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Remote Insurance Claims Jobs in Missouri (NOW HIRING)

Missouri Employers Mutual

$72K - $109K/yr

MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal role, you'll manage high-exposure workers' compensation claims, lead investigations into coverage and ...

Deloitte

Epic Denials Management Operator

Kansas City, MO · Remote

$17.50 - $23.50/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 ...

Deloitte

Epic Denials Management Operator

Saint Louis, MO · Remote

$17.50 - $23.25/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 ...

Berkley

Director, Senior Care Claims

Chesterfield, MO · On-site +1

$125K - $160K/yr

We apply cutting-edge insurance concepts to traditional healthcare insurance products that embrace ... Remote** for the right qualified candidate. Key functions include but are not limited to the ...

Oshi Health

Accounts Receivable Specialist

Missouri City, MO · Remote

$19 - $25/hr

Respond professionally and empathetically to patient inquiries regarding insurance claims, billing ... Remote-first -- work from home within our approved states * Growth: Tailored professional ...

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All JobsInsurance Claims JobsRemote Insurance Claims JobsRemote Insurance Claims Jobs in Missouri

Remote Insurance Claims information

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How much do remote insurance claims jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote insurance claims in Missouri is $22.05, according to ZipRecruiter salary data. Most workers in this role earn between $16.44 and $24.13 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in remote insurance claims?

To thrive in a Remote Insurance Claims role, you need a solid understanding of insurance policies, claims processing, and investigative techniques, often supported by experience in insurance or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes required certifications such as AIC (Associate in Claims) are important. Exceptional communication, active listening, time management, and problem-solving skills help professionals excel in remote, client-facing environments. These abilities ensure accuracy, efficiency, and positive customer experiences throughout the claims resolution process.

What is a remote insurance claims?

A Remote Insurance Claims job involves reviewing, processing, and managing insurance claims from a remote location. Professionals in this role assess documentation, communicate with policyholders, and determine claim validity based on policy terms. They may work for insurance companies, third-party administrators, or as independent adjusters. Strong analytical, communication, and customer service skills are essential for success in this position.

What are some common challenges faced in a remote insurance claims role and how are they managed?

One common challenge in a Remote Insurance Claims role is maintaining effective communication with clients and team members while working outside a traditional office environment. Professionals overcome this by utilizing secure messaging, video conferencing, and robust claims management platforms to ensure consistent updates and collaboration. Staying organized and self-motivated is also key, as remote claims adjusters often manage a high volume of cases independently. Employers typically provide training and ongoing support to help remote employees navigate complex claims, maintain compliance, and deliver timely resolutions.

What are the most commonly searched types of Insurance Claims jobs in Missouri? The most popular types of Insurance Claims jobs in Missouri are:
What are popular job titles related to Remote Insurance Claims jobs in Missouri? For Remote Insurance Claims jobs in Missouri, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Claims jobs in Missouri look for? The top searched job categories for Remote Insurance Claims jobs in Missouri are:
What cities in Missouri are hiring for Remote Insurance Claims jobs? Cities in Missouri with the most Remote Insurance Claims job openings:
Remote Insurance Claims jobs near you
Infographic showing various Remote Insurance Claims job openings in Missouri as of August 2026, with employment types broken down into 43% Full Time, 43% Part Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $45,854 per year, or $22 per hour.

Senior Claims Representative (Remote)

Missouri Employers Mutual

On-site, Remote

$72K - $109K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

Are you a seasoned claims professional with a passion for navigating complex cases? MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal role, you'll manage high-exposure workers' compensation claims, lead investigations into coverage and fraud, and collaborate across departments to drive strategic outcomes. You'll be a key decision-maker, a mentor to junior adjusters, and a champion of process improvement-all while ensuring exceptional service and regulatory compliance.
At MEM Insurance, we don't just protect our customers-we empower our employees. We foster a culture of integrity, collaboration, and innovation. Our team thrives on solving challenges together, supporting one another, and making a meaningful impact in the lives of our policyholders and injured workers.
Essential Duties and Responsibilities:
Claims Handling & Administration
  • Manage highly complex claims involving significant financial exposure, legal intricacies, and extended life cycles.
  • Conduct advanced investigations into coverage and compensability, including nuanced statutory interpretations.
  • Oversee medical case management for catastrophic injuries and lifetime care needs.
  • Review and authorize large or complex medical bills, negotiating adjustments to control costs.

Return-to-Work Management
  • Develop comprehensive RTW strategies in collaboration with policyholders, legal counsel, and vocational consultants.
  • Ensure precision in benefit calculations for high-exposure claims, addressing tax and compliance risks.
  • Strategically deploy investigative efforts aligned with broader claims strategy.

Claims Investigation & Loss Prevention
  • Lead investigations into complex fraud cases and collaborate with the Special Investigations Unit.
  • Conduct subrogation analysis and negotiate with third-party insurers or attorneys for maximum recovery.

Settlements & Negotiation
  • Partner with legal teams to negotiate complex settlements and manage litigation processes.
  • Oversee Medicare compliance initiatives, including Medicare Set-Asides and CMS engagement.
  • Identify opportunities for structured settlements and lead negotiations.

Reporting
  • Produce strategic reports on high-profile claims to guide management decisions.
  • Maintain system data integrity and prepare claims for Corporate Plan of Action meetings.

Collaboration
  • Lead cross-departmental efforts to improve claims handling and risk management.
  • Resolve escalated customer service issues and support high-value accounts.
  • Participate in workflow improvement initiatives and committees.

Team Leadership
  • Mentor and coach junior and intermediate adjusters.
  • Review escalated claims and provide actionable feedback.
  • Support workforce development and succession planning.

Qualifications:
  • Bachelor's degree in business or related field preferred, or equivalent industry experience.
  • 7-10 years of claims handling experience, with high exposure to Workers' Compensation.
  • Associate in Claims (AIC), AIM, or CPCU designation preferred or ability to obtain.
  • Texas All-Lines license preferred.
  • Valid driver's license required.

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.
Connection and Belonging
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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