with insureds and claimants
* use claims-handling software, company car and mobile applications to adjust loss in a paperless environment
* provide superior and professional customer service
* once eligible, become a certified and active Arbitration Panelist
To be an Entry Level Claims Representative:
Salary: The pay range for this position is $55,000 - $76,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.
Be equipped with:
* be available and communicative during your regular business hours
* a desire to learn about the insurance industry and provide a great customer experience
* the ability to work unsupervised
* excellent verbal and written communication skills
* strong interpersonal skills
* excellent problem-solving, negotiation, organizational and prioritization skills
* preparedness to follow-up with others in a timely manner
* a valid driver's license
Bring education or experience from:
* a bachelor's degree
* AINS, AIC, or CPCU designations preferred
Benefits in addition to compensation include:
* company car
* company stock options, including Restricted Share Units and Incentive based stock options
* paid time off (PTO)
* 401K with 6% company match
To be an Experienced Claims Representative:
Salary: The pay range for this position is $62,000- $90,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.
Be equipped with:
* be available and communicative during your regular business hours
* multi-line claims experience preferred
* ability to completely assess auto, property, and bodily injury type damages
* capacity to work unsupervised
* excellent verbal and written communication skills
* strong interpersonal skills
* excellent problem-solving, negotiation, organizational, and prioritization skills
* preparedness to follow-up with others in a timely manner
* a valid driver's license
Bring education or experience from:
* one or more years of claims handling experience
* AINS, AIC, or CPCU designations preferred
* bachelor's degree or equivalent experience required
Benefits in addition to compensation include:
* company car
* company stock options, including Restricted Share Units and Incentive based stock options
* paid time off (PTO)
* 401K with 6% company match
Enhance your talents
Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career.
Enjoy benefits and amenities
Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities.
Embrace a diverse team
As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. All job applicants have rights under Federal Employment Laws. Please review this information to learn more about those rights.
$62k-90k yearly 17d ago
Claims Supervisor - Liability
Acrisure, LLC 4.4
Claim processor job in Chesterfield, MO
About Acrisure:
Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more.
Acrisure employs over 17,000 entrepreneurial colleagues in 21 countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win.
Job Summary:
Investigate general liability and auto liability claims as assigned by claims supervisor, determine liability based upon facts, applicable negligence laws, case law and statutes. Manage high exposure and litigated files to ensure ongoing adjudication of claims within service expectations and identify subrogation of claims and negotiate settlements. Communicate directly with clients, claimants, and attorneys to manage claims in a timely and economic manner.
Essential Duties and Responsibilities
include the following. Other duties may be assigned
:
Receives claim assignments from claim supervisor; examines claim forms and other records to determine insurance coverage.
Interviews, telephones, and/or corresponds with claimant(s) and service providers within established time frame; documents the results of these contacts.
Consults police reports and medical records to determine nature and extent of the accident.
Reviews medical bills to ensure treatment is reasonable, necessary and related to the injury; approves bills for payment.
Ensures that claim file documentation and reserves are current; and keeps client advised on claim status.
Negotiates settlement with claimant within limits of authority and in accordance with applicable state laws.
Coordinates and monitors litigation with attorneys.
Monitors medical issues.
Brings claims to conclusion.
Handles caseload consisting of complex liability claims.
Independently prepares for and attends client meetings to discuss claim status, reserve levels and action plans.
Participates in mentoring program to assist in the professional development of less experienced adjusters.
Assists with client development, education, and problem solving.
Completes Excess reports and requests for reimbursement; submits these to carrier; follows up for recovery.
Handles claims involving subrogation from investigation through recovery.
Additional Responsibilities:
On-site investigation of claims when necessary.
Mentors less experience co-workers to develop their understanding of procedures, state laws, and help others improve their claims handling ability
Analyzes and resolves client issues independently.
Attends marketing calls to present information about the claim process.
Other duties may be assigned
Qualifications
High school Diploma or equivalent is required
3-5 years prior experience handling auto/general liability claims/ or an equivalent combination of training, education and experience.
State Adjuster licensing required; (NY license preferred)
Strong organization skills, attention to detail and the ability to multi-task and prioritize work are required.
Analytical thinking skills are needed to properly evaluate complex claims
A strong attention to detail is necessary as claims adjusters must carefully review documents and policies
Good verbal and written communication skills, as well as interpersonal skills are required, experience with negotiations, knowledge of litigation process is preferred.
Ability to listen well and negotiate with constituents is needed.
Ability to speak a second language is an asset
Basic computer skills or the ability to quickly learn new software are required
A strong work ethic and time management skills is needed, to efficiently handle a caseload ranging from minor to complex claims
Ability to establish and maintain good rapport with clients and claimants is needed.
Ability to calculate figures is required
Physical Demand
While performing the duties of this job, the employee is regularly required to sit; stand; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to walk; reach with hands and arms; and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This description is not meant to be all-inclusive and may be modified from time to time at the discretion of management.
Acrisure is committed to employing a diverse workforce. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status. California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at *************************************
To Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisure's property, and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisure's Human Resources Talent Department.
$58k-89k yearly est. Auto-Apply 60d+ ago
Auto Property Damage Claims Specialist
Warrior Insurance Network
Claim processor job in Oak Brook, IL
Job Description
Are you unhappy at your present job?
?
Is it time for a change?
Are you an experienced Auto Liability Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities?
If you answered YES to the above, it's time to talk to Warrior Insurance Network!
We offer:
Competitive Salaries
Excellent benefits
Growth opportunities!
Apply only if you consider yourself a career professional who loves to work, because we work hard here!
We have openings in our Bedford Park, IL and Oak Brook, IL offices!
If you are an experienced Non-Standard Auto CLAIMS PROFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFESSIONAL!!
This talented individual must possess previous experience in the investigation, determination of coverage, prompt evaluation of both First- and Third-Party auto property damage claims with an eye towards prompt, courteous and economical resolution of both First and Third Party related property damage claims.
DUTIES & RESPONSIBILITIES:
Review and determine course of action on each file assigned, utilizing technical knowledge and experience for the purpose of supporting final disposition of a loss
Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage liability, status and damages that are applicable for each claim
Honor/decline/negotiate first and third-party liability claims upon completion of coverage/policy investigation and analysis of damages and liability
Work directly with internal and external customers to develop evidence and establish facts on assigned claims
Organize, plan and prioritize work activities to keep up with current assignments and to ensure prompt conclusion of claims
Prepare and present claim evaluations for the appropriate settlement authority
Notify the Underwriting Department of any adverse information uncovered in the course of the investigation
Familiarity with unfair claim practices in states where we do business
Conduct business with vendors in a professional manner while maintaining a reasonable expense factor and upholding the company's reputation for quality service
Provide customer service both to internal and external customers
Handle other duties as assigned
QUALIFICATIONS REQUIRED:
Minimum 4 years previous auto liability and auto PD claims experience A MUST!
Non-Standard auto claims experience a plus but not required.
Excellent analytical, organizational, interpersonal and communication (verbal, written, phone) skills
General working knowledge of policies, file procedures, state rules and regulations
Ability to pass written examinations where required by state statutes to become a licensed Claims Adjuster
On-Site position.
Preferred:
Prior claims experience
Ability to use on-line claims system
Bi-lingual a plus!
Warrior Insurance Network (WIN) provides a competitive benefits package to all full- time employees. Following are some of the perks Warrior Insurance Network (WIN) employees receive:
Competitive Salaries
Commitment to your Training & Development
Medical and Dental and Vision Reimbursement
Short Term Disability/Long Term Disability
Life Insurance
Flexible Spending Account
Telemedicine Benefit
401k with a generous company match
Paid Time Off and Paid Holidays
Tuition Reimbursement
Wellness Program
Fun company sponsored events
And so much more!
Estimated Compensation Range: $41,600/year-$75,000/year*
*Published ranges are estimates. Offered compensation will be based on experience, skills, education, certifications, and geographic location.
Job Posted by ApplicantPro
$41.6k-75k yearly 19d ago
Claims Processing Representative I
Delta Dental of Missouri 4.1
Claim processor job in Saint Louis, MO
Delta Dental of Missouri is looking for a sharp, organized, and motivated Claims Processing Representative I to join our team. In this role, you'll independently process dental claims, investigate eligibility issues, and ensure accuracy across a variety of claim types. If you thrive in a fast-paced environment, love solving problems, and have a keen eye for detail-this is your opportunity to make an impact.
Apply now to help us deliver accuracy and excellence in every claim.
Position Summary:
The primary responsibility of the Claims Processing Representative I is to independently process claims of low to moderate complexity. This role researches and investigates claims issues including eligibility denials, provider suspensions, and student eligibility decisions to completion when possible. This position resolves specialty claims or processes with low to moderate complexity and may leverage knowledge and skills to resolve complex claims in a single specialty or process area.
This position may escalate complex claims issues to next level roles when needed.
Essential Functions and Job Responsibilities:
1. Processes claims of low to moderate complexity across a variety of claims types. This work may include but is not limited to:
• Researching and investigating claims issues;
• Reviewing guidelines to understand protocols, policies and procedures;
• Documenting decisions and relevant information to ensure thorough information for future reviews;
• Researching details related to all aspects of the claim to ensure compliance with all relevant policies and laws;
• Utilizing a thorough understanding of claims policies and protocols to research and resolve exceptions;
• Demonstrating problem-solving skills to ensure prompt and accurate issue resolution;
• Determining appropriate pricing and resubmits claims for processing by next level roles when needed;
• Meeting or exceeding key metrics as outlined in individual goals provided to you in writing by your team lead;
• Participate in in-person meetings to learn new skills, train on system updates, build and maintain general knowledge and skills to help customers, stay abreast of departmental and organizational updates, engage in team building, maintain company culture, and foster relationships and build camaraderie with coworkers.
2. Resolves claims of low to high complexity across a single specialty or process area. This work may include but is not limited to:
• Resolving exceptions assigned to specialty claims or processes including foreign, implants, coordination of benefits, orthodontic, recovery and utilization management;
• Utilizing a thorough understanding of claims policies and protocols to research and resolve exceptions;
• Demonstrating problem-solving skills to ensure prompt and accurate issue resolution;
• Meeting or exceeding key metrics as outlined in individual goals.
3. Responds to emails, follows up and other forms of communication with other departments on outstanding claims issues requiring further intervention. This work may include but is not limited to:
• Processing emails from other departments;
• Collaborating with members of other departments to gather information and determine actions for resolution;
• Providing external outreach as needed to providers and members;
• Responding to claims processing emails as part of a regular rotation.
4. Rotates through the assignment of Dailies on a regular basis. This work includes but is not limited to:
• Completing tasks required to process the Dailies;
• Updating leaders on progress of assignments;
• Documenting outcomes of all tasks as appropriate;
• Collaborating with members of other departments to gather information and determine actions for resolution;
• Providing external outreach as needed to providers and members.
Regular and reliable attendance is required.
Other duties and responsibilities may be assigned.
Qualifications:
• Minimum of 3 years' experience in the dental industry or claims processing role preferred;
• Knowledge and experience in benefit determination and dental terminology preferred;
• Strong verbal and written communication skills;
• Detail-oriented with a commitment to accurate and efficient claims processing.
Competencies:
• Accountability
• Coachability
• Critical thinking
• Organizational skills
• Process focused
• Quality focused
• Resiliency
• Resourcefulness
Environment:
This position currently functions as a hybrid role working from both home and in-office environments. Any home office setting must be conducive to all guidelines outlined by the organization. This role is required to regularly attend in-person meetings, the frequency of which is determined by management based on departmental or organizational needs.
Physical and Other Demands:
Specific vision abilities required by this job include the ability to adjust focus. While performing the duties of this job, the employee is regularly required to sit. The employee is frequently required to use hands and arms to handle, feel, reach and operate a computer. This job requires substantial typing.
Additionally, this position requires working in a fast-paced environment that can be stressful at times based on the high volume of claims.
The ability to move from claim to claim in rapid succession is required.
This position requires a substantial amount of multi-tasking and ability to shift focus between tasks, screens, and systems to obtain data.
DDMO provides reasonable accommodation to qualified individuals with a known disability unless doing so imposes an undue hardship.
Employees must be able to successfully perform the essential functions of this role with or without a reasonable accommodation.
Disclaimer:
This is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties or responsibilities that will be required. The organization reserves the right to modify this job description at any time; including assigning or reassigning job duties or eliminating this position at any time.
$33k-40k yearly est. 2d ago
Claims Representative - Full Time, Remote (St. Louis, Missouri)
Xpera
Claim processor job in Saint Louis, MO
Company:ClaimsPro LP - International Programs GroupClaims Representative - Full Time, Remote (St. Louis, Missouri) IPG works in the contiguous 48 states, Hawaii, and Puerto Rico handling a variety of claims including, but not limited to auto physical damage, inland marine cargo, dealers' open lot, property damage (commercial and homeowners) and general liability.
Overview:
Reporting to a Claims Supervisor, the Claims Representative is responsible for investigating and settling personal property damage claims, with an emphasis on strong communication and customer service, while utilizing state specific guidelines. This is an entry-level opportunity with an anticipated starting salary of $40,000 per year.
Role Responsibilities:
Initiate the investigation of new claims
Make coverage decisions based on the Named Peril Policies
Evaluate settlements of personal property damage as appropriate.
Establish contact with the insured and storage facility within established protocol.
Recognize coverage issues and bring them to the attention of the supervisor.
Develop basic understanding of all entities under this program and their corresponding certificates and policies.
Recognize state specific laws and claims regulations throughout the United States to ensure proper compliance in claims investigation including sending and securing proper documentation.
Respond to time sensitive material including but not limited to department of insurance complaints.
Manage a diary system to systematically review and resolve claims within the specified state and client compliance guidelines.
Maintain state license by completing continuing education coursework and/or work towards a claims designation.
Other duties as assigned by the claims supervisor.
Duties may be added, deleted or changed at any time at the discretion of management, formally or informally, either verbally or in writing.
Qualifications:
High School Diploma or Equivalent required; Bachelor's degree is preferred
Experience with Lloyd's of London is considered an asset
Proficient in Microsoft Office
Experience with variety of insurance policies a plus
Able to be licensed in states, countries where necessary
AIC designation preferred
Competencies:
Use of clear, rational, thinking supported by evidence to audit fees of independent adjusters, appraisers, and other vendors in order to properly manage and pay expense invoices.
Strong writing skills and proper use of grammar to prepare written status reports for the principal. Document claim file notes clearly with all communications and activities that occur during of handling the claim using factual and objective information.
Ability to plan and exercise conscious control over the amount of time spent on specific activities.
Strong Communicator (verbal and written)
Ability to multi-task and handle high volume of concurrent tasks
Work collaboratively with others inside and outside the company
Environment/Working Conditions:
Only US residents will be considered
Dynamic environment with tight deadlines, number and changing priorities
All prospective employees must pass a background check
Office environment including prolonged periods of computer use
Location: Remote working but may require some travel to home office, etc.
SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process.
$40k yearly Auto-Apply 11d ago
Global Risk Solutions Claims Specialist Development Program (January, June 2026)
Law Clerk In Cincinnati, Ohio
Claim processor job in Hoffman Estates, IL
Claims Specialist Program
Are you looking to help people and make a difference in the world? Have you considered a position in the fast-paced, rewarding world of insurance? Yes, insurance!
Insurance brings peace of mind to almost everything we do in our lives-from family trips to your first car to weddings and college graduations. As a valued member of our claims team, you'll help our customers get back on their feet and restore their lives when catastrophe strikes.
The details
When you're part of the Claims Specialist Program, you'll acquire various investigative techniques and work with experts to determine what caused an accident and who is at fault.
You'll independently manage an inventory of claims, which may include conducting investigations, reviewing medical records, and evaluating damages to determine the severity of each case. You'll resolve cases by working with individuals or attorneys to settle on the value of each case.
You will have required comprehensive training, one-on-one mentoring, and a strong pay-for-performance compensation structure at a global Fortune 100 company. Make a difference in the world with Liberty Mutual.
Qualifications
What you've got
You have 0-2 years of professional experience.
A strong academic record with a cumulative 3.0 GPA preferred
You have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism.
You possess strong negotiation and analytical skills.
You are detail-oriented and thrive in a fast-paced work environment.
You must have permanent work authorization in the United States.
What we offer
Competitive compensation package
Pension and 401(k) savings plans
Comprehensive health and wellness plans
Dental, Vision, and Disability insurance
Flexible work arrangements
Individualized career mobility and development plans
Tuition reimbursement
Employee Resource Groups
Paid leave; maternity and paternity leaves
Commuter benefits, employee discounts, and more
Learn more about benefits at **************************
A little about us
As one of the leading property and casualty insurers in the country, Liberty Mutual is helping people embrace today and confidently pursue tomorrow.
We were recognized as a ‘2018 Great Place to Work' by Great Place to Work US, and were named by
Forbes
as one of the best employers in the country for new graduates and women-as well as for diversity.
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information, or on any basis prohibited by federal, state, or local law.
We can recommend jobs specifically for you! Click here to get started.
$30k-51k yearly est. Auto-Apply 14d ago
Complex Claims Specialist-MPL
Hiscox
Claim processor job in Chicago, IL
Job Type: Permanent Build a brilliant future with Hiscox Individual contributor role responsible for the handling of Miscellaneous Professional Liability claims for the organization from inception to resolution. This involves the negotiation and settlement of Miscellaneous Professional Liability insurance claims. May be responsible for single or multi-country claims and will be responsible for all aspects of the claims, including liaise with external and internal business partners (e.g., outside experts and/or or legal counsel; underwriting) as required.
Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you'll get the opportunity to learn multiple insurance products and interact with business leaders across the organization.
Please note that this position is hybrid and requires two (2) days in office weekly. Position can be based in the following locations:
* Manhattan, NY
* West Hartford, CT
* Atlanta, GA
* Chicago, IL
* Boston, MA
The Role:
The Complex Claims Specialist is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. This person also:
* Adjusts and resolves complex to severe claims that includes all phases of litigation
* With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters
* Reviews and analyses claim documentation and legal filings
* Drives litigation best practices to lead defense strategy on litigated files
* Mentors Claim Examiners
* Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions
* Identifies emerging exposures and claims trends
* Identifies suspected fraudulent claims and tracks with special investigations unit
* Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
* Develops content and conducts training for claims team and underwriters as requested
The Team:
The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox's strong brand built on a long history of outstanding claims handling.
Requirements:
* 8+ years of claims handling experience or 7-8 years litigation experience. (A JD from an ABA accredited law school may be considered as a supplement to claims handling experience.)
* Proven ability to positively affect complex claims outcomes through investigation, negotiation and effectively leading litigation
* Advanced knowledge of coverage within the team's specialty or focus
* Advanced knowledge of litigation process and negotiation skills
* Experience in mentoring and training other claims examiners
* Excellent verbal and written communication skills
* Advanced analytical skills
* B.A./B.S degree from an accredited College or University preferred
Additional Factors Considered:
* Ability to act a subject matter expert within team
* Demonstrated ability to work with minimal oversight
* Experience attending and leading mediations, arbitrations and trials
* Demonstrated ability to advance product innovation or develop a greater understanding of other aspects of the business through training or other relevant projects
* Demonstrates courage in addressing and solving difficult or complex matters with insureds, attorneys and brokers
* Demonstrated steps taken toward additional certifications by an approved authority such as a CPCU, ARMS or AINS designation
* Commitment to professional development and learning demonstrated by at least 5 hours of continuing education related to insurance topics through Success Factory, Hiscox in-person or video conference training sessions, or other in-person seminars or webinars.
What Hiscox USA offers:
* 401(k) with competitive company matching
* Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)
* Company paid group term life, short- term disability and long-term disability coverage
* 24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days
* Paid parental leave
* 4-week paid sabbatical after every 5 years of service
* Financial Adoption Assistance and Medical Travel Reimbursement Programs
* Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
* Company paid subscription to Headspace to support employees' mental health and wellbeing
* 2023 Gold level recipient of Cigna's Healthy Workforce Designation for having a best-in-class health and wellness program
* Dynamic, creative and values-driven culture
* Modern and open office spaces, complimentary drinks
* Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation
About Hiscox USA:
Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.
Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism.
Diversity and flexible working at Hiscox:
At Hiscox we care about our people. We hire the best people for the job and we're committed to diversity and creating a truly inclusive culture, which we believe drives success. We also understand that working life doesn't always have to be 'nine to five' and we support flexible working wherever we can. No promises, but please chat to our resourcing team about the flexibility we could offer for this role.
You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)
Salary range: $125,000-$155,000
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.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
#LI-RM1
Work with amazing people and be part of a unique culture
$30k-51k yearly est. Auto-Apply 11d ago
Certification Specialist - St. Louis
Womens Business Development Center 4.0
Claim processor job in Saint Louis, MO
Certification Specialist, Certification Program and Services The WBDC is hiring for a Certification Specialist, Certification Program and Services. This role is based in St. Louis, Missouri. This full-time, exempt position reports to the Managing Director, Established Business Program and Services.
Who We Are:
The Women's Business Development Center (WBDC) is a 501(c)(3) nationally recognized leader in the field of women's business development and economic empowerment for over 30 years. Our mission is to support and accelerate business development and growth by targeting women and serving all diverse business owners, to strengthen their participation in, and impact on, the economy. We value our knowledgeable, prepared, and diverse staff and foster a culture that is results-oriented, supportive, and progressive.
The Role:
The Certification Specialist, Certification Program and Services supports the WBDC's Women Business Enterprise (WBE) certification program. This position supports the regional Women's Business Enterprise National Council (WBENC) certification and WBDC services in the region and surrounding areas for established entrepreneurs, including those that are economically disadvantaged and underserved.
Essential Duties and Responsibilities:
• Process the WBENC and Women Owned Small Businesses (WOSB) certification applications, which includes managing reports and maintaining relationships with partner organizations.
• Support certification program requirements and compliance, including performing certification site visits.
• Provide guidance and resources to clients while adhering to WBENC Standards and Procedures.
• Represent the WBDC at trade shows and events through networking, presentations, and public speaking.
• Work with marketing team and the Established Business department to support regional initiatives.
• Maintain extensive knowledge in certification, including WBENC provided trainings and systems.
• Align with the WBDC's overall strategic goals.
• Perform additional duties as assigned.
$51k-81k yearly est. 60d+ ago
Multi-Line Damage Adjuster Trainee
Geico Insurance 4.1
Claim processor job in Saint Louis, MO
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Multi-Line Adjuster Trainee
Salary: "*Starting pay rate varies based upon position and location. Ask your Recruiter for details!"
We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Property Damage Trainee! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, a customer's home or in a virtual estimating environment. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing boat, motorcycle, RV and other specialty claims.
Our industry-leading, paid training, which includes 3-weeks of required hands-on experience at our Ashburn, VA training facility will teach you the ins and outs of physical damage adjusting. We will provide the resources and training so you can directly assist our customers after accidents or major disasters. We're looking for those who are equally as motivated as they are compassionate. Your unique skillset, along with the latest adjusting tools and tech, will help you.
Qualifications & Skills:
Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits
Willingness to be flexible with primary work location - position may require either remote or field work
Solid computer, mechanical aptitude, and multi-tasking skills
Effective attention to detail and decision-making skills
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
Minimum of high school diploma or equivalent, college degree or currently pursuing preferred
At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.
We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
* Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
* Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
* Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
* Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
$44k-53k yearly est. Auto-Apply 60d+ ago
Claims Representative
Equipmentshare 3.9
Claim processor job in Saint Louis, MO
Future Claims Representative Opportunities at EquipmentShare!
EquipmentShare is accepting applications for a future Claims Representative in the St. Louis, MO area.
At EquipmentShare, we're not just filling a role - we're assembling the best team on the planet to build something that's never been built before. We're on a mission to transform an industry that's been stuck in the past by empowering contractors and communities through innovative technology, real-time support, and a team that truly cares.
We're accepting applications for a future Claims Representative role at our rental facility in St. Louis, MO, and we're looking for someone who's ready to grow with us, bring energy and drive to their work, and help us build the future of construction. As a Claims Representative, you will be responsible for handling all aspects of insurance claims, including initial reporting, documentation, assessment, and resolution.
Schedule:
Monday to Friday, 7:00 AM to 5:00 PM, and offers overtime pay after working 40 hours. (On call during the weekend only in special circumstances)
Primary Responsibilities
Claims Processing: Efficiently process insurance claims from initiation to resolution. This includes verifying claim information, assessing damages, and determining claim validity.
Customer Service: Provide empathetic and knowledgeable support to customers filing claims. Guide them through the claims process, keeping them informed of their claim status and next steps.
Documentation and Record Keeping: Maintain accurate and detailed records of all claims, including customer interactions, assessments, and claim resolutions.
Liaison with Insurance Companies: Act as the primary point of contact between the customer and insurance companies. Coordinate with insurance adjusters to facilitate claim assessments and settlements.
Compliance and Reporting: Ensure all claims are processed in compliance with company policies and legal requirements. Prepare reports on claim trends, outcomes, and customer feedback for management review.
Team Collaboration: Work closely with other departments, such as the legal team, customer service, and fleet management, to ensure a coordinated approach to claim handling.
Why EquipmentShare?
Because we do things differently - and we think you'll feel it from day one. We're a people-first company powered by cutting-edge technology. That means our proprietary T3 platform doesn't just run our business - it also makes your job easier, safer, and more connected. Whether you're behind the wheel, under the hood, leading a branch, or closing deals - tech supports
you
, and you drive
us
forward.
We're a team of problem-solvers, go-getters, and builders. And we're looking for teammates who take pride in doing meaningful work and want to be part of building something special.
Perks & Benefits
Monthly Family Dinner Night - We treat you
and your family
to dinner every month, because family comes first.
(An employee favorite!) *restrictions apply
Competitive compensation
Full medical, dental, and vision coverage for full-time employees
Generous PTO + paid holidays
401(k) + company match
Tool and boot reimbursements (role dependent)
Gym membership stipend + wellness programs (earn PTO and prizes!)
Company events, food truck nights, and monthly team dinners
16 hours of paid volunteer time per year - give back to the community you call home
Career advancement, leadership training, and professional development opportunities
About You
You want to be part of a team that's not just changing an industry for the sake of change - we're transforming it to make it safer, more secure, and more productive. You bring grit, heart, and humility to your work, and you're excited about the opportunity to grow within a fast-paced, mission-driven environment.
We're looking for people who:
See challenges as opportunities
Embrace change and continuous improvement
Bring energy, effort, and optimism every day
Skills & Qualifications
Education: High school diploma required; college degree or equivalent experience in insurance, customer service, or related field preferred.
Experience: Minimum of 2 years' experience in a customer service role, with prior experience in claims processing or the car rental industry highly desirable.
Skills: Excellent communication and interpersonal skills, with the ability to convey information clearly and empathetically. Strong organizational and multitasking abilities. Proficiency in MS Office and database software.
Knowledge: Understanding of insurance policies and claims handling procedures. Familiarity with car rental operations and vehicle maintenance is a plus.
Personal Attributes: High level of integrity, patience, and the ability to maintain confidentiality. Proactive problem-solver who can manage stressful situations with professionalism.
A Workplace For All
At EquipmentShare, we believe the best solutions come from a team that reflects the world around us. Our initiative -
A Workplace For All
- is rooted in the belief that we must work together to solve some of the toughest problems in construction. That means attracting, developing, and retaining great people from all walks of life.
We value different backgrounds, talents, and perspectives. We want you to feel like you belong here - because you do.
EquipmentShare is an EOE M/F/D/V.
How much does a claim processor earn in Saint Peters, MO?
The average claim processor in Saint Peters, MO earns between $23,000 and $56,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.
Average claim processor salary in Saint Peters, MO
$36,000
What are the biggest employers of Claim Processors in Saint Peters, MO?
The biggest employers of Claim Processors in Saint Peters, MO are: