ZipRecruiter

Log In

1

Claims Representative Jobs in Springfield, MO (NOW HIRING)

RNR Tire Express

Sales Representative

Springfield, MO · On-site

As a Sales Representative , you'll be responsible for working with customers, answering queries ... Process warranty claims for customers. * Placing numerous phone calls to draw in new or previous ...

True North Group LLC.

Field Sales Representative

Ozark, MO · On-site

$17.75 - $24.50/hr

Field Sales Representative Number of Openings: 1 Territory Role Available Who We Are At True North ... with claims and coverage Build a strong personal book of business Use our CRM tools to track ...

next page

Showing results 1-20

All JobsClaims Representative JobsClaims Representative Jobs in Springfield, MO

Claims Representative information

See Springfield, MO salary details

$10

$21

$38

How much do claims representative jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for claims representative in Springfield, MO is $21.94, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $24.90 per hour, depending on experience, location, and employer.

What jobs make $3,000 a day?

Claims representatives typically do not earn $3,000 a day; such high daily earnings are more common in executive roles, specialized surgeons, or high-level financial traders. Most claims reps earn salaries or hourly wages, with top earners reaching high six-figure annual incomes, but daily earnings of this magnitude are rare in this field.

What kind of claims adjuster makes the most money?

In the claims adjusting field, specialized roles such as catastrophe or large-loss claims adjusters tend to earn higher salaries due to the complexity and scale of claims they handle. These adjusters often require advanced knowledge, certifications, and experience, and may work in high-stakes environments like natural disaster sites or large commercial claims.

How do Claims Representatives typically handle challenging or complex claims cases?

Claims Representatives often encounter cases that require thorough investigation and careful judgment. When handling complex claims, they collaborate closely with policyholders, adjusters, legal teams, and sometimes external experts to gather all necessary information and documentation. Clear communication, strong organizational skills, and attention to detail are essential for ensuring claims are processed accurately and fairly. Many companies also provide ongoing training and mentorship to help Claims Representatives navigate difficult cases and stay updated on industry regulations.

How to get a job as a claims adjuster with no experience?

To become a claims representative with no experience, candidates should focus on developing strong communication, customer service, and problem-solving skills. Entry-level positions often require a high school diploma or equivalent, and obtaining relevant certifications such as the Property and Casualty (P&C) license can improve job prospects; some employers offer on-the-job training for new hires.

How much does a claims adjuster make?

The average annual salary for a claims adjuster in Florida is approximately $60,000, but it can range from around $45,000 to over $80,000 depending on experience, certifications, and the employer. Adjusters with specialized skills or in senior roles tend to earn higher salaries, and some work overtime or on-call hours. Certification through the State of Florida or industry organizations can also impact earning potential.

What Is a Claims Representative?

Claims representatives typically work for insurance companies. They investigate claims made by policyholders to corroborate the accuracy of the filing and determine payouts and reimbursements. As a claims representative, you interview customers and process all paperwork related to the claims. Claims representatives work in all types of insurance industries, including life, property, auto, and workers compensation.

What are the key skills and qualifications needed to thrive as a Claims Representative, and why are they important?

To thrive as a Claims Representative, you need strong analytical skills, attention to detail, and a background in insurance or a related field, often supported by a high school diploma or higher education. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, empathy, and problem-solving abilities help a Claims Representative provide effective customer service and resolve disputes. These skills ensure accurate claim processing, customer satisfaction, and compliance with industry standards.

What is the difference between Claims Representative vs Claims Adjuster?

AspectClaims RepresentativeClaims Adjuster
CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; often requires state licensing or certifications
Work EnvironmentOffice settings, customer service interactions, claims processingField work, inspecting damages, interviewing claimants and witnesses
Industry UsageInsurance companies, government agenciesInsurance companies, third-party administrators
Common Search/ComparisonClaims Representative vs Claims Adjuster

Claims Representatives primarily handle customer interactions and process claims within an office environment, focusing on policy details and customer service. Claims Adjusters often conduct field inspections, assess damages, and determine claim payouts. While both roles require insurance knowledge and sometimes licensing, Claims Adjusters typically perform more investigative work, whereas Claims Representatives focus on customer communication and claim processing.

What does a Claims Representative do?

A Claims Representative is responsible for managing insurance claims from start to finish. They review claim applications, investigate the circumstances of each claim, communicate with policyholders and witnesses, and determine the validity and amount of each claim. Their goal is to ensure fair and timely settlements in accordance with policy terms and regulations. They often work for insurance companies, government agencies, or third-party administrators.

What is a claims representative?

A claims representative is a professional who investigates, evaluates, and processes insurance claims to determine coverage and settlement amounts. They often review documentation, interview claimants, and use industry software to ensure accurate and fair claim resolution.

Is a claims job a good career?

A claims representative role offers stable employment opportunities in insurance and related industries, often requiring strong communication and analytical skills. It can provide career advancement, certifications, and experience in customer service and risk assessment, making it a viable long-term career option for many individuals.
More about Claims Representative jobs
What are popular job titles related to Claims Representative jobs in Springfield, MO? For Claims Representative jobs in Springfield, MO, the most frequently searched job titles are:
What job categories do people searching Claims Representative jobs in Springfield, MO look for? The top searched job categories for Claims Representative jobs in Springfield, MO are:
What cities near Springfield, MO are hiring for Claims Representative jobs? Cities near Springfield, MO with the most Claims Representative job openings:
Claims Representative jobs near you
Infographic showing various Claims Representative job openings in Springfield, MO as of July 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $45,640 per year, or $21.9 per hour.

Associate Claims Representative (Remote)

memployersmins

Springfield, MO • Remote

$16.25 - $21.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Job description

Are you an organized, relationshipdriven professional with a passion for helping people navigate important moments in their recovery? MEM Insurance is looking for an Associate Claims Representative to join our dedicated Claims team. In this role, you will independently manage a caseload of workers’ compensation claims—investigating coverage and compensability, coordinating medical care, managing disability and returntowork processes, and supporting fair, well-documented claim resolutions.
 
You’ll work closely with medical providers, policyholders, attorneys, and internal partners to ensure injured workers receive quality care while also protecting the financial wellbeing of our policyholders. This is a professional-level role where you’ll balance analytical decision-making with compassionate customer service—helping people during some of their most challenging times.
 
 Essential Duties and ResponsibilitiesClaims Investigation, Evaluation & Administration
  • Conduct thorough investigations of workers’ compensation claims, including coverage analysis, compensability decisions, and collection of statements and documentation.
  • Identify coverage concerns, subcontractor issues, or other complexities and escalate when appropriate.
  • Maintain wellorganized claim files with clear documentation, action plans, and timely updates.
  • Establish, monitor, and adjust reserves to ensure accuracy and alignment with corporate expectations.
  • Manage claims from initial report through final disposition, prioritizing workload to meet quality and productivity standards.
Medical & Disability Management
  • Oversee the medical aspects of claims, ensuring injured workers receive appropriate, costeffective treatment.
  • Collaborate with network providers, Nurse Case Management, Utilization Management, and specialists to guide care decisions.
  • Review and process medical bills with accuracy and timeliness.
  • Secure wage statements, calculate disability benefits correctly, and ensure payments follow statutory requirements.
  • Manage ReturntoWork efforts, educating policyholders on light-duty options and helping employees resume safe, meaningful work.
Fraud Prevention, Subrogation & Loss Recovery
  • Identify potential fraud indicators and collaborate with the Special Investigations Unit as needed.
  • Investigate subrogation opportunities and document third-party liability to maximize recovery.
  • Recognize when field visits or surveillance may be beneficial and coordinate those activities responsibly.
Claim Resolution, Negotiation & Legal Collaboration
  • Obtain required disability ratings and evaluate settlement options within authority limits.
  • Collaborate with internal and external counsel to execute legal strategy, review legal bills, and ensure litigation guidelines are followed.
  • Address Medicare exposure appropriately, securing Medicare Set-Asides when required.
  • Identify opportunities for structured settlements.
Reporting, Communication & CrossFunctional Partnership
  • Communicate claim status to policyholders, producers, and internal stakeholders with professionalism and clarity.
  • Provide claim updates on highprofile or high-dollar cases as requested.
  • Partner with Underwriting, Premium Consultation, and Loss Prevention on risk concerns and claim trends.
  • Support team members when colleagues are out of office.
Professional Development & Mentorship
  • Engage in ongoing learning to stay current with workers’ compensation laws, regulations, and industry practices.
  • Assist in onboarding and supporting new Claims team members.
 Qualifications
  • Education: High school diploma or equivalent experience required; bachelor’s degree preferred.
  • Experience: 1–2 years of claims handling experience with exposure to workers’ compensation preferred.
  • Licenses:
    • Valid driver’s license required
  • Certifications: AIC or other insurance designations preferred.
 
Company Culture and Values
At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other’s growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered.
 
 Diversity Statement
MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities.
 
 Total Rewards Overview
  • Health Plans: Medical, Dental, and Vision
    Includes fertility benefits, fully paid preventative care, and adult orthodontia.
  • Employer-Paid Life and Disability Benefits:
    Life Insurance (3x base salary), AD&D, Short and Long-term Disability.
  • Wellness and Recognition Program: Employer-paid incentives for employees and spouses.
  • Flexible Spending Account and Dependent Care options
  • Health Savings Account: Generous employer contribution.
  • Time Away from Work:
    Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave.
  • Employee Assistance Programs
  • 401k Retirement Plan: Employer match and profit sharing.
  • Adoption Assistance and Tuition Assistance
 
Notice Regarding Use of Artificial Intelligence
MEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.

Apply