Claims Examiner jobs in Springfield, MO

Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Medical Claims Examiner
  • QPS Employment Group
  • Springfield, MO FULL_TIME
  • Position Title: Medical Claims Examiner

    Wage: $16-$17/hour

    Shift: 1st

    Hours: 9am-5:30pm Monday-Friday

    QPS Employment Group is hiring a Medical Claims Examiner at a great company in the Springfield area. This is an associate to hire opportunity.

    Medical Claims Examiner Responsibilities include but are not limited to:
    - Ensure the member's insurance policy benefits are processed accurately and timely
    - Review each claim to determine the appropriate course of action based on the nature of a member's illness or injury

    Medical Claims Examiner Requirements:
    - High school diploma or equivalent
    - 2 years of related experience preferred
    - Understand multiple medical insurance products and multiple levels of benefits within each product to make accurate claim processing decisions
    - Exceptional organizational and analytical skills with ability to manage time and prioritize workload effectively
    - Strong keyboarding skills with above average accuracy
    - 10-key by touch skills with above average accuracy
    - Knowledge of medical terminology and billing practices helpful
    - Knowledge of ICD-10, CPT & HCPC code sets helpful
    - Above basic computer skills with Windows PC systems and applications
    - Above basic Microsoft Office skills (Outlook, Word, Excel)
    - Strong verbal and written communication skills
    - Work independently in a solitary manner for long periods of time
    - Extended periods of sitting at a computer and repetitive use of hands/fingers
    - Office environment

    QPS Employment Group is a full-service staffing firm comprised of dedicated and passionate people with over 50 offices throughout the Midwest. We place great people with great companies in industrial, skilled trades, administrative, manufacturing, general labor and professional employment.

    Why Work with QPS?
    - Access to sought-after positions with leading employers
    - Dedicated placement specialists who will guide you through every step of the job search process
    - Over 30 years of staffing experience
    Best of all, our services are 100% free to job seekers!
    We are proud to be an equal opportunity employer.

    springfield@qpsemployment.com
    Branch: Springfield MO
    IND061
    #ZR

     

  • Just Posted

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Driver License Examiner - (212041)
  • Kansas Department of Revenue
  • Baxter Springs, KS FULL_TIME
  • Kansas Department of Revenue - Driver License Examiner SpecialistFull-Time/Benefits Eligible - M-F 8:00 AM - 5:00 PMAgency Information:Kansas Department of RevenueDriver ServicesParson/Baxter Springs,...
  • 3 Days Ago

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Claims Representative
  • Missouri Employers Mutual
  • Springfield, MO FULL_TIME
  • Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual. We’ve created a casual, values-driven work culture that’s making a positive impact on the way people live ...
  • 18 Days Ago

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Claims Manager
  • Missouri Employers Mutual
  • Springfield, MO FULL_TIME
  • Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual. We’ve created a casual, values-driven work culture that’s making a positive impact on the way people live ...
  • 18 Days Ago

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Claims Support
  • QPS Employment Group
  • Springfield, MO FULL_TIME
  • Position Title: Claims Support Wage: $15-$17/hour Shift: 1st Hours: 8am-5pm Monday-Friday QPS Employment Group is hiring for a Claims Support role in the Springfield area. This is an associate to hire...
  • Just Posted

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Director of Claims
  • Missouri Employers Mutual
  • Springfield, MO FULL_TIME
  • Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual. At MEM, we’ve created a casual, values-driven work culture that’s making a positive impact on the way peop...
  • 1 Month Ago

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0 Claims Examiner jobs found in Springfield, MO area

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Globe Life: American Income Life/AO Union Insurance Agent
  • American Income Life AO - John Crespin
  • Springfield, MO
  • AIL/AO is seeking enthusiastic, hard-working, and friendly individuals across the United States, to join our team and pr...
  • 3/28/2024 12:00:00 AM

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Sales Executive II
  • Owens & Minor, Inc.
  • Springfield, MO
  • At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across ...
  • 3/28/2024 12:00:00 AM

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Life Insurance Agent - Remote
  • The Sudhoff Agency
  • Springfield, MO
  • Description: We are seeking insurance professionals who have a commitment to serve their community by assisting families...
  • 3/26/2024 12:00:00 AM

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Telemarketer
  • Rone and Associates - Allstate Insurance
  • Ozark, MO
  • Job Description Job Description Benefits/Perks: Paid time off (vacation and/or sick days) Growth potential Hourly pay pl...
  • 3/26/2024 12:00:00 AM

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*Consultive Insurance Career - NO COLD CALLING - Renewal Income - FREE Warm Leads and No Prior Exper
  • TAG
  • Springfield, MO
  • Job Description Job Description The Assurance Group (www.assuregrp.com) is looking for the right person to fill a consul...
  • 3/25/2024 12:00:00 AM

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Insurance Sales
  • Allstate - Jayne Young Agency
  • Nixa, MO
  • Job Description Job Description The Jayne Young Agency is seeking an energetic and self-motivated professional to join o...
  • 3/25/2024 12:00:00 AM

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Agent Team Member
  • StaffMyAgency LLC
  • Springfield, MO
  • Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, wor...
  • 3/25/2024 12:00:00 AM

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Entry Level Sales - Remote
  • Sullivan Agency
  • Brookline, MO
  • We are looking for licensed or unlicensed life insurance agents to partner with Sullivan Agency Group. The Sullivan Agen...
  • 3/25/2024 12:00:00 AM

Springfield is the third-largest city in the state of Missouri and the county seat of Greene County. As of the 2010 census, its population was 159,498. As of 2017, the Census Bureau estimated its population at 167,376. It is the principal city of the Springfield metropolitan area, which has a population of 462,369 and includes the counties of Christian, Dallas, Greene, Polk, Webster. Springfield's nickname is "Queen City of the Ozarks" and it is known as the "Birthplace of Route 66". It is home to three universities, Missouri State University, Drury University, and Evangel University. Springf...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$44,622 to $59,173
Springfield, Missouri area prices
were up 1.3% from a year ago