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Claims Representative Associate Jobs in O Fallon, IL

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Claims Representative Associate information

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$12

$19

$28

How much do claims representative associate jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for claims representative associate in O'Fallon, IL is $19.58, according to ZipRecruiter salary data. Most workers in this role earn between $15.91 and $21.54 per hour, depending on experience, location, and employer.

How much do claims representative associates make in the US?

Claims representative associates in the US typically earn an average annual salary of around $45,000 to $55,000, depending on experience, location, and employer. Entry-level positions may start lower, while experienced professionals or those with specialized skills can earn higher wages. Compensation often includes benefits such as health insurance and paid time off.

What do claims representative associates do?

Claims representative associates evaluate insurance claims by reviewing reports, policies, and evidence to determine coverage and liability. They communicate with claimants, investigate claims, and process payments or denials, often using claims management software. Strong attention to detail and knowledge of insurance policies are essential for this role.

What are some common challenges claims representative associates face when handling claims?

Claims Representative Associates often encounter challenges such as managing high caseloads, navigating complex policy details, and addressing discrepancies in documentation. Balancing efficiency with attention to detail is crucial, as errors can impact claim outcomes and customer satisfaction. Additionally, collaborating with policyholders, providers, and internal teams to resolve issues and provide clear communication requires strong interpersonal skills and resilience, especially when dealing with sensitive or disputed claims.

What are the key skills and qualifications needed to thrive as a claims representative associate?

To thrive as a Claims Representative Associate, you need strong analytical skills, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or relevant work experience. Familiarity with claims management software, customer relationship management (CRM) systems, and basic office tools is essential. Excellent communication, problem-solving, and customer service skills help you effectively handle inquiries and resolve disputes. These skills ensure accurate claim processing, customer satisfaction, and efficient operations within the insurance industry.

What is the difference between Claims Representative Associate vs Claims Adjuster?

AspectClaims Representative AssociateClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance licensesHigh school diploma; state licensing often required
Work EnvironmentOffice setting, customer service interactions, administrative tasksField or office, investigating claims, inspecting damages
Employer & Industry UsageInsurance companies, government agenciesInsurance companies, third-party administrators
Common Search & ComparisonClaims Representative Associate vs Claims Adjuster

The Claims Representative Associate typically handles customer inquiries, processes claims, and provides administrative support within insurance companies. In contrast, Claims Adjusters investigate claims, inspect damages, and determine claim validity. While both roles require similar credentials and work in the insurance industry, Claims Adjusters often have more technical responsibilities and fieldwork. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

What are the most commonly searched types of Claims Representative jobs in O'Fallon, IL? The most popular types of Claims Representative jobs in O'Fallon, IL are:
What cities near O'Fallon, IL are hiring for Claims Representative Associate jobs? Cities near O'Fallon, IL with the most Claims Representative Associate job openings:
Claims Representative Associate jobs near you
Infographic showing various Claims Representative Associate job openings in O'Fallon, IL as of July 2026, with employment types broken down into 1% As Needed, 66% Full Time, 31% Part Time, 1% Temporary, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $40,720 per year, or $19.6 per hour.

Insurance Reimbursement Specialist (Adjuster Negotiations)

Intellivo

Creve Coeur, MO • On-site

$55K - $65K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Job description

About the Role


As an Insurance Reimbursement Specialist, you will manage a high-volume portfolio of healthcare subrogation and reimbursement cases and negotiate directly with liability insurance adjusters to secure accurate and timely recoveries for our clients.


Using your claims expertise, investigative skills, and negotiation ability, you will gather information from insurers, analyze payment responsibility, identify recovery opportunities, and drive cases to resolution. You’ll play a hands-on role in ensuring that injury-related medical costs are reimbursed properly and that health plans receive the funds they are owed.


This role is ideal for someone with experience in insurance claims or reimbursement who enjoys influencing outcomes, working complex cases, and delivering measurable financial results in a performance-driven environment.

 

Compensation:

  • On-Target Earnings (OTE): $55,000 – $65,000 annually (includes base salary plus performance-based commission)


Responsibilities:


  • Manage a portfolio of subrogation, lien, and insurance reimbursement cases
  • Develop case strategies that support strong financial outcomes and timely resolution
  • Obtain and analyze documentation from insurers to confirm liability, coverage, and payment responsibility
  • Negotiate directly with insurance adjusters and claim representatives to reach accurate settlements
  • Drive cases forward through proactive outreach, consistent follow-up, and barrier removal
  • Respond to inbound calls and emails regarding case status, documentation, and lien requests
  • Build strong working relationships with adjusters, carriers, and external stakeholders
  • Send lien notices, confirm receipt, and pursue missing or pending information
  • Maintain detailed case notes and communication logs in recovery or claims systems
  • Ensure settlement funds are received and posted in a timely manner
  • Partner with internal teams for escalations, strategy alignment, or complex case review


Qualifications:


  • Associate degree required; Bachelor’s degree preferred—or equivalent industry experience (3+ years)
  • Background in insurance claims, subrogation, workers’ compensation, auto liability, personal injury, revenue cycle, COB, or healthcare reimbursement
  • Proven ability to manage high-volume caseloads accurately
  • Strong negotiation and persuasion skills
  • Clear written and verbal communication, especially on phone and email
  • Highly organized with strong follow-through
  • Proactive problem-solver who keeps cases moving
  • Comfortable working independently in a fast-paced environment



Who is Intellivo?


As an industry market leader in subrogation, Intellivo empowers health plans and insurers to maximize financial outcomes by identifying and pursuing more reimbursement opportunities from alternative third-party liability (TPL) payers. Through innovative technology, Intellivo accelerates the identification of reimbursement opportunities while completely eliminating the need to fill information gaps through ineffective and burdensome outreach to plan members. With a 25-year history of excellence, Intellivo proudly serves more than 200 of the country’s largest health plans. 


Why work for Intellivo?

Imagine a place where your talent is treasured, and excellence is rewarded. Now imagine a collaborative culture where every voice is valued. We are a team united by solving some of the most complex challenges on the financial side of healthcare.


  • Amazing Team Members – Intellivators!
  • Medical Insurance
  • Dental & Vision Insurance
  • Industry leading health & wellness benefits
  • 401(K) retirement plan
  • Competitive Paid Time Off
  • And More!