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MS
Medix Staffing Solutions
Insurance Reimbursement Specialist
Career Insights for Claims Adjuster / Specialist (General)
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Scorecard
Based on Missouri data
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What they do
A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.
$75,335 / year median in Missouri
+16% projected growth
Job Description
You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an Insurance Reimbursement Specialist. The primary responsibilities include managing and organizing health plan recovery and insurance claims files, serving as the main contact for third-party liability claims, and communicating with external stakeholders. The role also involves sending formal notices, auditing file packages, and tracking reimbursement payments. Key Responsibilities Manage and organize heavy portfolios of active health plan recovery and insurance claims files to ensure smooth resolution. Serve as the main contact for inbound calls and emails regarding third-party liability claims and coverage. Communicate professionally with plaintiff attorneys, insurance adjusters, and claim representatives. Send out formal notices and follow up diligently on missing paperwork and documentation requests. Audit and prep file packages, logging updates in tracking systems and flagging gaps to attorneys and senior paralegals. Track incoming reimbursement payments and escalate delays to management. Qualifications Associate degree or at least 4+ years of equivalent industry experience required. Minimum 2+ years of professional experience in insurance claims, health plan operations, or similar fields. Proven experience working with insurance carriers, TPAs, or liability insurers. Experience managing and organizing complex data sheets or claim files in a fast-paced environment. Exceptional verbal and written communication skills. Preferred experience in healthcare reimbursement, payer, or subrogation-specific environments. Familiarity with major electronic medical records (EMR) or healthcare claims databases preferred. Schedule Monday
- Friday, 8:00 AM
- 5:00 PM (or 8:00 AM
- 4:30 PM with a 30-minute lunch).
- We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.- As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment.