Top 113 Claims representative Jobs in St. Louis Mo

Associate Claims Representative (Remote)
MEM —St. Louis, MO
- Full-time
- Remote
- No high school diploma
- Mid-level
- High school diploma or GED
- Profit sharing
- Paid jury duty
Banking Customer Service Representative (On-Site)
Concentrix —Arnold, MO
- $17 an hour
- Urgently hiring
- 18 years or older
- Computer literacy
- Residential
- Paid training
- Paid holidays
Certified Medical Coder
Urology of St. Louis/Neurosurgery of St. Louis —St. Louis, MO
- Full-time
- Hybrid work
- Background check
- Bachelor of Science
- Research
- Health savings account
- Health insurance
Quick Apply
10d
Insurance Customer Service Representative
Local Independent Insurance Agency —O'Fallon, IL
- $18 - $24 an hour
- Part-time
- Background check
- Mid-level
- Office
- Paid holidays
- Paid time off
Quick Apply
Estimate Reviewer Specialist
CCA GLOBAL PARTNERS —St. Louis, MO
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
Insurance Reimbursement Specialist (Adjuster Negotiations)
Intellivo —Creve Coeur, MO
- Full-time
- Mid-level
- Experience equivalent to degree accepted
- Associate's degree
- Health insurance
- Dental insurance
Quick Apply
Licensed Insurance Customer Service
Lennie Harrison III - State Farm Agency —Brentwood, MO
- $31,000 - $47,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Patient Account Representative II
SSM Health —Richmond Heights, MO
- Full-time
- Hospital
- Customer service
- Mid-level
- Paid parental leave
- Health insurance
5d
Claims Specialist II - Veterans Disability Appeals
Allsup Employment Services —St. Louis, MO
- $17 - $21 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Mentoring
- Health savings account
- Paid holidays
Quick Apply
Claim Resolution Specialist, Personal Property
Liberty Mutual —St. Louis, MO
- $61,000 - $96,000 a year
- Urgently hiring
- Mid-level
- 3 years
- Analysis skills
- Relocation assistance
Insurance Services Representative I/Full-time - Hybrid
Mercy —Chesterfield, MO
- Full-time
- Hybrid work
- Customer service
- Computer literacy
- Office
- Health insurance
- Dental insurance
14d
Field Property Claims Adjuster: St. Louis, MO
Farmers Insurance Group —St. Louis, MO
- From $27.67 an hour
- Background check
- Microsoft Outlook
- Customer service
- Paid training
- Paid parental leave
COLLECTION SPECIALIST
BRIDGEMARK MGMT —Saint Ann, MO
- $20 - $25 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
Quick Apply
5d
Patient Billing/Services Representative III - Department of Medicine
Washington University in St Louis —St. Louis, MO
- $21.33 - $31.98 an hour
- Online Application
- Computer literacy
- BLS Certification
- Pass drug screening
- Commuter assistance
- Employee assistance program
Claims Adjuster
Ingram Barge Company —Granite City, IL
- $57,000 - $76,000 a year
- Email
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
Quick Apply
3d
Patient Accounts Rep II
BJC HealthCare —St. Louis, MO
- $17.75 - $25.56 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Children
- Disability insurance
- Health insurance
Patient Financial Services Representative
Lifepoint Health —St. Louis, MO
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
3d
Patient Billing/Services Representative I - WUCA Nash Pediatrics
Washington University in St Louis —St. Louis, MO
- $16.75 - $22.70 an hour
- Online Application
- Writing skills
- Medical office experience
- BLS Certification
- Commuter assistance
- Employee assistance program
Client Services Support Representative
Blitt and Gaines, P.C. —St. Louis, MO
- $19 - $25 an hour
- Microsoft Excel
- Microsoft Outlook
- Administrative experience
- Profit sharing
- Paid holidays
Quick Apply
Patient Billing/Services Representative III - Neurosurgery
Washington University in St Louis —St. Louis, MO
- $21.33 - $31.98 an hour
- Online Application
- Computer literacy
- BLS Certification
- Pass drug screening
- Commuter assistance
- Employee assistance program

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Associate Claims Representative (Remote)

MEM -
St. Louis, MO

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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 jobs in st. louis mo

Associate Claims Representative (Remote)

Banking Customer Service Representative (On-Site)

Certified Medical Coder

Insurance Customer Service Representative

Estimate Reviewer Specialist

Insurance Reimbursement Specialist (Adjuster Negotiations)

Licensed Insurance Customer Service

Patient Account Representative II

Claims Specialist II - Veterans Disability Appeals

Claim Resolution Specialist, Personal Property

Insurance Services Representative I/Full-time - Hybrid

Field Property Claims Adjuster: St. Louis, MO

COLLECTION SPECIALIST

Patient Billing/Services Representative III - Department of Medicine

Claims Adjuster

Patient Accounts Rep II

Patient Financial Services Representative

Patient Billing/Services Representative I - WUCA Nash Pediatrics

Client Services Support Representative

Patient Billing/Services Representative III - Neurosurgery

I want to receive the latest job alert for claims representative in st. louis mo

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