Top 19 Senior claims specialist Jobs in St. Louis Mo

Benefits & Leave Specialist
Cedarhurst Senior Living —St. Louis, MO
- HIPAA
- Mid-level
- Office
- Disability insurance
- Health insurance
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Senior Claims Specialist
UniGroup —Fenton, MO
- Full-time
- Hybrid work
- Mid-level
- Office
- Analysis skills
- Paid parental leave
- Paid holidays
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Senior Regulatory Affairs Specialist - Global Pet Care
Spectrum Brands —Earth City, MO
- Full-time
- Hybrid work
- Bachelor of Science
- Mid-level
- Travel
- Work from home
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Compliance & Regulatory Affairs Specialist
Dover Health —St. Louis, MO
- Background check
- 7 years
- Current TB test
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Editor, Consumer Industry
Deloitte —St. Louis, MO
- $88,600 - $163,100 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- English
Human Resources Generalist
Benjamin F Edwards & Co —St. Louis, MO
- Full-time
- Mid-level
- Office
- 3 years
- Health savings account
- Health insurance
Claims Administrator
LIBERTY RESTORATION GROUP INC —Saint Charles, MO
- Computer literacy
- Writing skills
- Basic math
Quick Apply
IT Support Specialist
Reinsurance Associate Inc. —Fenton, MO
- $50,000 - $62,000 a year
- Full-time
- Mid-level
- Office
- Windows
- AD&D insurance
- Paid holidays
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Manager, Editor, Government and Public Services (GPS)
Deloitte —St. Louis, MO
- $88,600 - $163,100 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- English
Senior Resolution Manager
Intellivo —Creve Coeur, MO
- Full-time
- 5 years
- Office
- Analysis skills
- Health insurance
- Dental insurance
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2d
MEDICAL CODING SPECIALIST
FAMILY CARE HEALTH CENTERS —St. Louis, MO
- $21.55 - $31.65 an hour
- High school diploma or GED
- Conflict management
- Associate's degree
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Senior Editor, Economics & Financial Services
Deloitte —St. Louis, MO
- $113,100 - $208,300 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- English
Insurance Technology Strategy Senior Manager
Deloitte —St. Louis, MO
- $175,000 - $322,900 a year
- Full-time
- Computer Science
- Up to 50% travel
- Analysis skills
Salesforce Data Cloud & AI Architect Senior Manager
Accenture —St. Louis, MO
- $122,700 - $302,400 a year
- Full-time
- Management
- Computer Science
- Mentoring
- Paid holidays
- Disability insurance
13d
Salesforce Data Cloud & AI Associate Architect
Accenture —St. Louis, MO
- $68,300 - $218,800 a year
- Full-time
- Hybrid work
- Computer science
- Computer Science
- Mid-level
- Paid holidays
- Disability insurance
8d
Shared Market Clinical - Medical Assistant, Market Float
ArchWell Health —St. Louis, MO
- Full-time
- Vital signs
- Microsoft Outlook
- BLS Certification
Insurance Litigation Attorney (CA License Required) – Remote
CSAA Insurance Services, Inc. —St. Louis, MO
- $117,000 - $200,000 a year
- Full-time
- Remote
- 5 years
- Writing skills
- Research
- 401(k) matching

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Benefits & Leave Specialist

Cedarhurst Senior Living -
St. Louis, MO

Quick Apply

Job Details

Benefits

Disability insurance
Health insurance
On-site gym
Parental leave
401(k) matching
Life insurance

Qualifications

Optimizing workflow processes
Affordable Care Act (ACA)
Payroll deduction management
FMLA
HR communication
State-specific regulations in benefits management
Spreadsheets
Leave management
Handling customer inquiries
Regulatory compliance
Health insurance customer support
COBRA management
HR legal compliance
Microsoft Office
Employee data management
ADA compliance
Bachelor's degree
Internal employee customer service
Disability benefits programs
Continuous improvement
Task prioritization
Vendor communication
Disability benefits management
Payroll reconciliation
Documentation Handling
Cross-functional collaboration
Cross-functional communication
Disability rights laws

Full Job Description

Position Summary:

The Benefits & Leave Specialist, reporting to the Payroll Manager, is responsible for ensuring accurate, timely, and compliant administration of the Dover Company’s employee benefit programs and leave administration. This role serves as a primary point of contact for benefits, COBRA, and 401(k). The Specialist also manages all aspects of leave administration, including FMLA, state-specific leave policies, and internal policies, ensuing proper documentation, communication and compliance with applicable regulations. This position ensures adherence to federal, state, and local regulations; collaborates with HR, Finance, and external vendors; and supports employees with a high level of customer service. Additionally, the position contributes to process improvements, audits, reporting, and the overall effectiveness leave and benefits operations.

Why Work for Cedarhurst:

At Cedarhurst, our core values guide how we work together and how we care for those we serve. We expect every team member to be passionate, trustworthy, empathetic, positive, respectful, and approachable. Being part of Cedarhurst means making a meaningful difference every day.
We believe our team is our greatest strength. That’s why we invest in comprehensive training, as well as opportunities for both personal and professional growth. We’re committed to promoting from within and supporting team members who want to build their careers with us.
Cedarhurst offers a competitive benefits package, including medical insurance, life insurance, long-term disability coverage, and a 401(k) plan with company match (after one year of service) for eligible employees.
Additional Benefits Include:
Work that makes a difference in the lives of our residents and community
An on-site gym with brand-new equipment
A personal trainer offering daily group classes, stretching sessions, and one-on-one training
Catered lunches twice a week, prepared by our on-site chef
Monthly team events and more

Essential Duties:

The following duties are normal for this position. This list is not to be construed as exclusive or all-inclusive. Other duties may be required and assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Manage the day-to-day administration of health, wellness, retirement, and other employee benefit programs
Oversee new hire enrollments, life event changes, and open enrollment activities
Assist employees with benefit and leave questions
Conduct routine benefits audits to ensure accuracy in payroll and the HRIS systems
Support compliance with ACA, ERISA, COBRA, HIPAA, and other regulatory requirements
Administer all employee leave programs, including FLMA, parental leave, and state specific paid leave
Partner with Third Party Administrator and coordinate the full leave lifecycle: intake, eligibility verification, documentation collection, tracking, communication, and return to work coordination.
Partner with managers to ensure compliance and provide training, as necessary
Serve as the primary point of contact for employees regarding leave rights, responsibilities, and timelines
Manage disability claims in partnership with carriers and third-party administrators
Maintain deduction records and reconcile payables
Partner closely with payroll to ensure accurate deductions, premium payments, and leave-related pay
Oversee the COBRA process and serve as a point of contact for questions
Reconcile benefit deductions and resolve payroll discrepancies
Maintain benefits and leave data in HRIS and related systems
Coordinate with third-party vendors and brokers Prepare necessary reports
Identify opportunities to streamline processes, increase accuracy, and improve the employee experience
Develop employee educational opportunities to help create awareness about opportunities provided through benefits
Other duties as assigned

Qualifications, Education and/or Experience:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required.

Bachelor’s degree in human resources, finance, or related field is required
Two (2)+ years of hands-on experience administering employee benefits in an HR, People Ops, or Payroll environment
Direct experience managing leave of absence programs, including FMLA and state-specific leaves
Experience supporting Open Enrollment, including employee communications and issue resolution
Experience partnering with payroll to ensure accurate benefit deductions, premiums, and leave-related pay
Proven ability to troubleshoot and resolve benefit and LOA issues with vendors, carriers, and employees
Experience working in a high-volume or high-growth environment with frequent new hires
Experience administering multi-state benefits and leave programs
Familiarity with HRIS and payroll systems, Paylocity is a plus
Experience working with third-party administrators and benefit brokers
Exposure to compliance requirements (FMLA, ADA, ERISA, COBRA, state paid leave programs)
Experience conducting benefit reconciliations and audits
Strong customer service background handling sensitive employee issues
High attention to detail with the ability to manage competing priorities
Ability to work cross-functionally with HR Ops, Payroll, Finance, and managers
Comfortable documenting processes and improving workflows
Experience in senior living, construction, home health, hospice, and/or pharmacy is a plus
Proficiency in Microsoft Suite is required, including Microsoft Excel

Working Conditions:

As part of The Dover Company’s commitment to providing outstanding care and support, the company ensures that staff work under conditions that prioritize safety, collaboration, and professional growth. The conditions listed below define the experience of working in the Home Office or remotely.

This position may involve a range of physical activities, including those outlined in the Essential Duties, but is not limited to them. This position may need to walk or stand for extended periods, especially when conducting safety inspections, audits or incident investigations.
This position may need to lift to twenty (20) pounds.
This position may need to move through areas of the corporate office or other worksites of the organization.
Excellent interpersonal and communication skills with the ability to build relationships at all levels of the organization is required of this role.
The individual in this position is responsible for maintaining a safe work environment by actively preventing accidents, preserving equipment, and promoting safe working practices.
This role involves actively participating in all staff activities aimed at fostering teamwork, unity, and morale. The individual will contribute as a collaborative team player, working alongside colleagues to create a supportive and cohesive work environment.
Individuals in this position are required to stay current on all training and ongoing education initiatives. They are expected to actively pursue self-improvement and embrace opportunities for continuous learning to enhance their skills and knowledge.
This position is required to work onsite at the St. Louis Dover Companies headquarters at 300 Hunter Ave, Suite 200, St. Louis, MO 63124.
While travel for this role is not anticipated, there may be situations that arise that require this role to travel to an offsite company location. Anticipated potential travel does not exceed 10% of the annual work of this position.

We are an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, we will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with the employer.

Quick Apply

Refine Your Search

senior claims specialist jobs in st. louis mo

Benefits & Leave Specialist

Senior Claims Specialist

Senior Regulatory Affairs Specialist - Global Pet Care

Compliance & Regulatory Affairs Specialist

Editor, Consumer Industry

Human Resources Generalist

Claims Administrator

IT Support Specialist

Manager, Editor, Government and Public Services (GPS)

Senior Resolution Manager

MEDICAL CODING SPECIALIST

Senior Editor, Economics & Financial Services

Insurance Technology Strategy Senior Manager

Salesforce Data Cloud & AI Architect Senior Manager

Salesforce Data Cloud & AI Associate Architect

Shared Market Clinical - Medical Assistant, Market Float

Insurance Litigation Attorney (CA License Required) – Remote

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