Top 395 Claims representative associate Jobs

Associate Claims Representative (Remote)
MEM —Iowa
- Full-time
- Remote
- No high school diploma
- Mid-level
- High school diploma or GED
- Profit sharing
- Paid jury duty
Associate Representative, Health Plan Provider Relations - Remote must reside in UT
Molina Healthcare —Utah
- $18.04 - $35.17 an hour
- Full-time
- Remote
- Medical office experience
- Research
- Communication skills
- Health insurance
Loss Prevention Intake Associate (ONSITE)
W Services Group LLC —Hauppauge, NY
- $21.50 an hour
- Full-time
- Microsoft Outlook
- Mid-level
- Administrative experience
Quick Apply
Associate Specialist, Patient Access
Ensemble RCM LLC —Westwood, NJ
- $17.00 - $18.15 an hour
- Full-time
- Hospital
- Customer service
- High school diploma or GED
- Tuition reimbursement
Pharmacy Customer Associate - BioPlus Specialty Pharmacy
Elevance Health —Harvey, LA
- Full-time
- Background check
- Research
- Office
- Employee stock purchase plan
- Paid holidays
Quick Apply
4d
First Notice of Loss Associate - Part Time
NJM Insurance —Ewing, NJ
- $22 an hour
- Part-time
- Hybrid work
- Office
- Data entry
- Typing
- Paid time off
- Paid sick time
Quick Apply
7d
Associate Credentialing Representative
Highmark Inc. —Pennsylvania
- $19.66 - $27.42 an hour
- Full-time
- Remote
- Microsoft Excel
- Writing skills
- Research
8d
Workers' Compensation Associate Claim Representative - Eastern Alliance
ProAssurance —Lancaster, PA
- $19.43 - $32.06 an hour
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Office
Workers' Compensation Associate Claim Representative (Early Talent) - Eastern Alliance
ProAssurance —Charlotte, NC
- $19.43 - $32.06 an hour
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Office
Registration Associate
Children's Healthcare of Atlanta —Atlanta, GA
- Weekends as needed
- Microsoft Word
- Basic math
- Office
- On-the-job training
Quick Apply
Part Time Patient Services Representative Associate
Optum —Faribault, MN
- $16.15 - $28.80 an hour
- Part-time
- 18 years or older
- Pass drug screening
- Mentoring
Patient Access Representative Associate
Optum —Minneapolis, MN
- $16 - $29 an hour
- Full-time
- 18 years or older
- Pass drug screening
- Mentoring
12d
Customer Experience Associate- HMSA (Remote, must reside in Hawaii)
Magellan Health —Honolulu, HI
- $34,295 - $51,445 a year
- Full-time
- Remote
- Computer literacy
- High school diploma or GED
- Continuous improvement
- Employee assistance program
5d
Per Diem Patient Access Representative Associate
Optum —Minneapolis, MN
- $16 - $29 an hour
- Part-time
- 18 years or older
- Pass drug screening
- Mentoring
13d
Registration Associate - PRN
Children's Healthcare of Atlanta —Atlanta, GA
- Part-time
- Microsoft Word
- Basic math
- Windows
- On-the-job training
Quick Apply
Associate Claims Manager - Professional Liability (Dental)
Counterpart, Inc. —Remote
- $120,000 - $160,000 a year
- Microsoft Excel
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
Part Time Patient Access Representative Associate
Optum —Hastings, MN
- $16 - $29 an hour
- Part-time
- 18 years or older
- Pass drug screening
- Mentoring
Claims Associate II
Stellar Human Resource Services LLC —Miami, FL
- Full-time
- Mid-level
- Office
Quick Apply
Managed Vision Care - Billing Operations Associate
Visionworks —Remote
- $14.54 - $18.18 an hour
- Full-time
- Microsoft Word
- Basic math
- HIPAA
- Work from home
- Vision insurance
Quick Apply
11d
Claims Associate Liability
Sedgwick —Georgia
- Full-time
- Computer literacy
- Writing skills
- High school diploma or GED

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Associate Claims Representative (Remote)

MEM -
Iowa

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Job Details

Full-time

Benefits

Profit sharing
Paid jury duty
Paid parental leave
Health savings account
AD&D insurance
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Adoption assistance
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Volunteer time off
Life insurance

Qualifications

Customer communication
Driver's License

Full Job Description

Are you an organized, relationship driven professional with a passion for helping people navigate important moments in their recovery? MEM Insurance is looking for an Associate Claims Representative to join our dedicated Claims team. In this role, you will independently manage a caseload of workers’ compensation claims—investigating coverage and compensability, coordinating medical care, managing disability and return to work processes, and supporting fair, well-documented claim resolutions.

You’ll work closely with medical providers, policyholders, attorneys, and internal partners to ensure injured workers receive quality care while also protecting the financial well being of our policyholders. This is a professional-level role where you’ll balance analytical decision-making with compassionate customer service—helping people during some of their most challenging times.

Essential Duties and Responsibilities
Claims Investigation, Evaluation & Administration

Conduct thorough investigations of workers’ compensation claims, including coverage analysis, compensability decisions, and collection of statements and documentation.
Identify coverage concerns, subcontractor issues, or other complexities and escalate when appropriate.
Maintain well organized claim files with clear documentation, action plans, and timely updates.
Establish, monitor, and adjust reserves to ensure accuracy and alignment with corporate expectations.
Manage claims from initial report through final disposition, prioritizing workload to meet quality and productivity standards.

Medical & Disability Management

Oversee the medical aspects of claims, ensuring injured workers receive appropriate, cost effective treatment.
Collaborate with network providers, Nurse Case Management, Utilization Management, and specialists to guide care decisions.
Review and process medical bills with accuracy and timeliness.
Secure wage statements, calculate disability benefits correctly, and ensure payments follow statutory requirements.
Manage Return to Work efforts, educating policyholders on light-duty options and helping employees resume safe, meaningful work.

Fraud Prevention, Subrogation & Loss Recovery

Identify potential fraud indicators and collaborate with the Special Investigations Unit as needed.
Investigate subrogation opportunities and document third-party liability to maximize recovery.
Recognize when field visits or surveillance may be beneficial and coordinate those activities responsibly.

Claim Resolution, Negotiation & Legal Collaboration

Obtain required disability ratings and evaluate settlement options within authority limits.
Collaborate with internal and external counsel to execute legal strategy, review legal bills, and ensure litigation guidelines are followed.
Address Medicare exposure appropriately, securing Medicare Set-Asides when required.
Identify opportunities for structured settlements.

Reporting, Communication & Cross Functional Partnership

Communicate claim status to policyholders, producers, and internal stakeholders with professionalism and clarity.
Provide claim updates on high profile or high-dollar cases as requested.
Partner with Underwriting, Premium Consultation, and Loss Prevention on risk concerns and claim trends.
Support team members when colleagues are out of office.

Professional Development & Mentorship

Engage in ongoing learning to stay current with workers’ compensation laws, regulations, and industry practices.
Assist in onboarding and supporting new Claims team members.

Qualifications

Education: High school diploma or equivalent experience required; bachelor’s degree preferred.
Experience: 1–2 years of claims handling experience with exposure to workers’ compensation preferred.
Licenses:
Valid driver’s license required
Certifications: AIC or other insurance designations preferred.

Company Culture and Values
At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other’s growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered.

Diversity Statement
MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities.

Total Rewards Overview

Health Plans: Medical, Dental, and Vision

Includes fertility benefits, fully paid preventative care, and adult orthodontia.

Employer-Paid Life and Disability Benefits:

Life Insurance (3x base salary), AD&D, Short and Long-term Disability.

Wellness and Recognition Program: Employer-paid incentives for employees and spouses.
Flexible Spending Account and Dependent Care options
Health Savings Account: Generous employer contribution.
Time Away from Work:

Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave.

Employee Assistance Programs
401k Retirement Plan: Employer match and profit sharing.
Adoption Assistance and Tuition Assistance

Notice Regarding Use of Artificial Intelligence
MEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.

Apply Now

Refine Your Search

claims representative associate jobs

Associate Claims Representative (Remote)

Associate Representative, Health Plan Provider Relations - Remote must reside in UT

Loss Prevention Intake Associate (ONSITE)

Associate Specialist, Patient Access

Pharmacy Customer Associate - BioPlus Specialty Pharmacy

First Notice of Loss Associate - Part Time

Associate Credentialing Representative

Workers' Compensation Associate Claim Representative - Eastern Alliance

Workers' Compensation Associate Claim Representative (Early Talent) - Eastern Alliance

Registration Associate

Part Time Patient Services Representative Associate

Patient Access Representative Associate

Customer Experience Associate- HMSA (Remote, must reside in Hawaii)

Per Diem Patient Access Representative Associate

Registration Associate - PRN

Associate Claims Manager - Professional Liability (Dental)

Part Time Patient Access Representative Associate

Claims Associate II

Managed Vision Care - Billing Operations Associate

Claims Associate Liability

I want to receive the latest job alert for claims representative associate

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