Claims Representative III, Workers’ Compensation

Job overview

The Claims Representative III, Workers’ Compensation role is listed as onsite in Columbia, MO. Annual pay is $64,000–$96,000. The role is part of MEM Insurance’s Claims team, which serves policyholders and collaborates across departments. The representative manages complex, high-exposure workers’ compensation claims, coordinating medical case management, return-to-work planning, investigations, reserves, settlements, and litigation. The role also supports team capability through mentorship of junior adjusters and contributes to workflow improvements.

What you'll do

• Manage complex workers’ compensation claims
• investigate coverage and compensability and document compliance with state statutes
• oversee medical case management
• develop return-to-work plans with vocational consultants and legal counsel
• investigate potential fraud and subrogation
• maintain claim reserves
• evaluate and negotiate settlements within authority
• collaborate on litigation
• maintain claim data and prepare management reports
• coordinate with other departments
• mentor and train junior adjusters.

What we're looking for

Skills & competencies

claims representative iii

workers’ compensation

columbia mo

mem mutual insurance company

complex claims

high-exposure claims

medical case management

return-to-work plans

settlement negotiation

claims mentorship

annual pay $64,000–$96,000

3–5 years claims experience

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, and vision plans
• fertility benefits
• fully paid preventive care and adult orthodontia
• employer-paid life and disability benefits
• wellness incentives
• flexible spending and dependent care accounts
• employer HSA contribution
• generous PTO, holidays, volunteer time, and paid parental leave
• employee assistance programs
• 401(k) match and profit sharing
• adoption and tuition assistance.

Why this role

Requires a high school diploma or equivalent; bachelor’s degree and Associate in Claims designation preferred. Requires a valid driver’s license; Texas All-Lines license preferred. Requires three to five years of claims handling experience, primarily in workers’ compensation; Missouri experience preferred.

About the employer

MEM Mutual Insurance Company is hiring for this role. Industry: Direct Property and Casualty Insurance Carriers. Sector: 52.