Insurance Claims Specialist

Intellivo • Creve Coeur, MO

1d • Onsite

About The Position

The Insurance Claims Specialist manages a portfolio representing approximately $3 million to $5 million in financial exposure and advances cases toward resolution. The role involves analyzing case information, identifying next steps, investigating missing or inconsistent details, communicating with insurance companies, adjusters, and attorneys, monitoring case progress, and tracking reimbursement activity. The specialist maintains accurate documentation, manages multiple priorities while meeting quality, timeliness, and productivity expectations, and takes ownership of cases from assignment through resolution. Experienced team members and attorneys provide collaboration on complex cases. Recent college graduates are encouraged to apply, and prior insurance experience is not required.

The position offers experience across healthcare claims, insurance, reimbursement, legal processes, and financial recovery. Intellivo describes itself as an industry market leader in subrogation, representing more than 200 of the country's largest health plans and drawing on a 26-year history.

Requirements

• Bachelor's degree or equivalent relevant professional experience.
• Strong professional written and verbal communication skills.
• Ability to organize and manage multiple priorities.
• Curiosity and an interest in investigating information and solving problems.
• Attention to detail while maintaining focus on overall objectives.
• Ability to learn structured processes and apply them consistently.
• Ownership and follow-through.
• Motivation to work toward clear goals and measurable results.

Nice To Haves

• Recent college graduate status; recent graduates are encouraged to apply.
• Experience in insurance or healthcare claims, auto or property and casualty insurance, workers' compensation, health plan or payer operations, medical billing or reimbursement, claims administration, legal or case-management support, subrogation or third-party liability, or high-volume customer service or account management.
• Internship, customer service, healthcare, insurance, financial services, legal support, or other professional experience involving communication and organization.

Responsibilities

• Own and actively manage a portfolio representing approximately $3 million to $5 million in financial exposure, advancing cases toward resolution.
• Analyze case information, identify what is needed, and determine next steps.
• Communicate with insurance companies, adjusters, and attorneys to gather information, answer questions, and advance cases.
• Investigate and resolve problems involving missing, incomplete, or inconsistent information.
• Monitor case progress, identify barriers or delays, and take action to keep cases moving.
• Evaluate new information and determine when follow-up, investigation, or escalation is needed.
• Prepare clear, professional case communications and maintain accurate documentation.
• Track reimbursement activity and proactively address outstanding items or delays.
• Collaborate with experienced team members and attorneys on complex cases and issues.
• Manage multiple cases and priorities while meeting quality, timeliness, and productivity expectations.
• Take ownership of cases and their progress from assignment through resolution.

Benefits

• Comprehensive medical, dental, and vision insurance.
• 401(k) retirement savings plan with employer match.
• Paid time off and paid holidays.
• Company-paid life insurance and short-term and long-term disability coverage.
• Employee Assistance Program offering counseling, financial coaching, legal resources, career coaching, and wellness support.
• Health Savings Account with company contributions for eligible employees.
• Wellness, healthcare advocacy, and pet benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level