250 Results for

Claims Specialist Jobs in Missouri

Jobs

Chesterfield, MO10 days ago

$70,000–$80,000

Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. By clicking “Apply Today” you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers.

New!

O Fallon, MO3 days ago

$1–$1 Per Hour

Responsible for evaluating, monitoring, and managing high-severity casualty claims, providing strategic oversight on litigated matters, and partnering with cedents, defense counsel, and internal stakeholders to drive optimal outcomes. This role requires deep expertise in complex GL exposures including premises liability, product liability, and negligent hiring/supervision as well as a strong background in litigation management and trial experience.

Joplin, MO26 days ago

$100,000–$140,000 Per Year
Full-time

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.

New!

Saint Louis, MO2 days ago

$2,015–$2,015

A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.

New!

Saint Louis, MO2 days ago

$2,392–$2,392

Town & Country, MO29 days ago

With 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.

Farmington, MO29 days ago

$19–$19 Per Hour

A large healthcare services organization is hiring Mail Production Specialists to support high-volume document and mail processing operations. This is a production-based role focused on sorting, scanning, imaging, and processing incoming documents for enterprise departments.

Springfield, MO30+ days ago

Essential Responsibilities: • Working with limited oversight under broad management direction, adjudicate Garage Bodily Injury claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results. A deep knowledge of General Liability Bodily Injury claims, as well as an exceptional customer service focus typically obtained through: • A minimum of seven years' experience adjudicating commercial Garage Bodily Injury claims.

Springfield, MO30+ days ago

Essential Responsibilities: • Working with limited oversight under broad management direction, adjudicate general liability bodily injury claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results. A deep knowledge of General Liability Bodily Injury claims, as well as an exceptional customer service focus typically obtained through: • A minimum of seven years experience adjudicating General Liability Bodily Injury claims with extensive experience with exposure of $100,000 or more.

Springfield, MO11 days ago

Remote

$137,496–$164,934 Per Year

Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.

Springfield, MO10 days ago

$99,200–$118,100 Per Year

Alternatively, we are also open to consider candidates working from home anywhere in the continental United States This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and contributing to providing superb results for our clients. Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C.

St. Louis, MO30+ days ago

Remote

$59,681–$96,123 Per Year

ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the appropriate parties Manages subrogation and litigation of claim as it applies Manages potential claim recoveries of all types Reports claims to the excess carrier when applicable Communicates claim status with the customer and claimant Adheres to client and carrier guidelines and participates in claims review as needed Develops and maintains professional customer relationships Complies with rules and regulations of applicable state Additional duties as assigned. KNOWLEDGE & SKILLS: Excellent written and verbal communication skills Ability to assist team members to develop knowledge and understanding of claims practice Ability to identify, analyze and solve problems Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to work both independently and within a team environment Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation.

St. Louis, MO16 days ago

Louis area for over 90 years, we support a nationwide network of agents, customers, and partners across commercial, residential, government, and specialty logistics markets. You'll work closely with customers, agents, partners, and internal teams to ensure claims are resolved fairly, efficiently, and in compliance with policies, contracts, and federal regulations.

O'Fallon, MO30+ days ago

$102,182–$170,509 Per Year

Some of your specific responsibilities could include: • Investigate claims that involve complex liability issues on domestic and multinational claims • Input and maintain accurate claims records for designated accounts, within appropriate AzC Claims administration systems • Select and direct independent external service providers (e.g., Lawyers, Independent Adjusters, Experts) • Evaluate and address coverage issues and determine appropriate reserving levels • Negotiate and resolve high exposure, complex claims ensuring cost effective, service orientated solutions • Support training, developing and coaching of less experienced staff • Ensure all claims handled within authority limits, and in line with AzC Claims complex procedures and guidelines • Refer cases outside of authority level, preparing referral documentation and materials as appropriate • Support establishment of claims management procedures on new business accounts in association with clients, brokers and loss adjusters • Proactively support acquisition of new business and retention of existing business (including client and broker negotiations where necessary). 5-7 years' experience in proven track record in handling Liability claims involving complex coverage and damage issues Demonstrate established relationships with brokers at peer group level and well established within local market Have an expert understanding of Liability products and portfolio, with expert understanding of coverage and application in the adjustment process In-depth understanding of regional / local Liability insurance markets and competitor landscape Detailed understanding of legal and regulatory framework Experience working in a complex, global matrix organization The ability to utilize AI tools to support day-to-day tasks, improve efficiency, and contribute to data-driven decision-making is valuable Bachelor's degree in a relevant discipline.

Kansas City, Missouri19 days ago

Initiative – Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed. Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.

Kansas City, MO30+ days ago

Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed. Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.

St. Louis, MO30 days ago

Remote

Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee.

O'Fallon, MO30+ days ago

$117,217–$197,722 Per Year

Investigation & 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.

MO30+ days ago

Remote

$83,000–$108,000 Per Year

Selectives unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success.

Work At Home, MO9 days ago

$18.50–$42.35 Per Hour

Our 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. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.

Kansas City, MO9 days ago

$69,000–$115,000 Per Year

This is a rare and exciting opportunity to take ownership of a diverse portfolio of financial lines claims - from directors and officers liability to fiduciary and employment practices - while working alongside some of the brightest minds in the industry. The specific salary offered for this, or any given role will take into account a number of factors including but not limited to job location, scope of role, qualifications, complexity/specialization/scarcity of talent, experience, education, and employer budget.

Saint Louis, MO30+ days ago

$59,059.65–$82,000 Per Year

Physical 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!

Saint Louis, MO30+ days ago

Responsibilities include: capturing and creating an inventory of damaged/lost contents while on site, working with various vendors and ensuring that quality customer service is provided via face to face and phone interaction. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.

Earth City, MO30+ days ago

$25–$35 Per Hour

The three main calls they will take will be: - Dealerships calling with repairs required on car to determine if the repairs needed will be covered by the auto warranty, they will have a list of guidelines that will allow them to determine if the claims should be approved or denied. • Technology 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.

Jefferson City, MO30+ days ago

$62,500–$115,500 Per Year

Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.

Joplin, MO9 days ago

As an RMA & Claims Specialist, you'll manage product returns, warranty claims, and customer resolutions while working closely with customers, suppliers, and internal teams. Join our growing heavy-duty truck parts team and play a key role in delivering outstanding customer service.

Work At Home, MO17 days ago

$17–$28.46 Per Hour

Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.

Springfield, MO30+ days ago

$132,294–$155,856 Per Year

Working with the SVP - Global Claims Operations partner with key Claims Management to develop plans aimed at achieving efficiencies so that incoming claims are triaged correctly and quickly assigned to the appropriate department and the Triage department can meet its Critical Success Goals and the Company can meet both growth and profitability targets. Qualifications / Experience Required: Proven people management experience, an advanced knowledge of triage claims and process improvement, and an exceptional customer service focus, typically obtained through: Minimum 7 years claims operations experience, including 4 years in a People Leadership capacity.

Kansas City, MO13 days ago

contributory) and assess likelihood of recovery; Develop supervisor-escalation scenarios that test whether the agent correctly recognizes authority-limit thresholds ($25,000) and stops short of auto-approving; Draft and evaluate reservation-of-rights letter scenarios, verifying language stays within the bad-faith line; Validate coverage-limits math when multiple endorsements (OEM, rideshare, extended rental) stack on a single claim; Document test cases clearly with correct answers, policy citations, and payout calculations. Ideally, contributors will have: Degree in Finance, Business, Insurance, or related field — or equivalent professional experience; no specific degree is required if AIC, CPCU, or comparable credentials are present, or if the candidate has 4+ years of hands-on claims adjusting experience; 3+ years of hands-on auto claims adjusting, examining, or supervisory experience at a U.S. carrier, independent adjusting firm, or SIU team; Ability to make coverage decisions (collision vs.

Kansas City, MO30+ days ago

Remote

Full-time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

Saint Charles, Missouri17 days ago

THE JOB DETAILS: The part-time Customer Service Representative will maintain a schedule of 3-4 days per week, delivering excellent customer service as well as providing support to the construction management team. Creates and maintains a project estimate in the appropriate software with the correct Price List and ensures that the estimate aligns with carrier SLA’s and/or signed contracts.

Saint Charles, MO16 days ago

Saint Louis, Missouri8 days ago

Remote

The specialist communicates regularly with internal teams and external customers to address outstanding balances, verify account information, and support efficient cash flow operations. The Accounts Receivable Specialist is responsible for managing the full cycle of accounts receivable processes to ensure accurate and timely collection of payments.

MO30 days ago

Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. The Billing Specialist I is responsible for collecting and entering claims, post insurance, submit claims, and answer patient inquiries on accounts.

Lee's Summit, MO20 days ago

This role functions as an expert-level investigator and trusted escalation owner, handling cases that carry heightened regulatory, reputational, financial, and/or executive visibility, including OPM grievances and leadership-referred matters. Executive Escalations Specialist reports to the Manager, Executive Escalations and serves as a senior individual contributor responsible for the end-to-end resolution of our most complex, sensitive, and high-risk medical and dental escalations.

St Louis, Missouri30+ days ago

While ensuring compliance with relevant laws, regulations and established company policies and compliance programs, this role is responsible for efficient cash collections through excellent reimbursement practices, accurately posting of EFT, credit card, ACH and check insurance/patient payments, and/or performing accurate claim billing. Collections: Timely and accurate follow up on unpaid claims or patient accounts, work assigned lists of outstanding claim balances and/or patient accounts with multifaceted issues across different payers and patients.

MO30+ days ago

Experience in commercial insurance, Medicare, and Medicaid reimbursement Must have computer literacy and math aptitude, and the ability to use 10-key calculator, computer key board and basic software applications, including Excel, Word and Outlook. Directly responsible for daily billing of insurance claims and collection activity on outstanding payor accounts and self-pay encounters to manage account receivables.

St. Louis, MO30+ days ago

Remote

$39,000–$48,150 Per Year

Position Summary: Performs duties in one or more of the following areas: Medicare Part D rejected claims management, formulary management, pharmacy prior authorizations, and assist Medicare Part D Customer Service call center team members. Pay Transparency: Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role.

St. Louis, MO11 days ago

$39,000–$48,150 Per Year

Kansas City, MO30+ days ago

$23.80–$31.50 Per Hour

This compensation range is for the Account Specialist and Senior Account Specialist - RemitConnect and contemplates a wide range of factors that are considered in determining most appropriate job level and making compensation decisions, including but not limited to location, skill sets, education, relevant experience and training, licensure and certifications, and other business and organizational needs. Basic knowledge of healthcare insurance claims processing, healthcare revenue cycle, and general knowledge of commercial banking and treasury services.

Missouri, MO30+ days ago

Remote

Experience: 2 years in customer service, experience in social services case management, disability claims processing, using contact center software, or working with government agencies is a strong plus. Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence - maximizing accuracy quality performance and outcomes for health plans and health systems.

North Kansas City, MO16 days ago

Insurance/reimbursement specialist to support insurance pre-checks, pre-authorizations, authorizations and re-authorizations, primarily for physical therapy and speech language pathology with back-up support for occupational therapy at our main campus outpatient therapy clinic. Customer service will be key to this role along with attention to detail, as this individual will be explaining insurance benefits for therapy services to patients and their caregivers and will support our scheduling teams with insurance-related questions.

Kansas City, MO10 days ago

Lockton has an opening for a Bilingual (English/Spanish) Injury Counselor who will use early intervention strategies and proactive communication to help facilitate the oversight of Workers' Compensation claims. Job Responsibilities Include: Communicate and build relationships with injured employees by explaining the Workers' Compensation process, their responsibilities and the roles of the Injury Counselor, insurance claims adjuster and treating physician.

Kansas City, Missouri18 days ago

As a Billing Specialist, you will be responsible for managing and executing all billing functions within our skilled nursing facilities, with a particular emphasis on Illinois Medicaid billing. Extensive knowledge of billing procedures for all payer types, including Medicare, Medicaid, private insurance, and others required.

West Plains, MO11 days ago

Remote

GMR's Core Behaviors-keep care at the center, raise your hand, seek to understand, find a way together and be accountable-unite our teams and set us apart in emergency medical services. The EDI (Electronic Data Interchange) Specialist works within the Shared Services team to complete enrollments for electronic payments and remits.

West Plains, MO30+ days ago

Remote

GMRs Core Behaviorskeep care at the center, raise your hand, seek to understand, find a way together and be accountableunite our teams and set us apart in emergency medical services. The Revenue Cycle Medical Billing Commercial Appeal Specialist supports the functions of the Appeal team by assisting in the review of denied and underpaid claims for the formal appeal and dispute process with the payor.

St. Louis - Brentwood, Missouri14 days ago

We hire the best and the brightest from across the country – constructing a team of experts in architecture, design, engineering, project management, and business services. A DAY IN THE LIFE: Maintain up‑to‑date knowledge of federal, state, and local employment laws, regulations, and HR best practices and communicate relevant updates to HR leadership and stakeholders.

Brentwood, MO13 days ago

Agencies must have a fully executed vendor agreement in place as well as written approval to submit candidates from an ARCO TA Manager for a specific position before submitting candidates. We hire the best and the brightest from across the country - constructing a team of experts in architecture, design, engineering, project management, and business services.

LEE'S SUMMIT, MO30+ days ago

With 70,000 associates and 9,000 retail tax locations across North America, Australia, Ireland, and India, we have helped millions of clients and countless communities. If you embrace challenges as opportunities, value winning as a team, and seek to make a meaningful difference, join us on our journey.

Farmington, MO11 days ago

$18–$19 Per Hour

Competitive market comparison:-Compared to similar entry-level roles in retail or warehousing, mail sorting tends offer less customer interaction (for those who prefer a behind-the-scenes role). By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners.

Stand out to leading employers.

Upload your resume and let employers find you for new Claims Specialist job openings. Plus, receive relevant job matches delivered straight to your inbox.

Create A Free Account

Claims Specialist Jobs in Missouri

Senior Payroll Specialist Kforce Inc.

Senior General Liability Litigation Specialist ECLARO

Claims Examiner Medical Malpractice Diedre Moire Corp.

Travel Nurse RN - Outpatient Clinic - $2,015 per week in Saint Louis, MO Magnet Medical

Travel Nurse RN - Outpatient Clinic - $2,392 per week in Saint Louis, MO Magnet Medical

Claims Specialist - Business Insurance Marsh & McLennan Companies Inc

Mail Production Specialist - Document Processing A-Line Staffing Solutions LLC

Senior Technical Garage Bodily Injury Claims Specialist Argo Group International Holdings Inc

Senior Technical Claims Specialist Argo Group International Holdings Inc

Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Inc

Senior Environmental Technical Claims Specialist Argo Group International Holdings Inc

Senior Indemnity Claims Specialist CorVel Corp

Senior Claims Specialist UniGroup Inc

CLAIMS SPECIALIST - LIABILITY Allianz SE

Claims Specialist Hub International Insurance

Claims Specialist Hub International Ltd

Commercial Auto/GL Claims Specialist Amerisure Mutual Insurance Company

Aviation Senior Claims Specialist - HULL(m/f/d) Allianz SE

Property Field Claims Specialist - Heartland Region (Remote) Selective Insurance Group Inc

Senior Claims Benefit Specialist CVS Health Corp

Casualty and Financial Lines Specialist - D&O / FinPro / Claims - CorSo Swiss Re Ltd

Claim Specialist - WCCS Deployed State Farm

Claim Resolution Specialist, Personal Property Liberty Mutual Holding Company Inc

Mechanical Claims Analyst Masco Corporation

Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance Co

Return Claims Clerk Four State Trucks

Claim Benefit Specialist CVS Health Corp

Director, Claims Triage Argo Group International Holdings Inc

Senior Auto Claims Adjuster - Freelance AI Trainer Mindrift

Sr Claims Reviewer TriWest Healthcare Alliance

Claim Administrator ServiceMaster

Claim Administrator ServiceMaster Clean

Accounts Receivable Specialist Oral Surgery Partners

Billing Specialist 1 | Part-time Phelps County Regional Medical Center

Executive Escalations Specialist Advantage Tech

Accounts Receivable Specialist BioTAB Healthcare

Patient Accounts Representative Specialist University Health.

Pharmacy Operations Support Specialist Lumeris Inc (Inactive)

Pharmacy Operations Support Specialist (St. Louis) Lumeris Inc (Inactive)

Account Specialist - RemitConnect Commerce Bancshares Inc

Remote Disability Specialist (Advocate) Centauri Health Solutions Inc

Reimbursement Specialist North Kansas City Hospital

Bilingual Employee Recovery Support Specialist Lockton Inc

Billing Specialist Tutera Senior Living & Health Care

Revenue Cycle Medical Billing Shared Services EDI Specialist Global Medical Response Inc

Revenue Cycle Medical Billing Commercial Appeal Specialist Global Medical Response Inc

HR Shared Services Specialist ARCO a Family of Construction Companies

HR Shared Services Specialist ARCO Construction Company Inc

Seasonal-Inventory Control / Warehouse Specialist H&R Block Inc

Mail Production Specialist Pyramid Consulting, Inc

Similar Job Searches