Senior Risk/Claims Technician

State of Missouri; Jefferson City (MO); On-site; USD 52,000 - 78,000; Full time

Job summary

The State of Missouri is seeking an experienced claims professional to support injured state employees with workers' compensation claims. This mid-level role involves correspondence with injured workers, state and public entities, medical and legal professionals, and insurance providers to provide one-on-one assistance with processing claims.

The position emphasizes teamwork and community, offers a competitive base salary, and requires a Bachelor's degree or equivalent claims/underwriting

Qualifications

• A Bachelor's degree from an accredited college or university and/ or technical experience in underwriting or the administration of workers compensation, medical, property, liability, or casualty claims (experience can be substituted for the education requirement)
• Experience in processing workers' compensation claims and familiarity with related regulations is preferred.

Responsibilities

• Correspond with injured workers and employers.
• Calculate workers' compensation benefits.
• Review medical files and documents.
• Ensure authorized treatment and approve medical bills.
• Respond to attorney requests.
• Ensure files are kept secure and confidential.
• Monitor medications and coordinate with the pharmacy network.
• Utilize the Early Return to Work Program.

Skills

Claims handling

Customer service

Communication skills

Interpersonal skills

Data interpretation

Mathematical calculations

Independent work

Education

Bachelor's degree or related experience

Job description

Why You’ll Love This Position

If you’re an experienced claims professional who loves working in a position that serves our state, and enjoys a work environment that is based on a sense of community, togetherness and team work, than this is the job for you! This mid-level position can be very rewarding as it will be tasked with helping injured state employees during their workers compensation claims. An individual in this position corresponds and communicates with injured workers, state and public entities, medical and legal professionals, insurance providers, and/or others, and provides one‑on‑one assistance with the processing of workers' compensation claims.

Why You’ll Love This Position

If you’re an experienced claims professional who loves working in a position that serves our state, and enjoys a work environment that is based on a sense of community, togetherness and team work, than this is the job for you! This mid-level position can be very rewarding as it will be tasked with helping injured state employees during their workers compensation claims. An individual in this position corresponds and communicates with injured workers, state and public entities, medical and legal professionals, insurance providers, and/or others, and provides one‑on‑one assistance with the processing of workers' compensation claims.

The salary indicated represents a base pay rate. If the individual selected or the position is eligible for a pay differential (e.g., shift, security, or years of service), it will be added to the total compensation in your paycheck. A pay differential does not raise your base pay.

• Correspond with injured workers and employers.
• Calculate workers' compensation benefits.
• Review medical files and documents.
• Ensure authorized treatment in relation to an injury and approve medical bills.
• Respond to attorney requests.
• Ensure files are kept secure and confidential.
• Monitor medications of injured workers and work with pharmacy network.
• Utilize the Early Return to Work Program.

Minimum Qualifications

• A Bachelor's degree from an accredited college or university and/ or technical experience in underwriting or the administration of workers compensation, medical, property, liability, or casualty claims (experience can be substituted for the education requirement)

Preferred Knowledge, Skills, And Abilities

• Knowledge of claims handling, workers’ compensation, insurance liability, and underwriting practices.
• Skill in providing customer service, communication, and interpersonal interaction.
• Ability to interpret and explain rules, regulations, and policies.
• Ability to perform mathematical calculations, interpret data, maintain accuracy, and work independently

Lack of post‑secondary education will not be used as the sole basis denying consideration to any applicant.

Successful background check results are required for employment in this position. This may include background checks involving a candidate's name and/or fingerprints and other screenings as needed for the specific position.

Authorization to work in the United States is a prerequisite of employment. The Office of Administration will not sponsor applicants for work visas.

The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for heath insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here.