Claims Processor Integrated Resources, IncClaims ProcessorMaryland Heights, MissouriContractorClaims 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. - Experience with list of ICD-9 codes and Current Procedural Terminology (CPT) Claims.
Senior Property Claims Adjuster (Complex, Large Loss Claims) HCC Life Insurance CompanySenior Property Claims Adjuster (Complex, Large Loss Claims)MORemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. In this role, you will handle claims from initial investigation through resolution, applying advanced coverage knowledge and strong analytical judgment to deliver fair, timely outcomes while providing exceptional service to our insureds and partners.
Enrollment Processor Integrated Resources, IncEnrollment ProcessorMaryland Heights, MissouriFull timeDescription: Responsible for creation and maintenance of the enrollment and disenrollment of eligible Medicare Part D enrollees. Essential Functions: Evaluates data and determines what process is required for specific systems and accounts.
NewClaims Examiner I Blue Cross and Blue Shield of Kansas CityClaims Examiner IMOJob Description Summary: Under general supervision, assesses claim information, references contracts and performs calculations and other functions to accomplish the processing and payment of insurance claims of a complicated or non-routine nature. 2 years of previous customer service, member services, or claims processing experience; or any combination of required education and experience.
BusinessOperations - Claims Analyst 2 - 120060 MindlanceBusinessOperations - Claims Analyst 2 - 120060Clayton, MOCandidate Requirements Education/Certification Required: GED/HS Diploma Preferred: Licensure Required: N/A Preferred: Years of experience required: 2 years of claims (preferred: Healthcare), healthcare operations, or administrative experience preferred. 2 Strong working knowledge of Microsoft Excel, Outlook, Teams, and SharePoint for tracking work, managing documentation, and collaborating with the team.
Mechanical Claims Adjuster 835946 StiversMechanical Claims Adjuster 835946Fenton, MOAs a Mechanical Claims Adjuster, you'll play a vital role in supporting the claims team by evaluating and processing claims related to mechanical breakdowns, appearance, tires, and wheels. You'll collaborate with repair facilities, customers, and dealerships to ensure claims are handled efficiently and accurately, helping our company deliver top-tier service and coverage.
Claims Coordinator - Business Insurance Marsh & McLennan Companies IncClaims Coordinator - Business InsuranceChesterfield, MOWith offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh (NYSE: MRSH). Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities.
Senior Provider Experience Program Manager - Healthcare Claims CVS Health CorpSenior Provider Experience Program Manager - Healthcare ClaimsMO$106,605–$284,280 / yearWhat you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.
Aviation Senior Claims Specialist - HULL(m/f/d) Allianz SEAviation Senior Claims Specialist - HULL(m/f/d)O'Fallon, MO$117,217–$197,722 / yearInvestigation & Reserving: Investigating and adjusting claims that involve first party aviation hull losses and third party aircraft property damage on domestic matters; Evaluating and addressing aviation hull coverage issues and determine appropriate reserving levels; and. You will be working with a small but diverse team of claims professionals of various experience levels and backgrounds, in a collegial and supportive atmosphere that values individual strengths and encourages professional development and participation in industry leadership.
Automotive Claims Specialist 8/24 TA Resources LLCAutomotive Claims Specialist 8/24Earth City, Missouri$26–$33 / hourTechnology proficient in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing, as well as the ability to navigate multiple software systems and monitors while assisting customers on the phone. In this role, you'll transition from the physical demands of the shop floor to a comfortable office environment where you will leverage your automotive expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims.
Automotive Claims Specialist 9/14 TA Resources LLCAutomotive Claims Specialist 9/14Earth City, Missouri$26–$33 / hourTechnology proficient in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing, as well as the ability to navigate multiple software systems and monitors while assisting customers on the phone. In this role, you'll transition from the physical demands of the shop floor to a comfortable office environment where you will leverage your automotive expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims.
Casualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistBelleville, IL$54,750–$97,500 / yearThey 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. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
Claims Manager ArchKey Solutions LLCClaims ManagerFenton, MOFull timePromotes and models the Company mission, vision and values through exercising sound and ethical business practices, championing all elements of diversity, equity, and inclusion (DEI) and providing high quality services and programs as they relate to clients, subcontractors, co-workers, suppliers, and the public. Collaborates with safety team on all incidents and investigations and coordinates with safety leadership regarding claims data, analytics and trends identified for use in preventive measures, incident investigations and crisis management.
Director, Claims Safety NationalDirector, ClaimsSaint Louis, MissouriYou will manage complex claims from initial assignment through closure, evaluating coverage and exposure, establishing reserves, negotiating settlements, coordinating litigation efforts, and helping mitigate medical exposure. 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.
Sr. Adjuster-Workers Comp Claims CopperPoint Insurance CoSr. Adjuster-Workers Comp ClaimsMORemote$68,000–$98,500 / yearThe Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).
NewMechanical Claims Manager Reinsurance Associate Inc.Mechanical Claims ManagerFenton, MOWhat We're Looking ForRequired Qualifications5+ years of claims or claims administration leadership experience.2+ years of call center supervisory or leadership experience. Are you an experienced claims leader who thrives on developing high-performing teams, improving operational efficiency, and delivering exceptional customer service?
NewExcess Workers' Compensation Claims Manager Safety NationalExcess Workers' Compensation Claims ManagerSaint Louis, MissouriRemoteYou will also process reimbursement and vendor check requests in accordance with department procedures and authority levels, maintain required claim file documentation, provide reinsurance updates, and travel as needed for TPA and LPT audits, underwriting-requested audits, and problem claims. As an Excess WC Claims Manager, you will manage high-exposure workers’ compensation claims from initial assignment through closure while helping protect Safety National’s interests and deliver effective claim outcomes.
National Complex Claims Leader Marsh & McLennan Companies IncNational Complex Claims LeaderChesterfield, MORemote$93,700–$174,800 / yearReporting to the SVP, National Claims Director, you will serve as a senior resource and technical authority on complex and high-exposure claims, bringing deep expertise, strategic judgment, and a national perspective to drive resolution on complex, high-stakes commercial P&C claim situations across the organization. In this capacity, you will build and maintain strong relationships with national and regional leadership, industry vertical leaders, and Marsh Risk, ensuring MMA clients receive best-in-class advocacy at every level.
Remote Claims Representative 613829 Metro Public AdjustmentRemote Claims Representative 613829St. Louis, MORemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
Pharmacy Benefits/Insurance Claims Specialist | Onsite- Boise Blink Health Administration LLCPharmacy Benefits/Insurance Claims Specialist | Onsite- BoiseChesterfield, MOOur two primary products- BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. Company Overview: Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.