Claims Specialist

• Analyze and process workers compensation claims through action plans toward appropriate and timely resolution
• Investigate and gather information to determine claim exposure
• Negotiate claim settlements within designated authority
• Communicate claim activity and processing with claimants and clients
• Report claims to the excess carrier
• Respond to requests for directions professionally and promptly
• Adjudicate claims within service expectations, industry best practices, and client-specific requirements

Claims Adjuster – Workers Compensation

• Review and accurately adjudicate all member and provider submitted medical claims
• Perform accurate data entry of paper claim forms
• Validate scanned data recognized by scanning software
• Document members’ responses to inquiry letters

CHP Claims Analyst

• Conduct virtual and on-site investigations at policyholders’ residences
• Assess property damage, determine liability, evaluate the extent of loss, and negotiate fair settlements
• Use claims handling software, a company car, and a laptop to determine claims-related damage and write estimates in a paperless environment
• Evaluate and report potential subrogation opportunities
• Report theft, fraud, or arson incidents to appropriate state and industry agencies
• Perform duties independently with direct impact on management outcomes
• Represent the company professionally in public interactions
• Engage with policyholders, claimants, agents, witnesses, contractors, law enforcement, fraud and arson investigators, attorneys, medical professionals, and other stakeholders
• Negotiate with policyholders to settle claims
• Promote safety and comply with safety/ergonomic standards
• Travel away from home for CAT deployments when assigned
• Perform additional duties as assigned

Field Property Claims Adjuster

• Conduct virtual and on-site investigations at policyholders’ residences
• Assess property damage, determine liability, evaluate losses, and negotiate fair settlements
• Use claims handling software, a company car, and a laptop to determine damage and write estimates in a paperless environment
• Evaluate and report potential subrogation opportunities
• Report theft, fraud, or arson incidents to appropriate state and industry agencies
• Work independently with duties directly impacting management outcomes
• Represent the company professionally in public interactions
• Engage with policyholders, claimants, agents, witnesses, contractors, law enforcement, investigators, attorneys, and medical professionals
• Negotiate with policyholders to settle claims
• Promote safety and comply with company safety and ergonomic standards
• Travel away from home for catastrophe deployments, usually for 23 days

• Conduct virtual and on-site investigations at policyholder residences
• Assess property damage, determine liability, evaluate losses, and negotiate fair settlements
• Use claims handling software to determine claims-related damage and write estimates in a paperless environment
• Evaluate and report potential subrogation opportunities
• Report incidents involving theft, fraud, or arson to appropriate state and industry agencies
• Perform duties independently with work directly impacting management outcomes
• Represent the company professionally in public interactions
• Engage with policyholders, claimants, agents, witnesses, contractors, law enforcement, fraud and arson investigators, attorneys, medical professionals, and other stakeholders
• Negotiate with policyholders to settle claims
• Promote safety and comply with company safety and ergonomic standards
• Perform additional duties as assigned

• Manage an inventory of claims to evaluate compensability/liability
• Plan and conduct claim investigations to confirm coverage and determine liability, compensability, and damages
• Determine and negotiate appropriate claim settlements/reserves within prescribed authority
• Attend arbitrations, mediations, depositions, or trials as needed
• Convey moderately complex information regarding coverage and settlements to insureds, claimants, and external partners
• Authorize payments in accordance with assigned authority limits and ensure timely payment
• Maintain accurate and detailed claim files, including correspondence, reports, and settlement agreements
• Perform other duties as assigned

Senior Claims Representative – Bodily Injury

• Manage an inventory of claims to evaluate compensability and liability
• Plan and conduct claim investigations to confirm coverage and determine liability, compensability, and damages
• Determine and negotiate appropriate claim settlements and reserves within prescribed authority
• Attend arbitrations, mediations, depositions, or trials as needed
• Convey moderately complex coverage and settlement information to insureds, claimants, and external partners
• Authorize payments within assigned authority limits and ensure timely payment
• Maintain accurate and detailed claim files, including correspondence, reports, and settlement agreements
• Perform other duties as assigned

• Manage an inventory of claims to evaluate compensability and liability
• Plan and conduct claim investigations to confirm coverage and determine liability, compensability, and damages
• Determine and negotiate appropriate claim settlements and reserves within prescribed authority
• Attend arbitrations, mediations, depositions, or trials as needed
• Convey moderately complex coverage and settlement information to insureds, claimants, and external partners
• Authorize payments in accordance with assigned authority limits and ensure timely payment
• Maintain accurate and detailed claim files, including correspondence, reports, and settlement agreements
• Perform other duties as assigned

Claims Specialist jobs in Missouri

Claims Adjuster – Workers Compensation

CHP Claims Analyst

Field Property Claims Adjuster

Field Property Claims Adjuster

Field Property Claims Adjuster

Senior Claims Representative – Bodily Injury

Senior Claims Representative – Bodily Injury

Senior Claims Representative, Bodily Injury