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Claims Representative Jobs in Springfield, MO (NOW HIRING)

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 ...

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 ...

Field Sales Representative

Ozark, MO · On-site

$60K - $100K/yr

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 ...

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Claims Representative information

See Springfield, MO salary details

$10

$21

$38

How much do claims representative jobs pay per hour?

As of Aug 19, 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 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 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 are the key skills and qualifications needed to thrive as a claims representative?

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.

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.

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.

Do you need a degree to be a claims representative?

A claims representative typically does not need a college degree, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills such as communication, attention to detail, and knowledge of insurance policies are important, and some roles may require industry certifications or training programs.

Is insurance claims a stressful job?

Claims representatives often handle complex cases and work under deadlines, which can lead to stress. The job requires strong communication skills and attention to detail, and workload fluctuations may also contribute to stress levels.

What are the most commonly searched types of Claims Representative jobs in Springfield, MO?

The most popular types of 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:

Infographic showing various Claims Representative job openings in Springfield, MO as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 71% Physical, 1% Hybrid, and 28% Remote job distribution, with an average salary of $45,640 per year, or $21.9 per hour.

Patient Service Representative - Gastroenterology - FT

Mercy

Springfield, MO • On-site

$16 - $20.25/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago


Mercy rating

6.5

Company rating: 6.5 out of 10

Based on 209 frontline employees who took The Breakroom Quiz

604th of 888 rated healthcare providers


Job description

Find your calling at Mercy! Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.
At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its "Top 100 Places to Work." Position Details:

Mercy Clinic Springfield - Gastroenterology

Full-Time: Monday - Friday

Days

Overview:

The Patient Service Representative greets, instructs, directs and schedules patients and visitors. Performs a variety of clerical duties for physicians and clinic staff. Retrieves insurance and patient information, provides forms for tests or interoffice communications and secures signatures as needed. Enter new and established patient information into the computer. Answers incoming calls, sets appointments for patients, dispatches messages and/or calls for all employees. Monitors and revises physician schedules as appropriate. Performs patient care activities within the scope of data entry/processing and patient account functions. Establishes payment plans and collection of payments. Answers questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, medical records and patient referrals.

Qualifications:

Patient Service Representative

  • Education: High school diploma or equivalent.
  • Experience Preferred: One year of applicable medical office experience.
  • New hire must attend Clinic Core Front Desk Training through Clinical Education.
Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.


What Mercy employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Mercy logo

About Mercy

Sourced by ZipRecruiter

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Chesterfield, MO, US

Year founded

1827