Talent.com
Claims Specialist

Claims Specialist

Argonaut Management Services, IncSpringfield, Missouri, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Argo Group International Holdings, Inc . and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.

Job Description

The Specialists are responsible for the investigation, evaluation, negotiation and settlement of claims. This includes assessing coverage, contacting the customers, investigating the facts surrounding the loss, arranging inspection, experts, and third parties; collecting information and evaluating complexity of loss of claims when needed; negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement. Specialists are required to understand and comply with Insurance Regulations, Statutes, and case law accordingly. The Specialists work closely with other departments, vendors and defense counsel as needed throughout the claim process. Depending on the level of complexity, claim values can range from a nominal amount to millions of dollars.

ESSENTIAL FUNCTION

  • Property - Handles moderate to serious personal & commercial property claims
  • Processes claims according to applicable state mandates.
  • Demonstrates responsibility for investigating coverage issues, as needed.
  • Confirms coverage and the facts of loss through their investigation. This helps determine not only liability but the extent of loss (e.g., damage, etc.), if applicable.
  • Determines the appropriate method of inspection or review of facts.
  • Ensures compliance with state regulations and requirements.
  • Focuses primarily on proper investigation, evaluation, negotiation and settlement of all claims moderate to serious complexity.

QUALIFICATIONS

  • 4 years' claims experience.
  • Maintain Continuing Education (CE) requirements for state licensing when appropriate.
  • Completion of basic Kaplan Courses and / or PLRB courses as appropriate.
  • PREFERENCES :

  • Bachelor's degree in a related field or the equivalent years' work experience.
  • Position is posted between 51,100.00 - 81,300.00

    PLEASE NOTE :

    Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.

    If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at .

    Notice to Recruitment Agencies :

    Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.

    We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.

    The collection of your personal information is subject to ourHR Privacy Notice

    Benefits and Compensation

    We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.

    serp_jobs.job_alerts.create_a_job

    Claim Specialist • Springfield, Missouri, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Manager, Claims

    Manager, Claims

    Argonaut Management Services, IncSpringfield, MO, United States
    serp_jobs.job_card.full_time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    AR Specialist

    AR Specialist

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.job_card.full_time
    A company is looking for an AR Specialist.Key Responsibilities Identify errors in claims processing and follow up on unpaid balances Analyze patient accounts to resolve issues and communicate wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Insurance Claims Specialist

    Insurance Claims Specialist

    Acadia HealthcareSpringfield, MO, US
    serp_jobs.job_card.full_time
    Responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections.Responsible for auditing the admission packets and for the verification of bene...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Medical Device Sales – Paid Internship

    Medical Device Sales – Paid Internship

    Medical Sales CollegeAurora, Missouri, US
    serp_jobs.job_card.internship
    Description Medical Device Sales - Paid Internship Looking for a rewarding and lucrative career in the medical sales industry? Our paid Internship may be the right path for you! Here are just some ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Senior Appeals Specialist

    Senior Appeals Specialist

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.job_card.full_time
    Key Responsibilities Review and develop action plans for appealed claims according to policy provisions Resolve appeals in a timely manner and communicate outcomes to relevant parties Collabora...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Claims Adjuster

    Claims Adjuster

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Adjuster, Tire Operations, L1.Key Responsibilities Process claims accurately and in a timely manner while adhering to established guidelines Handle inquiries fr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Telemedicine Physician

    Telemedicine Physician

    QuickMDRogersville, 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
    Sr Claims Technical Representative- Salvage

    Sr Claims Technical Representative- Salvage

    Argonaut Management Services, IncSpringfield, MO, United States
    serp_jobs.job_card.full_time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Claims Specialist

    Claims Specialist

    Argonaut Management Services, IncSpringfield, MO, United States
    serp_jobs.job_card.full_time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Claims Escalation Specialist

    Claims Escalation Specialist

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Escalation Specialist responsible for reviewing and processing healthcare claims and escalations. Key Responsibilities Review and analyze healthcare claims to ens...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Claims Team Lead

    Claims Team Lead

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.job_card.full_time
    A company is looking for a Team Lead, Claims.Key Responsibilities Manage a team of 12-15 claims examiners and adjusters Ensure adherence to client guidelines and monitor staff productivity and a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    LTSS Specialist

    LTSS Specialist

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.job_card.full_time
    A company is looking for an LTSS Specialist I to support care coordination and improve member healthcare experiences.Key Responsibilities Ensure compliance with contractual obligations and govern...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $2,405 per week in Buffalo, MO

    Travel Physical Therapist (PT) - $2,405 per week in Buffalo, MO

    AlliedTravelCareersBuffalo, MO, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Advantis Medical Staffing to find a qualified Physical Therapist (PT) in Buffalo, Missouri, 65622!. Advantis Medical, the #1 rated travel nurse agency, is current...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Claims Specialist

    Claims Specialist

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Specialist to resolve complex claims and advocate for members navigating their healthcare benefits. Key Responsibilities Resolve complex claims issues by investig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Claims Supervisor

    Claims Supervisor

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Supervisor to lead a team of Claims Processors and ensure accurate claims processing for employer-sponsored health plans. Key Responsibilities Oversee claims proc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Indemnity Claims Specialist

    Indemnity Claims Specialist

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.job_card.full_time
    A company is looking for an Indemnity Claims Specialist (remote).Key Responsibilities Receives claims, confirms policy coverage, and acknowledges the claim Determines validity and compensability...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Public Sector Claims Adjuster

    Public Sector Claims Adjuster

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.job_card.full_time
    A company is looking for a Lead Claims Adjuster - Public Sector Claims.Key Responsibilities Analyze claims exposure and execute decision-making for proper resolution Interact with various partie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Remote Claims Specialist

    Remote Claims Specialist

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    A company is looking for a Remote Claims Specialist.Key Responsibilities Review and investigate claims related to FMLA, PFL, ADA, and other leave programs Adjudicate claims in accordance with re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Claims Analyst

    Claims Analyst

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Analyst to ensure timely processing of medical claims and verify submitted information. Key Responsibilities Process first-time claims and determine reimbursement...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Illinois Licensed Senior Claims Adjuster

    Illinois Licensed Senior Claims Adjuster

    VirtualVocationsSpringfield, Missouri, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Claims Adjuster - Premises, Slip and Fall / Restaurant and Retail.Key Responsibilities Investigate, evaluate, and settle complex claims with minimal supervision I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours