Insurance Claim Representative Jobs in Kansas (NOW HIRING)

Overview

Claim Representative, Medical Only

Location: Overland Park, KS (Hybrid)  Schedule: Monday-Friday, 8:00 AM - 4:30 PM  Salary Range: $20.00 - $21.00 hourly, 37.5 hours per week  

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don't just process claims-we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

The Medical Only Claim Representative is responsible for the handling of designated medicalonly workers' compensation claims for multiple accounts across Kansas and Missouri. This role manages a highvolume, lowcomplexity caseload and plays a key role in supporting injured workers, medical providers, and internal claim teams by ensuring timely medical coordination, accurate documentation, and responsive communication.

The position involves frequent phone interaction, detailed data entry, and ongoing followup to support compliant and efficient claim outcomes in accordance with corporate claim standards and applicable laws. This role is well suited for organized, detailoriented individuals who are comfortable multitasking in a fastpaced environment and may serve as a training position for future advancement into higherlevel claim roles.

ResponsibilitiesWhen we hire claim reps at CCMSI, we look for detail oriented professionals who understand that every task supports a real person's claim experience, value accuracy and responsiveness, and contribute to the team's success through organization, collaboration, and a strong commitment to service. Set up and manage medical-only claim files in accordance with corporate claim standards and applicable laws  Establish reserves and provide reserve recommendations within established authority levels under direct supervision  Review and approve medical and miscellaneous invoices for designated claims; negotiate disputed bills or invoices under direct supervision  Request and monitor medical treatment in accordance with corporate claim handling standards  Summarize correspondence and medical records in claim system notes and appropriately file documentation  Close claim files when appropriate and retrieve closed files for re-filing as requested  Provide administrative and claim processing support to claim staff and client service teams  Communicate with providers, claimants, and internal partners as needed; frequent phone work is required  Maintain accurate diaries, documentation, and compliance with special client handling instructions  QualificationsRequired:   Associate Degree or two (2) years of related business experience  Strong organizational skills with the ability to multitask in a high-volume environment  Comfort working on the phone and communicating with external parties on occasion  Ability to type and work efficiently on a computer  Proficiency with Microsoft Office applications including Word, Excel, and Outlook  Reliable, predictable attendance during assigned business hours  Nice to Have:   Knowledge of medical terminology  Prior experience in a claims, medical, or administrative support role  Experience supporting multiple accounts or clients simultaneously  Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required.  Why You'll Love Working Here  4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year  Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance  Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)  Career growth: Internal training and advancement opportunities  Culture: A supportive, team-based work environment  How We Measure SuccessAt CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:   Quality claim handling - thorough investigations, strong documentation, well-supported decisions  Compliance & audit performance - adherence to jurisdictional and client standards  Timeliness & accuracy - purposeful file movement and dependable execution  Client partnership - proactive communication and strong follow-through  Professional judgment - owning outcomes and solving problems with integrity  Cultural alignment - believing every claim represents a real person and acting accordingly  This is where we shine, and we hire adjusters who want to shine with us.Compensation & ComplianceThe posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.Our Core ValuesAt CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who:  

• Lead with transparency We build trust by being open and listening intently in every interaction. 
• Perform with integrity We choose the right path, even when it is hard. 
• Chase excellence We set the bar high and measure our success. What gets measured gets done. 
• Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. 
• Win together Our greatest victories come when our clients succeed. 

We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #MedicalOnlyClaims #HybridJobs #MedicalOnlyClaims #ClaimsCareers #EntryLevelClaims #HybridJobs #OverlandParkJobs #WorkersCompClaims #InsuranceCareers #TPAJobs #ClaimsSupport #IND456 #LI-HybridEmployment Type: OTHER