Insurance Claims Specialist

Intellivo•Creve Coeur, MO
•Onsite

About The Position

The Insurance Claims Specialist manages a portfolio of active cases representing approximately $3 million to $5 million in financial exposure and advances cases toward resolution. The role analyzes case information, investigates missing or inconsistent details, identifies next steps, and follows up or escalates issues as needed. The specialist communicates with insurance companies, adjusters, attorneys, and internal colleagues; prepares professional case communications; maintains accurate documentation; and tracks reimbursement activity. The position requires ownership of cases from assignment through resolution while balancing multiple priorities and meeting quality, timeliness, and productivity expectations. Intellivo offers an opportunity to develop experience in healthcare claims, insurance, reimbursement, legal processes, and financial recovery. Recent college graduates are encouraged to apply, and prior insurance experience is not required. The role provides exposure to how health plans, insurers, and attorneys interact and how case management supports financial outcomes.

Requirements

  • Bachelor's degree or equivalent relevant professional experience.
  • Strong professional written and verbal communication skills.
  • Strong organizational skills and ability to manage multiple priorities.
  • Curiosity and 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, follow-through, and motivation by clear goals and measurable results.

Nice To Haves

  • Recent college 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.
  • Internships or customer service, healthcare, insurance, financial services, legal support, or other professional experience involving communication and organization.

Responsibilities

  • Manage a portfolio representing approximately $3 million to $5 million in financial exposure and advance 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 issues 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 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 with 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.
  • Collaborative culture focused on ownership, accountability, continuous improvement, and meaningful impact.
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