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Rn Insurance Claims Remote Jobs in Springfield, MO

Scribe-X

Remote Medical Scribe

Springfield, MO · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

All JobsRn Insurance Claims JobsRn Insurance Claims Remote JobsRn Insurance Claims Remote Jobs in Springfield, MO

Rn Insurance Claims Remote information

See Springfield, MO salary details

$11

$21

$39

How much do rn insurance claims remote jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for rn insurance claims remote in Springfield, MO is $21.38, according to ZipRecruiter salary data. Most workers in this role earn between $15.96 and $23.41 per hour, depending on experience, location, and employer.

What is an RN Insurance Claims Remote?

RN Insurance Claims Remote jobs are positions where registered nurses (RNs) work from home or another remote location to evaluate, process, and review insurance claims related to medical care. These nurses use their clinical expertise to assess the validity of claims, ensure proper documentation, and determine the necessity and appropriateness of medical treatments. They may also communicate with healthcare providers, patients, and insurance companies to gather information and clarify medical details. This role typically requires an active RN license, strong analytical skills, and experience in case management or utilization review.

What are the key skills and qualifications needed to thrive as an RN Insurance Claims Remote?

To thrive as an RN Insurance Claims Remote, you need a current RN license, strong clinical knowledge, and experience in medical case review or utilization management. Familiarity with claims management software, ICD-10/CPT coding, and electronic health records (EHRs) is typically required, along with certifications like CCM (Certified Case Manager) being a plus. Exceptional attention to detail, analytical thinking, and effective written communication skills help you excel in evaluating claims and collaborating with stakeholders. These skills ensure accurate claims assessment, regulatory compliance, and efficient processing in a remote insurance environment.

What are some common challenges RNs face when working remotely in insurance claims, and how can they be addressed?

RNs working remotely in insurance claims often encounter challenges such as navigating complex medical records without in-person context, managing high caseloads, and ensuring clear communication with both internal teams and external providers. Staying organized, utilizing standardized documentation practices, and leveraging secure digital communication tools can help address these difficulties. Regular virtual check-ins with colleagues and ongoing training also support effective collaboration and professional growth in a remote environment.

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

AspectRn Insurance Claims RemoteRn Insurance Adjuster
CredentialsRN license, insurance knowledgeRN license, insurance certification (e.g., AIC, CPCU)
Work EnvironmentRemote, home-basedField or office-based, sometimes remote
Industry UsageInsurance claims processing, customer serviceClaims assessment, damage evaluation
Common Search IntentRemote claims jobs, insurance claims rolesInsurance adjusting, claims evaluation

While both roles involve insurance and require RN licensure, Rn Insurance Claims Remote focuses on processing claims remotely, often involving customer communication. Rn Insurance Adjuster typically involves evaluating damages in the field or office, with a stronger emphasis on damage assessment and adjusting claims.

What are popular job titles related to Rn Insurance Claims Remote jobs in Springfield, MO?

For Rn Insurance Claims Remote jobs in Springfield, MO, the most frequently searched job titles are:

What job categories do people searching Rn Insurance Claims Remote jobs in Springfield, MO look for?

The top searched job categories for Rn Insurance Claims Remote jobs in Springfield, MO are:

What cities near Springfield, MO are hiring for Rn Insurance Claims Remote jobs?

Cities near Springfield, MO with the most Rn Insurance Claims Remote job openings:

Rn Insurance Claims Remote jobs near you

Senior Construction Defect Technical Claims Specialist

Brookfield

Springfield, MO • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago

Job description

Company

Argo Group

Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.


Job Description

Business Title(s):Senior Construction Defect Technical Claims Specialist

Employment Type:Full-Time

FLSA Status:Exempt

Location:In-Officeor Remote

Summary:

We are looking for a highly capable Senior Construction Technical Claims Specialist Team Lead to join our team and work from any of the following Argo offices: Albany, Chicago, Los Angeles, New York City, Omaha, or Richmond (VA). Alternatively we can fill this role with a fully remote employee, except in the States of AK, DE, HI, KY, MI, MS, MT, ND, SD, or VT. This role will be adjudicating our most complex construction defect claims for our customers and contribute to providing superb results for our clients.

Candidates must be able to work during standard business hours.

EssentialResponsibilities:

Working under limited oversight under broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.

  • Conducting detailed information gathering, analysis and investigation to find solutions to issues that are numerous and undefined.
  • Reporting to senior management and underwriters on claims trends and developments.
  • Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
  • Investigating claims promptly and thoroughly, including interviewing all involved parties.
  • Managing claims in litigation
  • Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
  • Properly setting claim reserves, taking into account how different policy wordings impact the claims reserving process.
  • Identifying loss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management.
  • Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution.
  • Preparing reports for file documentation
  • Applying creative solutions which result in the best financial outcome.
  • Negotiating highly complex settlement packages within scope of authority in order to settle claims in most cost effective manner.
  • Processing mail and prioritizing workload.
  • Responsible for telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
  • Having an appreciation and passion for strong claim management.

Qualifications / Experience Required:

  • A deep knowledge of construction defect claims, along with an exceptional focus on customer service, typically achieved through a minimum of:
    • Seven years' experience adjudicating construction defect claims with exposure of $100,000 or more.
    • Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating commercial general liability bodily injury claims beyond the minimum experience required above may be substituted in lieu of a degree.
    • Licenses in multiple jurisdictions. Applicants either need to possess a General Adjusting License in Florida, Texas or Wyoming or currently be licensed in multiple other jurisdictions. In addition, applicants must have the ability within three months of hire to obtain other licenses in each jurisdiction (either through reciprocity of their Florida, Texas or Wyoming license or by obtaining a license in each jurisdiction (such as required by New York).
  • Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
  • Ability to regularly exercise discretion and independent judgment with respect to matters of significance.
  • A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by:
    • Finding a way to achieve success through adversity.
    • Being solution (not problem) focused
    • Thinking with a global mindset first.
  • Must have excellent communication skills and the ability to build lasting relationships.
  • Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
  • Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast-paced environment that is evolving constantly.
  • Excellent evaluation and strategic skills required.
  • Strong claim negotiation skills a must.
  • Knows how claims reserving techniques are used and how to assess whether a claim reserve is accurate.
  • Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
  • Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
  • Demonstrates innovative thinking and regularly shares ideas to help the team whenever possible
  • Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
  • Client focus - the ability to effectively determine specific client needs and to provide value added solutions.
  • Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
  • Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
  • Proficient in MS Office Suite and other business-related software.
  • Polished and professional written and verbal communication skills in order to present information accurately and effectively.
  • The ability to read and write English fluently is required.
  • Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.
  • Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims. within 120 Days

The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, this position is eligible for an annual bonus based on company and individual performance as well as a generous benefits package.

  • Colorado outside of Denver metro, Delaware, Illinois (outside of Chicago metro area), Maine, Maryland, Massachusetts (outside of Boston metro area), Minnesota, Nevada, Rhode Island, Vermont, and Virginia Pay Ranges: $137,496 - $164,934
  • Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. metro area, & Washington State Pay Ranges: $151,062 - $181,254
  • Los Angeles, San Francisco, and New York City (including but not limited to Westchester county) metro areas Pay Ranges: $165,036 - $ 198,084

About Working in Claims at Argo Group

  • Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
  • Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.
  • We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses.
  • Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
  • We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.

PLEASE NOTE:

Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.

If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.

Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.

We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.

The collection of your personal information is subject to ourHR Privacy Notice

Benefits and Compensation

We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.

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