Talent.com
Medical Only Claim Representative (Hybrid St. Louis) (Workers' Compensation)

Medical Only Claim Representative (Hybrid St. Louis) (Workers' Compensation)

CCMSISaint Louis, MO, US
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Medical Only Claim Representative

Location : St. Louis, MO Hybrid (In-Office Daily for Training, then 3 Days In-Office / 2 Days Remote)

Schedule : MondayFriday, 8 : 00 AM4 : 30 PM CST (37.5 hours per week)

Salary Range : $20.50$21.50 per hour

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.

We are seeking a detail-oriented Claim Representative, Medical Only to join our St. Louis, MO team. This role is responsible for handling medical-only workers' compensation claims across multiple accounts and industries, primarily in Missouri, Illinois, and Indiana jurisdictions. After an initial training period of up to six months in-office, this position offers a hybrid schedule of three days in-office and two days remote each week.

Responsibilities

  • Set up and manage medical files only in accordance with corporate claim standards and law.
  • Establish reserves and / or provide reserve recommendations within established authority levels under direct supervision.
  • Review and approve related medical and miscellaneous invoices on designated claims. Negotiate any disputed bills / invoices for resolution under direct supervision.
  • Request and monitor medical treatment of designated claims in accordance with corporate claim standards.
  • Summarize all correspondence and medical records in claim log notes as well as file same in the appropriate claim.
  • Close claim files when appropriate.
  • Retrieve closed claim files and re-file in storage, as requested.
  • Provide support to claim staff on client service teams.
  • Compliance with Corporate Claim Standards and special client handling instructions as established.
  • Performs other duties as assigned.

Qualifications

Required :

  • Strong typing and data entry accuracy.
  • Excellent phone, communication, and customer service skills.
  • Ability to multitask and manage competing priorities in a fast-paced environment.
  • Nice to Have :

  • Familiarity with medical terminology.
  • Previous claims or insurance-related experience.
  • Performance Metrics

  • Claim accuracy and timeliness as measured by internal audits.
  • Quality and consistency of work as evaluated by supervisor review.
  • What We Offer

  • Employee Stock Ownership Plan (ESOP) employee-owned company.
  • Competitive hourly pay with hybrid flexibility after training.
  • Comprehensive benefits package including health, dental, and vision insurance.
  • Paid time off, paid holidays, and 401(k) retirement savings.
  • Opportunities for career growth and advancement within CCMSI.
  • 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. This role may also qualify for bonuses or additional forms of pay.

    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.

    serp_jobs.job_alerts.create_a_job

    Claim Representative • Saint Louis, MO, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Claim Administrator

    Claim Administrator

    ServiceMaster of St. Charles, Clayton, and WestportSaint Charles, MO, US
    serp_jobs.job_card.full_time
    Join Our Team as a Claim Administrator at ServiceMaster Restore!.Are you a highly organized and detail-oriented individual with a knack for technology and a passion for customer service? ServiceMas...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Primary Care Opportunity in St. Louis, MO making over $300,000

    Primary Care Opportunity in St. Louis, MO making over $300,000

    OptigySaint Louis, MO, US
    serp_jobs.job_card.full_time
    COMPENSATION : $260,000 BASE TOTAL POTENTIAL $312,000 + Full Benefits.Were a new, innovative healthcare provider devoted to improving the lives of our patients. We deliver best-in-class care at comfo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Claims Consultant - Veterans Disability Appeals

    Claims Consultant - Veterans Disability Appeals

    Allsup, LLCSt. Louis, Missouri, United States, 63101
    serp_jobs.job_card.full_time
    Allsup LLC is a people-centered organization with a team of hundreds who are dedicated to helping people with disabilities lead lives that are as financially secure and healthy as possible.We enjoy...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    $350-$400k Edwardsville, IL-Physiatry Job No Call Part Time Available

    $350-$400k Edwardsville, IL-Physiatry Job No Call Part Time Available

    MedrinaEdwardsville, IL, US
    serp_jobs.job_card.part_time
    Description : We are seeking a highly skilled and compassionate physiatrist to join our team.The ideal candidate will be a board-certified or board-eligible physiatrist with experience in managing p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Primary Care Opportunity in St. Louis, MO making $280,000

    Primary Care Opportunity in St. Louis, MO making $280,000

    OptigySt. Louis, MO, United States
    serp_jobs.job_card.full_time
    COMPENSATION : Salary $270k+ Signing Bonus up to $50k + Partnership.We are a physician-led and mission-driven, primary care organization, is currently one of the most successful full- provider, tran...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $1,590 to $1,739 per week in Columbia, IL

    Travel Physical Therapist (PT) - $1,590 to $1,739 per week in Columbia, IL

    AlliedTravelCareersColumbia, IL, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Host Healthcare to find a qualified Physical Therapist (PT) in Columbia, Illinois, 62236!. Host Healthcare is an award-winning travel healthcare company with an i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Travel Nurse RN - Labor / Delivery - $2,028 per week in Alton, IL

    Travel Nurse RN - Labor / Delivery - $2,028 per week in Alton, IL

    TravelNurseSourceAlton, IL, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with OneStaff Medical to find a qualified Labor / Delivery RN in Alton, Illinois, 62002!.An independently-owned, nationally-recognized and amazingly awesome staffing firm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Patient Access Representative - Belleville

    Patient Access Representative - Belleville

    TOUCHETTEEast Saint Louis, IL, US
    serp_jobs.job_card.full_time
    We are currently seeking (1) Patient Access Representative for our Belleville location!!.To perform all registration responsibilities at Touchette Regional Hospital for patients seeking admission, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Admitting Representative -11 : 30am-8 : 30PM

    Admitting Representative -11 : 30am-8 : 30PM

    Gateway Regional Medical CenterGranite City, IL, USA
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Our mission is to provide compassionate, high-quality healthcare services to our community, promoting wellness and healing through innovative treatments, advanced technology, and a dedicated team o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $1,754 per week in Columbia, IL

    Travel Physical Therapist (PT) - $1,754 per week in Columbia, IL

    AlliedTravelCareersColumbia, IL, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Nationwide Therapy Group to find a qualified Physical Therapist (PT) in Columbia, Illinois, 62236!. NTG is committed to matching you to the right position and we ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Primary Care Opportunity in St. Louis, MO Making over $300,000

    Primary Care Opportunity in St. Louis, MO Making over $300,000

    OptigySt. Louis, MO, United States
    serp_jobs.job_card.full_time
    COMPENSATION : $260,000 BASE TOTAL POTENTIAL $312,000 + Full Benefits.Were a new, innovative healthcare provider devoted to improving the lives of our patients. We deliver best-in-class care at comfo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Patient Access Representative - St. Louis, MO

    Patient Access Representative - St. Louis, MO

    Total Access Urgent CareSaint Louis, MO, US
    serp_jobs.job_card.full_time
    Are you ready to join the highest-rated healthcare team in the greater St.Louis area? Do you want to work in an environment that will improve your skills and medical knowledge? At Total Access, we ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Telemedicine Physician

    Telemedicine Physician

    QuickMDPacific, MO, US
    serp_jobs.job_card.full_time
    QuickMD is a leading telemedicine provider, delivering high-quality virtual care across 44 states.Since our founding in 2019, we have helped more than 100,000 patients access essential medical trea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director, Technology Product and Portfolio

    Director, Technology Product and Portfolio

    Soleo Health IncEureka, MO, US
    serp_jobs.job_card.full_time
    Director of Technology Product and Portfolio.Join us in Simplifying Complex Care!.Affordable Medical, Dental, & Vision Insurance Plans. Company Paid Disability & Basic Life Insurance.HSA &am...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Labor / Delivery - $2,173 per week in Alton, IL

    Travel Nurse RN - Labor / Delivery - $2,173 per week in Alton, IL

    TravelNurseSourceAlton, IL, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Atlas MedStaff to find a qualified Labor / Delivery RN in Alton, Illinois, 62002!.Atlas Medstaff is currently seeking candidates in the RN (L&D) profession for a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    Mechanical Claim Adjuster

    Mechanical Claim Adjuster

    Reinsurance Associate Inc.Fenton, MO, USA
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Are you a technician, service writer, or parts manager looking to get out of the shop and transfer your skills to a new career? Wise F&I is currently seeking full-time Claim Adjusters to suppor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician Emergency Medicine - Competitive Salary

    Physician Emergency Medicine - Competitive Salary

    Deaconess Health SystemRed Bud, IL, US
    serp_jobs.job_card.full_time
    Deaconess Illinois Specialty Clinic is seeking DSS (as needed) Emergency Medicine Physician for Red Bud Regional Medical Center. Prior Emergency Medicine experience or fellowship training is require...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Patient Care Associate, full time, days

    Patient Care Associate, full time, days

    MercyFestus, MO, United States
    serp_jobs.job_card.full_time
    We bring to life a healing ministry through our compassionate care and exceptional service.Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.Under the dire...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Labor / Delivery - $2,712 per week in Alton, IL

    Travel Nurse RN - Labor / Delivery - $2,712 per week in Alton, IL

    TravelNurseSourceAlton, IL, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with GetMed Staffing to find a qualified Labor / Delivery RN in Alton, Illinois, 62002!.GetMed Staffing is searching for a strong L&D RN to assist our traveler-friend...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse RN - Labor / Delivery - $1,921 per week in Alton, IL

    Travel Nurse RN - Labor / Delivery - $1,921 per week in Alton, IL

    TravelNurseSourceAlton, IL, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with OneStaff Medical to find a qualified Labor / Delivery RN in Alton, Illinois, 62002!.An independently-owned, nationally-recognized and amazingly awesome staffing firm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30