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Claim specialist • st louis mo

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Workers' Compensation Claim Representative I

Workers' Compensation Claim Representative I

CCMSISt. Louis, MO, US
[job_card.full_time]
Workers’ Compensation Claim Representative I.Monday–Friday, 8 : 00 AM to 4 : 30 PM.As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exc...[show_more][last_updated.last_updated_30]
  • [promoted]
Sales Specialist

Sales Specialist

Talent SolutionsSaint Louis, MO, US
[job_card.full_time]
Sales Specialist – ERC Software Sales.Reports to : Group Director, Sales – Learning & Development.BAI and RMA have come together as ProSight Financial Association, a leading in...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Benefits Specialist

Benefits Specialist

Missouri StaffingSaint Louis, MO, US
[job_card.full_time]
Base pay range is $55,000-80,000 with additional compensation in the form of a bonus.Make our HR team your best move ever. We're looking for a Benefits Specialist to support our HR team, responsible...[show_more][last_updated.last_updated_1_day]
  • [promoted]
Intake Specialist

Intake Specialist

EDSISt. Louis, Missouri, USA
[job_card.full_time]
WIOA Intake Specialists provide assistance and support in all areas related to assisting case managers who are working with clients towards gaining and / or retaining employment and career advancemen...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Marketing Specialist

Marketing Specialist

Coca ColaMadison, IL, USA
[job_card.full_time]
Join the Coca Cola team and be part of a world-renowned company committed to sustainability, diversity, and innovation.As a Marketing Specialist, you will work with a team to develop and execute ma...[show_more][last_updated.last_updated_30]
  • [promoted]
Delivery Specialist

Delivery Specialist

O'Reilly AutomotiveSaint Louis, MO, US
[job_card.full_time]
The Delivery Specialist will maintain and operate store vehicles to deliver parts and / or products to professional customers in a safe and efficient manner. This position will also collect money on C...[show_more][last_updated.last_updated_30]
  • [promoted]
  • [new]
Operations Specialist

Operations Specialist

Ansira PartnersSt. Louis, MO, United States
[job_card.full_time]
The Specialist provides support to local channel partners and their advertising partners through thought leadership, a thorough understanding of each program's guidelines and expertise in both prog...[show_more][last_updated.last_updated_variable_hours]
  • [promoted]
Payroll Specialist

Payroll Specialist

The Animal HospitalClayton, MO, United States
[job_card.full_time]
CareVet's mission is to a build a network of best-in-class veterinary hospitals that provide passionate care for pets.Our holistic approach to veterinary medicine focuses on practice legacy, team, ...[show_more][last_updated.last_updated_variable_days]
Cyber Claim Counsel

Cyber Claim Counsel

TravelersSt. Louis,MO
[job_card.full_time]
Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 17...[show_more][last_updated.last_updated_30]
Collections Specialist

Collections Specialist

Robert HalfSaint Louis, MO, United States
[job_card.permanent]
Description Collections Specialist Robert Half is looking for an experienced collections specialist with a strong sense of ownership and attention to detail. If you're interested in building your...[show_more][last_updated.last_updated_30]
  • [promoted]
Payroll Specialist

Payroll Specialist

Beacon Hill Staffing GroupSaint Louis, MO, US
[job_card.full_time]
We are looking for a knowledgeable.You will be the one to calculate wages based on hours worked and administer payments.A payroll specialist is able to use payroll software with accuracy and effici...[show_more][last_updated.last_updated_30]
  • [promoted]
Field Claim Representative

Field Claim Representative

SoleraSaint Louis, MO, US
[job_card.full_time]
Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience.In addition, we provide pr...[show_more][last_updated.last_updated_30]
  • [promoted]
Proposal Specialist

Proposal Specialist

NerdySaint Louis, MO, US
[job_card.full_time]
Nerdy is searching for a Proposal Specialist to join our team! The person in this role will help us win contracts with state and local education agencies and other related organizations by managing...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Payroll Specialist

Payroll Specialist

Ben HurSaint Louis, MO, US
[job_card.full_time]
Ben Hur Construction oversees a portfolio of subsidiaries primarily in the Construction and Construction services sector. The successful candidate will have a solid understanding of Payroll Accounti...[show_more][last_updated.last_updated_30]
  • [promoted]
Warranty Claim Associate

Warranty Claim Associate

VirtualVocationsSaint Louis, Missouri, United States
[job_card.full_time]
A company is looking for a Warranty Claim Associate - Level III.Key Responsibilities : Process warranty-related information in databases and manage the lifecycle of extended warranty requests Ser...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Peer Specialist

Peer Specialist

Behavioral Health ResponseSaint Louis, MO, US
[job_card.full_time]
The Crisis Certified Peer Specialist (CCPS) provides peer support to individuals with a variety of behavioral health and / or substance use conditions. For this reason, the CCPS will self-identify as ...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
RN Specialist

RN Specialist

Bethesda HealthSaint Louis, MO, United States
[job_card.full_time] +1
Bethesda Brings out the Best in Talented, Caring People! At Bethesda, more than 1,200 employees dedicate their careers to improving the lives of others. As a team member at Bethesda, you'll enjoy gr...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Skincare Specialist

Skincare Specialist

Palm Beach Tan - Johnson / Clarke, Inc.Saint Louis, MO, US
[job_card.full_time]
Join the Leader in the Industry!.If youre a fun-seeking, team player who thrives.Why Youll Love Working With Us : .Competitive Pay Base pay + commission opportunities!. Welcoming Atmosphere Work in a ...[show_more][last_updated.last_updated_30]
  • [promoted]
Marketing Specialist

Marketing Specialist

So IL Health Care FoundationEast Saint Louis, IL, US
[job_card.full_time]
This position is full-time on-site.Every employee of SIHF Healthcare is expected to uphold our vision, mission, and values. Our actions will reflect our values of Compassion,.Excellence, Integrity, ...[show_more][last_updated.last_updated_30]
Workers' Compensation Claim Representative I

Workers' Compensation Claim Representative I

CCMSISt. Louis, MO, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Overview

Position Title : Workers’ Compensation Claim Representative I

Location : St. Louis, MO

Work Arrangement : Hybrid after training

Schedule : Monday–Friday, 8 : 00 AM to 4 : 30 PM

Salary Range : $50,000–$60,000 annually

At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.

Reasons you should consider a career with CCMSI :

  • Culture : Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
  • Career development : CCMSI offers robust internships and internal training programs for advancement within our organization.
  • Benefits : Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
  • Work Environment : We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.

The Workers' Compensation Claim Representative I is responsible for the investigation and adjustment of assigned workers compensation claims. This position may be used as an advanced training position for future consideration for promotion to a Work Comp Claim Rep II or more senior level claim position. Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.

Responsibilities

  • Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
  • Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution.
  • Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
  • Negotiate settlements with claimants and attorneys in accordance with client's authorization.
  • Assist in selection and supervision of defense attorneys.
  • Assess and monitor subrogation claims for resolution.
  • Prepare reports detailing claims, payments and reserves.
  • Provide reports and monitor files, as required by excess insurers.
  • Compliance with Service Commitments as established by team.
  • Delivery of quality claim service to clients.
  • Performs other duties as assigned.
  • Qualifications

    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 / or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Excellent oral and written communication skills.
  • Individual must be a self-starter with strong organizational abilities.
  • Ability to coordinate and prioritize required.
  • Flexibility, initiative, and the ability to work with a minimum of direct supervision a must.
  • Discretion and confidentiality required.
  • Ability to work as a team member in a rapidly changing environment.
  • Reliable, predictable attendance within client service hours for the performance of this position.
  • Responsive to internal and external client needs.
  • Ability to clearly communicate verbally and / or in writing both internally and externally.
  • Education and / or Experience

    3 or more years of workers compensation claim experience or other related industry experience is required.

    Associates degree is preferred.

    Computer Skills

    Proficient using Microsoft Office programs such as : Word, Excel, Outlook, etc.

    Certificates, Licenses, Registrations

    Adjuster's license may be required based upon jurisdiction.

    Physical Demands

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Work requires the ability to sit or stand up to 7.5 or more hours at a time.
  • Work requires sufficient auditory and visual acuity to interact with others.
  • CORE VALUES & PRINCIPLES

    Responsible for upholding the CCMSI Core Values & Principles which include : performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

    Compensation & Compliance

    The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity.

    CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.

    Visa Sponsorship :

    CCMSI does not provide visa sponsorship for this position.

    ADA Accommodations :

    CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.

    Equal Opportunity Employer :

    CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.

    #WorkersCompCareers #AdjusterJobs #ClaimsProfessional #HybridJobs #InsuranceCareers #GreatPlaceToWorkCertified #EmployeeOwned #CCMSICareers #NowHiring #IND123 #LI-Hybrid

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