Senior Compliance Administrator, Medicare Claims & Payment Integrity Centene Corporation GroupSenior Compliance Administrator, Medicare Claims & Payment IntegrityMO$87,700–$157,800 / yearPosition Purpose: Serves as an individual contributor and subject matter expert responsible for supporting the day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and applicable federal and state regulations. Provides trusted advisory support to business and compliance leadership by providing regulatory guidance, conducting research and analysis, tracking issues, contributing to audit readiness and supporting compliance workplan activities.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteMORemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
NewClaim Specialist FCCI Insurance GroupClaim SpecialistMO Field, MO$91,389–$140,737 / yearResponsibilities include maintaining an inventory of claims handled within departmental guidelines, following best practices policies and procedures and budgetary guidelines, field investigations, negotiating limited settlements, setting reserves, attending mediations, and documenting all file activity. At FCCI, it is the personal touch of our local presence and expertise, combined with the knowledge and relationships of our agency partners, that creates a winning combination which sets us apart.
Claim Specialist - WCCS Deployed State FarmClaim Specialist - WCCS DeployedSaint Louis, MO$59,059.65–$82,000 / yearPhysical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionBelleville, Illinois$63,089.65–$90,000 / yearFull timeCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 62206 62217 62220 62221 62223 62225 62226 62233 62236 62237 62238 62239 62240 62241 62242 62243 62244 62255 62256 62257 62258 62260 62261 62264 62268 62272 62274 62277 62278 62279 62285 62286 62288 62292 62295 62297 62298 62819 62822 62825 62831 62832 62865 62866 62876 62883 62884 62888 62894 62916 62927 62932 62983 62994 62997 62999. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Sr. Technical Claim Manager-Marine Liability RLI Corp.Sr. Technical Claim Manager-Marine LiabilityChesterfield, MO$115,778–$168,746 / yearThis 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. Proactively handle liability claims, primarily involving bodily injury in a marine liability context, to achieve optimum payout results by resolving claims fairly, expeditiously, and economically.
Technical Claim Manager-Design Professionals/Construction RLI Corp.Technical Claim Manager-Design Professionals/ConstructionChesterfield, MO$115,778–$168,746 / yearThis 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. 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.
Litigation Claim Examiner-Personal Umbrella (Bodily Injury Liability/Auto/Premises) RLI Corp.Litigation Claim Examiner-Personal Umbrella (Bodily Injury Liability/Auto/Premises)Chesterfield, MO$80,897–$115,682 / yearThis 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. 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.
Senior Technical Claim Manager-Miscellaneous Professional Liability/Errors & Omissions (E&O) (Hybrid) RLI Corp.Senior Technical Claim Manager-Miscellaneous Professional Liability/Errors & Omissions (E&O) (Hybrid)Chesterfield, MO$115,778–$168,746 / yearThis 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. Proactively handle professional liability claims primarily involving miscellaneous professional liability (MPL) litigation, including Errors and Omissions (E&O), to achieve optimum payout results by resolving claims fairly, expeditiously, and economically.
Senior Technical Claim Manager-Miscellaneous Professional Liability/Errors & Omissions (E&O) (hybrid) RLI CorpSenior Technical Claim Manager-Miscellaneous Professional Liability/Errors & Omissions (E&O) (hybrid)Chesterfield, MO$115,778–$168,746 / yearThis 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. Proactively handle professional liability claims primarily involving miscellaneous professional liability litigation, including Errors and Omissions/E&O and Architects & Engineers/A&E to achieve optimum payout results by resolving claims fairly, expeditiously, and economically.
Auto Adjuster Allstate Insurance CompanyAuto AdjusterMO$50,000–$74,350 / yearAnalytical Thinking, Auto Insurance Claims, Automobile Accidents, Automobile Liability, Automotive Repair, Coverage Analysis, Customer Service, Insurance Policies, Multitasking, Policy Interpretation, Task Management, Time Management. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Property Field Adjuster - St. Louis, MO Allstate Insurance CompanyProperty Field Adjuster - St. Louis, MOSt. Louis, MO$53,500–$86,400 / yearCase Management, Complex Claims, Damage Assessment, Homeowners Claims, Homeowners Insurance, Homeowners Insurance Claims, Insurance Claims, Large Loss Claims, Performance Management (PM), Property Claims, Property Damage, Property Damage Claims, Property Insurance, Quality Management, Relationship Building, Stakeholder Relationship Management, Water Damage Repair, XactAnalysis, Xactimate. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
NewEstimate Reviewer Specialist CCA Global PartnersEstimate Reviewer SpecialistSt. Louis (Earth City), MOWorking in a high-volume, quality-focused environment, the QA Reviewer Specialist evaluates scope, pricing, and line-item detail using advanced estimating software, providing actionable feedback and corrections to support claim resolution and customer satisfaction. We are seeking a motivated, detail oriented and customer service driven property claims adjuster to conduct detailed technical reviews of property insurance estimates related to flooring, water mitigation, roofing, and general construction repairs.
Regional Catastrophe Adjuster (Resident) Shelter Mutual Insurance CompanyRegional Catastrophe Adjuster (Resident)St Louis, MO$23.82–$29.54 / hourShelter maintains broad salary ranges for its roles in order to account for variations in geographic location, education, training, skills, relevant work experience, business needs and market demands. Due to the duties and responsibilities of this position, a Credit Bureau Report, Motor Vehicle Report, and Criminal Background Check may be ordered on final candidates.
Contents Desk Adjuster Sedgwick Claims Management Services, Inc.Contents Desk AdjusterMOConducts thorough investigations, gathers official reports as needed, consults police and hospital records and inspects physical damage or written estimates for damages based on a conducted inspection to determine extent of company's liability and varying methods of investigation, according to type of insurance. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Bodily Injury & Homeowners Liability Adjuster Allstate Insurance CompanyBodily Injury & Homeowners Liability AdjusterMO$53,500–$86,400 / yearAuto Insurance Claims, Case Management, Casualty Insurance, Casualty Management, Claims Administration, Claims Resolution, Claims Review, Commercial Liability, De-Escalation, Home Insurance, Homeowners Claims, Homeowners Insurance, Homeowners Insurance Claims, Insurance Policies, Liability Insurance, Liability Management, Litigation, Multitasking, Personal Injury Claims, Property & Casualty Insurance, Relationship Management, Tort Liability. Team members may have the opportunity to gain exposure to a variety of claim types and handling responsibilities, including extended handling, litigation, and homeowners liability claims, based on business needs, performance, and development goals.
Loss Control Consultant Commercial Insurance - Independent Contractor- St. Louis, MO. ExlService Holdings IncLoss Control Consultant Commercial Insurance - Independent Contractor- St. Louis, MO.St. Louis, MOConsultants will work from their home or office, and travel to local commercial business operations (i.e.) retail businesses, restaurants, hotels, apartment buildings and complexes, construction operations and jobsites, various types of manufacturers, churches, schools, etc. You will assess the risk for various commercial insurance lines of business that can include Property, General Liability, Workers Compensation, Auto/Fleet, Products Liability, Inland Marine and Builders Risk.
Catastrophe Response Team-Traveling Storm Adjuster (Resident) Shelter InsuranceCatastrophe Response Team-Traveling Storm Adjuster (Resident)Collinsville, IL$23.82–$33.38 / hourShelter maintains broad salary ranges for its roles in order to account for variations in geographic location, education, training, skills, relevant work experience, business needs and market demands. Specialize in adjusting property claims requiring physical inspection and requires extensive travel to a variety of geographic locations.
Regional Catastrophe Adjuster (Resident) Shelter InsuranceRegional Catastrophe Adjuster (Resident)Saint Louis, MO$23.82–$29.54 / hourShelter maintains broad salary ranges for its roles in order to account for variations in geographic location, education, training, skills, relevant work experience, business needs and market demands. Due to the duties and responsibilities of this position, a Credit Bureau Report, Motor Vehicle Report, and Criminal Background Check may be ordered on final candidates.
Litigation Specialist First Chicago Insurance Company (FCIC)Litigation SpecialistBelleville, IL$75,000–$100,000 / yearFull timeConduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. We realize the strength of teamwork and its ability to join individuals together and push and pull each other, with a synergy that can only be found in groups of good people sharing ideas.