Current jobs related to Claims Management Specialist - Jefferson City, Missouri - Lincoln Financial Group

  • Senior Claims Specialist

    6 days ago

    Jefferson City, Missouri, United States Sedgwick Full time

    At Sedgwick, we're committed to delivering exceptional service and expertise to our clients. As a Senior Claims Specialist, you'll play a critical role in analyzing complex medical malpractice claims and providing resolution through well-developed action plans.Key Responsibilities:Analyze and process complex medical malpractice claims, investigating and...

  • Claims Examiner

    1 week ago

    Jefferson City, Missouri, United States Sedgwick Full time

    About the Role:At Sedgwick, we're committed to taking care of people, and that starts with taking care of our colleagues. As a Liability Claims Representative, you'll be part of a global industry leader that's passionate about making a positive impact on the world. We're looking for driven individuals who embody our caring counts model and core values of...

  • Field Claims Adjuster

    6 days ago

    Jefferson City, Missouri, United States LexisNexis Group Full time

    We are seeking a skilled Field Claims Representative to join our team at LexisNexis Group. As a Field Claims Representative, you will be responsible for investigating and resolving Commercial and Personal Lines claims with empathy, passion, and a sense of urgency.Key Responsibilities:• Investigate and resolve Commercial and Personal Lines claims• Handle...

  • Medical Claims Specialist

    2 weeks ago

    Kansas City, Missouri, United States High Risk Pregnancy Center of Kansas City Full time

    We are seeking a skilled Medical Claims Specialist to play a vital role in our healthcare revenue cycle. This individual will be responsible for ensuring accurate and efficient processing of medical claims and account revenue cycle.Key Responsibilities:Verify insurance eligibility and provide patient estimates for upcoming appointments.Follow up on unpaid or...

  • Claims Specialist

    2 weeks ago

    Kansas City, Missouri, United States Sun Life Full time

    Job SummaryWe are seeking a highly skilled Claims Specialist to join our team at Sun Life. As a Claims Specialist, you will be responsible for managing initial liability claims submitted for Critical Illness, Cancer, Hospital Indemnity, and Accidental claims.Key ResponsibilitiesConduct thorough reviews and investigations of claims to determine initial and...

  • Multi-Line Claims Adjuster

    2 weeks ago

    Jefferson City, Missouri, United States Property Claim Professionals Full time

    Job DescriptionWe are seeking a skilled Multi-Line Claims Adjuster to join our team at Property Claim Professionals. As a key member of our team, you will be responsible for handling commercial and residential property losses, as well as liability claims. Your expertise will be essential in determining negligence and assessing damages, ensuring that our...

  • Authorization Specialist I

    4 weeks ago

    Jefferson City, Missouri, United States BCforward Full time

    Job Title: Authorization Specialist IBCforward is seeking a highly skilled Authorization Specialist I to join our team. As a key member of our utilization management team, you will play a critical role in ensuring that all authorization requests are addressed properly and in a timely manner.Job Summary:The Authorization Specialist I will be responsible for...

  • Medical Claims Specialist

    4 weeks ago

    Kansas City, Missouri, United States Medical Recovery Services Full time

    Job Title: Medical BillerWe are seeking a highly skilled Medical Biller to join our team at Medical Recovery Services. As a Medical Biller, you will play a critical role in ensuring the accurate and timely submission of medical claims to third-party payers.Responsibilities:Utilize various billing systems and clearinghouses to perform data entry and prepare...

  • Medical Billing Specialist

    6 days ago

    Jefferson City, Missouri, United States Sutherland Full time

    Medical Billing/AR SpecialistAt Sutherland, we are seeking a detail-oriented and analytical individual to join our team as a Medical Billing/AR Specialist. This role involves handling a variety of tasks to ensure payment collection activity is resolved, disputed or sent to Legal. Key responsibilities include conducting collection activity on appealed claims,...

  • Claims Resolution Specialist

    2 weeks ago

    Kansas City, Missouri, United States C.H. Robinson Full time

    Cargo Claims RepresentativeC.H. Robinson is seeking a dedicated Claims Representative to join our team. In this role, you will act as a liaison between corporate and network offices, process new claims, and ensure timely claims settlements.Key Responsibilities:Act as a liaison between corporate and network offices to gather information for claim...

  • Catastrophe Claims Specialist

    4 weeks ago

    Kansas City, Missouri, United States FBL Financial Full time

    About the RoleWe are seeking a highly skilled Catastrophe Claims Representative to join our team at FBL Financial. As a Catastrophe Claims Representative, you will be responsible for responding to catastrophic events, investigating and evaluating property claims, and negotiating settlements with clients.Key ResponsibilitiesInvestigate and evaluate property...

  • Authorization Specialist I

    1 week ago

    Jefferson City, Missouri, United States BCforward Full time

    Job Title: Authorization Specialist IJob Summary:BCforward is seeking an experienced Authorization Specialist I to join our team. As an Authorization Specialist I, you will be responsible for supporting the prior authorization request process to ensure all authorization requests are addressed properly and in a timely manner.Key Responsibilities: Data entry:...

  • Claims Team Manager

    6 days ago

    Kansas City, Missouri, United States Axis Services Full time

    Job DescriptionThis is an exceptional opportunity to lead a team of claims professionals handling complex Media, E&O, and Cyber claims at Axis Services.Key ResponsibilitiesManage claims, including investigation, analysis, and evaluation of coverage liability and damages, within best practices.Provide technical advice, training, and guidance to direct reports...

  • Customer Service Representative

    1 month ago

    Jefferson City, Missouri, United States Gregory Kolb - American Family Insurance Full time

    Job SummaryThe Customer Service Representative plays a vital role in delivering exceptional customer experiences for potential and existing customers. This includes identifying opportunities to cross-sell and coordinating with sales specialists for follow-up. The successful candidate will assist the agency owner in achieving agency service goals.Key...

  • FEMA Disaster Management Specialist

    1 month ago

    Kansas City, Missouri, United States CDM Smith Full time

    FEMA Disaster Management SpecialistWe are seeking a highly skilled FEMA Disaster Management Specialist to join our team at CDM Smith. As a key member of our disaster response team, you will play a critical role in supporting the recovery efforts of individuals and communities affected by disasters.Key Responsibilities:Schedule and conduct site inspections to...

  • IT Specialist

    2 weeks ago

    Jefferson City, Missouri, United States Army National Guard Units Full time

    Job SummaryThis is a National Guard Title 5 Excepted Service Position. The IT Specialist - Systems Administration will manage assigned servers and server resources, analyze and define requirements, and monitor capacity and performance. The selected candidate will diagnose and resolve problems with servers and server resources, develop backup and recovery...

  • Senior Claims Advisor

    2 weeks ago

    Kansas City, Missouri, United States Risk Strategies Full time

    Job Title: Claims AdjusterThe Claims Adjuster plays a crucial role in the management of claims administered by the Risk Management department. As a dedicated resource to Risk Management customers, the Claims Adjuster is responsible for handling and communicating property and casualty claims.Key Responsibilities:Oversee claims, including complex litigation...

  • Insurance Claims Specialist

    1 month ago

    Kansas City, Missouri, United States Swope Health Services Full time

    About the RoleWe are seeking a highly organized and detail-oriented Insurance Clerk II to join our team at Swope Health Services. As an Insurance Clerk II, you will play a critical role in validating patients' information and preparing and filing insurance claims in accordance with insurance carrier's regulatory and contractual requirements.Key...

  • Electrical Construction Manager

    2 weeks ago

    Jefferson City, Missouri, United States The FootBridge Companies Full time

    Electrical Construction SupervisorThe FootBridge Companies is seeking an experienced Electrical Construction Supervisor to oversee the electrical activities of the CHP Project. This is a challenging and rewarding role that requires strong leadership and technical skills.Key Responsibilities:Provide site support and oversight for the electrical activities of...

  • FEMA Disaster Management Specialist

    1 month ago

    Kansas City, Missouri, United States CDM Smith Full time

    FEMA Disaster Management Construction SpecialistCDM Smith is seeking a highly skilled FEMA Disaster Management Construction Specialist to join our team. As a key member of our disaster recovery team, you will play a critical role in supporting the Federal Emergency Management Agency (FEMA) in responding to and recovering from natural disasters.Key...

Claims Management Specialist

2 months ago

Jefferson City, Missouri, United States Lincoln Financial Group Full time

Alternate Locations: Remote work options available.

Work Arrangement:

Remote: Employees working from home, not within commuting distance to an office.

Relocation assistance: Not applicable for this position.

Requisition #: 73134

Position Overview

We are seeking a dedicated Group Claims Specialist to enhance our expanding claims department in a remote setting. Ideal candidates will be located in the mountain or pacific time zones to effectively serve our west coast employer groups.

Key Responsibilities

As a Group Claims Specialist, your role will involve supporting our Short Term Disability and Integrated Absence teams. Your duties will include:

  • Administering and managing claims related to Short Term Disability, the Family and Medical Leave Act (FMLA), the Americans with Disabilities Act (ADA), and various state leave laws.
  • Conducting initial and ongoing interviews with claimants, gathering and analyzing medical documentation, and making prompt and ethical claim decisions.
  • Engaging with claimants, employers, and healthcare professionals via phone and email to collect essential claim information and oversee the claim process from initiation to resolution.
  • Collaborating with case managers and medical professionals to ensure timely and appropriate claim resolutions.
  • Reviewing intricate medical records and utilizing diverse tools and resources to determine suitable approval durations and future action plans.
  • Performing accurate financial calculations in accordance with company and state regulations.
  • Delivering exceptional customer service by proactively identifying customer and claimant needs.
  • Training hours: 7:00 am to 3:30 pm PST
  • Regular hours: An 8-hour shift between 8:00 am and 6:00 pm PST

Qualifications

Required Experience:

  • High School diploma or GED.
  • 1-2 years of experience in customer service, leave management, or short-term disability.
  • Strong written and verbal communication skills.
  • Excellent organizational abilities with the capacity to manage multiple tasks.

Preferred Experience:

  • Experience in absence management.

Company Culture

At Lincoln Financial Group, we are passionate about our mission. We strive to make meaningful contributions daily, empowering our customers to take control of their financial futures. Collaborating with talented colleagues, we foster fulfilling careers and strengthen communities through a company that values diverse perspectives and invests in our employees' growth.

Benefits:

  • A clearly defined career framework to support your professional development.
  • Leadership development and virtual training opportunities.
  • Paid time off and parental leave.
  • Competitive 401K and comprehensive employee benefits.
  • Access to free financial counseling, health coaching, and employee assistance programs.
  • Tuition assistance programs.
  • A leadership team that prioritizes employee well-being, offering a flexible remote work environment.
  • Access to effective productivity tools and training.

Compensation: $29.58 per hour

Actual base pay may vary based on factors such as work experience, education, location, and qualifications required for the role. This position may also be eligible for the Annual Incentive Program, based on company and individual performance.

About Lincoln Financial Group

Lincoln Financial Group assists individuals in planning, protecting, and retiring with confidence. With approximately 16 million customers relying on our guidance across various financial services, we are committed to creating a diverse and inclusive workplace.

Lincoln Financial Group is an equal opportunity employer, and we welcome applicants from all backgrounds.