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Remote Claims Representative Jobs in Kansas (NOW HIRING)

Missouri Employers Mutual

$64K - $96K/yr

MEM Insurance is seeking a seasoned Claims Representative to join our dynamic Claims team. In this role, you will manage a caseload of high-exposure workers' compensation claims, oversee advanced ...

Ccfs

Risk Claims Manager

Kansas City, KS · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and manage the company's claims. Work with insurance companies to set claim reserves. * Identify claims ...

SYS Integration

Contact Center Representative

Wichita, KS · Remote

$16 - $20.50/hr

This remote Contact Center Representative (CSR) position will be in support of a government agency ... claims-specific information. * Performing outbound calls to verify the authenticity of received ...

APR

Employee Benefits Account Manager | Remote

Kansas, KS · Remote

$75K - $90K/yr

Build and maintain strong relationships with carrier representatives and underwriters. * Stay ... Provide support for client enrollments, benefit inquiries, product knowledge, and claims resolution.

Deloitte

Epic Denials Management Operator

Wichita, KS · Remote

$16 - $21.50/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

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Remote Claims Representative information

What is a remote claims representative?

A Remote Claims Representative is responsible for reviewing, processing, and resolving insurance claims while working from a remote location. They assess claim details, verify coverage, and communicate with policyholders, medical providers, or other relevant parties to ensure accurate and timely claim settlements. Strong analytical skills, attention to detail, and knowledge of insurance policies are essential for this role. The job often involves using digital tools to document claims and provide customer support.

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

To thrive as a Remote Claims Representative, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies and claim processes, often supported by a relevant associate's or bachelor's degree. Familiarity with claims management software, CRM systems, and occasionally industry certifications like AIC (Associate in Claims) is highly beneficial. Excellent communication, problem-solving skills, and the ability to work independently are important soft skills for success in this remote role. These competencies ensure accurate evaluation and efficient resolution of claims while maintaining high customer satisfaction and adherence to regulatory standards.

What are some common challenges faced by remote claims representatives, and how can they be managed?

Remote Claims Representatives often encounter challenges such as managing high caseloads, communicating complex decisions effectively with clients, and staying organized without direct in-person supervision. Successfully navigating these challenges typically involves developing strong time management, self-motivation, and clear digital communication skills. Many companies provide robust training, digital collaboration tools, and regular virtual meetings to support remote staff and maintain team cohesion. Proactively seeking feedback and utilizing available resources can help you stay on track and excel in this dynamic remote environment.

Do you need a license to be a remote claims representative?

In most cases, remote claims representatives do not need a specific license to perform their duties, but licensing requirements can vary depending on the industry and state regulations. Some roles may require a general insurance license or certification, especially if handling sensitive claims or working directly with insurance policies. It is important to check the specific employer's requirements and local regulations for the role.

What are the most commonly searched types of Claims Representative jobs in Kansas?

The most popular types of Claims Representative jobs in Kansas are:

What are popular job titles related to Remote Claims Representative jobs in Kansas?

For Remote Claims Representative jobs in Kansas, the most frequently searched job titles are:

What job categories do people searching Remote Claims Representative jobs in Kansas look for?

The top searched job categories for Remote Claims Representative jobs in Kansas are:

What cities in Kansas are hiring for Remote Claims Representative jobs?

Cities in Kansas with the most Remote Claims Representative job openings:

Remote Claims Representative jobs near you
Infographic showing various Remote Claims Representative job openings in Kansas as of August 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 100% Remote job distribution.

Workers' Compensation Claims Representative III (Remote)

Missouri Employers Mutual

On-site, Remote

$64K - $96K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

Are you an experienced claims professional ready to take on complex cases and make a meaningful impact? MEM Insurance is seeking a seasoned Claims Representative to join our dynamic Claims team. In this role, you will manage a caseload of high-exposure workers' compensation claims, oversee advanced medical case management, and develop tailored Return-to-Work plans. You'll collaborate with vocational consultants, legal counsel, and internal teams to ensure compliance, negotiate settlements, and deliver exceptional service to our policyholders. This position offers the opportunity to work independently while providing leadership on complex claims and contributing to workflow improvements.
Essential Duties and Responsibilities
  • Manage complex workers' compensation claims involving high financial exposure, sensitive issues, or extended life cycles.
  • Investigate coverage and compensability, ensuring thorough documentation and compliance with state statutes.
  • Oversee advanced medical case management, including coordination with Nurse Case Managers and external vendors.
  • Develop and implement Return-to-Work plans for high-risk claims, collaborating with vocational consultants and legal counsel.
  • Identify and investigate potential fraud and subrogation opportunities, partnering with the Special Investigation Unit.
  • Establish and maintain accurate claim reserves within authority levels, ensuring timely responsiveness to changing circumstances.
  • Evaluate and negotiate settlements within approved authority levels, including structured settlements and Medicare compliance.
  • Collaborate with legal counsel to manage litigation and ensure adherence to MEM guidelines.
  • Maintain accurate system data and prepare reports for management on high-profile claims.
  • Foster cross-departmental collaboration with Underwriting, Premium Consultation, and Loss Prevention.
  • Provide mentorship and training to junior adjusters, supporting professional growth and team development.

Qualifications
  • High school diploma or equivalent required; bachelor's degree preferred.
  • Associate in Claims (AIC) designation preferred.
  • Valid driver's license required; Texas-All Lines license preferred.
  • 3-5 years of claims handling experience, primarily in Workers' Compensation. Missouri experience 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.

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