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Direct Claims Jobs in Missouri (NOW HIRING)

This opportunity is in the Claims department. In this leadership role, you will oversee the handling of Workers' Compensation claims within your assigned region while guiding and developing Claims ...

This opportunity is in the Claims department. In this leadership role, you will oversee the handling of Workers' Compensation claims within your assigned region while guiding and developing Claims ...

This role works closely with Claims Pricing & Revenue leadership to translate business priorities ... Lead cross-functional initiatives without relying on direct reporting authority. * Build alignment ...

New

Self-directed management of a claims inventory with minimal supervision, including prioritization of competing matters across multiple clients. * Discretion and Confidentiality. Sound judgment in ...

Prime's continued success is a direct result of a corporate culture that instills and inspires each ... Responsibilities The Claims Coordinator / Claims Specialist will support the claims process by ...

... direct engagement with customers, TPAs, brokers, and internal stakeholders. The Account Claims ... Advisor provides technical claim guidance, conducts claim consultations, leads account claim ...

... direct engagement with customers, TPAs, brokers, and internal stakeholders. The Account Claims ... Advisor provides technical claim guidance, conducts claim consultations, leads account claim ...

... direct engagement with customers, TPAs, brokers, and internal stakeholders. The Account Claims ... Advisor provides technical claim guidance, conducts claim consultations, leads account claim ...

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Claims Associate I

Kansas City, MO · On-site

$17.25 - $23.50/hr

Analyze claims and determine their validity based on policy provisions, riders, waivers, operating ... Director as needed. * Continually expand knowledge of legal decisions, opinions, proper practices ...

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Direct Claims information

What is a direct claim?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are the key skills and qualifications needed to thrive as a direct claims specialist?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What are some common challenges faced by professionals in direct claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What cities in Missouri are hiring for Direct Claims jobs?

Cities in Missouri with the most Direct Claims job openings:

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago


Job description

At Safety National, we don’t just offer jobs – we build careers with purpose! Since 1942, we’ve been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success—both personally and professionally. Ready to grow with us? Apply today!

Follow this link to view all of our available careers and apply: https://www.safetynational.com/careers-page/

This opportunity is in the Claims department.

In this leadership role, you will oversee the handling of Workers’ Compensation claims within your assigned region while guiding and developing Claims Managers and Analysts. You will manage complex claims from initial assignment through closure, evaluating coverage and exposure, establishing reserves, negotiating settlements, coordinating litigation efforts, and helping mitigate medical exposure. You will also provide direction to third-party administrators and work closely with internal partners to ensure claims are handled effectively and in accordance with established procedures and authority levels.

As a people leader, you will be responsible for the quality and consistency of your team’s claim handling. You will assign claims, conduct desk and settlement reserve audits, complete performance appraisals, review open and closed claims, and train new Claims handlers. You will also oversee aggregate claims within your region, coordinate TPA audits, evaluate TPA performance, and support the approval process for new TPAs and self-administration requests.

Your ability to build strong partnerships will be essential as you collaborate with Underwriting on large losses, problem accounts, jurisdictional developments, and account-specific matters. You will also partner with Medical Management, Audit, vendor partners, outside counsel, and other stakeholders to drive effective claim outcomes. This position may require travel for claim and TPA audits based on business needs.

Qualifications:

Education:

A Bachelor’s Degree from an accredited college or university is required.

Required Qualifications:

  • 10 or more years of experience in Workers’ Compensation claims adjusting with an insurance carrier or Third-Party Administrator.
  • Motivated self-starter with the ability to work independently.
  • Strong organizational and analytical skills.
  • Excellent written and oral communication skills.
  • Proficiency with Excel, Word, and Microsoft Outlook applications.
  • Must be presently authorized to work in the U.S. without a requirement for work authorization sponsorship by our company for this position now or in the future.
  • This position allows for a hybrid work schedule which includes a minimum of 3 days per week in our St. Louis Corporate Office, located at 1832 Schuetz Rd. Saint Louis, MO. All employees are required to submit work from home requests and follow our Work From Home policy, which will be provided to all candidates selected to interview.

Preferred Qualifications:

  • Experience adjusting Workers’ Compensation claims in multiple jurisdictions.

Protect the confidentiality, integrity and availability of information and technology assets against unauthorized disclosure, destruction and/or alteration, in accordance with Safety National policies, standards, and procedures.

Safety National is a leading specialty insurance and reinsurance provider. Our culture is built upon relationships, which allow us to demonstrate our expertise gained through our rich 80-year history. As a wholly-owned subsidiary of Tokio Marine, Inc., we appreciate the benefits and support provided by our affiliation with one of the top 10 insurance companies in the world.

Total Rewards That Put Employees First

In our vision to be First with Co-Workers, compensation that includes base salary, holiday bonus, and incentive awards is only a small portion of the comprehensive total rewards package we offer. Our total rewards approach recognizes and rewards the time, talents, efforts, and results of our valued employees. Highlights of our exceptional benefits include generous health, dental, and vision coverage, health savings accounts, a 401(k)-retirement savings match and an annual profit sharing contribution. We proudly offer family forming benefits for adoption, fertility, and surrogacy, generous paid time off and paid holidays, paid parental and caregiver leave, a hybrid work environment, and company-paid life insurance and disability. To support employees in their career journeys, we provide professional growth and development opportunities in addition to employee recognition and well-being programs. Apply today to learn more.

Safety National is committed to fair, transparent pay and we strive to provide competitive, market-based compensation. In our vision to be First with Co-Workers, compensation is only one piece of the comprehensive total rewards package we offer. The target base salary range for this position is $116,500 to $150,500. Compensation for the successful candidate will consider the candidate’s particular combination of knowledge, skills, competencies, experience and geographic location.

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