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Remote Claims Jobs in Springfield, MO (NOW HIRING)

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Remote Claims information

See Springfield, MO salary details

$27.7K

$58.8K

$81.9K

How much do remote claims jobs pay per year?

As of Jul 27, 2026, the average yearly pay for remote claims in Springfield, MO is $58,770.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,400.00 and $68,700.00 per year, depending on experience, location, and employer.

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

Remote claims professionals often encounter challenges such as maintaining effective communication with team members and clients, managing time independently, and ensuring data security while handling sensitive information from home. To address these, it’s important to utilize collaboration tools, set structured work hours, and follow strict company protocols for cybersecurity. Regular virtual meetings and clear documentation can help maintain workflow efficiency and keep everyone aligned.

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

To thrive as a Remote Claims Specialist, you need a solid background in insurance processes, claims assessment, and a relevant educational qualification such as a degree in business or insurance. Familiarity with claims management software, CRM systems, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong attention to detail, effective communication, and self-motivation are crucial soft skills for managing cases independently and supporting clients remotely. These abilities ensure accurate, timely processing of claims and high levels of customer satisfaction in a virtual work environment.

What are remote claims jobs?

Remote claims jobs involve evaluating, processing, and managing insurance claims from a remote location, typically from home. Professionals in these roles review claims submitted by clients, investigate the details, and determine the coverage or payment amounts according to company policies and regulations. These positions require strong analytical, communication, and organizational skills, along with a good understanding of insurance processes. Many insurance companies now offer remote claims roles, providing flexibility and work-from-home opportunities.

What is the difference between Remote Claims vs Remote Claims Adjuster?

AspectRemote ClaimsRemote Claims Adjuster
Required CredentialsVaries by role, often includes insurance knowledgeLicenses often required, such as state-specific adjuster licenses
Work EnvironmentRemote, office, or hybridPrimarily remote, with some fieldwork possible
Industry UsageInsurance companies, third-party administratorsInsurance companies, claims management firms
Common Search IntentGeneral claims roles, customer service, claims processingClaims evaluation, damage assessment, settlement

Remote Claims roles encompass a broad range of insurance-related positions, including claims processing and customer service, often without requiring specific licenses. Remote Claims Adjusters focus on evaluating claims, assessing damages, and may need state licenses. Both roles are remote-friendly and serve the insurance industry, but adjusters typically have more specialized credentials and responsibilities.

What are the most commonly searched types of Claims jobs in Springfield, MO? The most popular types of Claims jobs in Springfield, MO are:
What are popular job titles related to Remote Claims jobs in Springfield, MO? For Remote Claims jobs in Springfield, MO, the most frequently searched job titles are:
What job categories do people searching Remote Claims jobs in Springfield, MO look for? The top searched job categories for Remote Claims jobs in Springfield, MO are:
What cities near Springfield, MO are hiring for Remote Claims jobs? Cities near Springfield, MO with the most Remote Claims job openings:
Remote Claims jobs near you
Infographic showing various Remote Claims job openings in Springfield, MO as of July 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $58,770 per year, or $28.3 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.

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