<div style="font-family: 'Segoe UI'; font-size: 14px; line-height: 20px;"> <div><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Are you an experienced claims professional ready to take on complex cases and make a meaningful impact? MEM Insurance is seeking a seasoned <strong>Claims Representative </strong>to join our dynamic Claims team. In this role, you will manage a caseload of high-exposure workers’ compensation claims, oversee advanced medical case management, and develop tailored Return-to-Work plans. You’ll collaborate with vocational consultants, legal counsel, and internal teams to ensure compliance, negotiate settlements, and deliver exceptional service to our policyholders. This position offers the opportunity to work independently while providing leadership on complex claims and contributing to workflow improvements.</span></div> <div> </div> <hr> <h3> </h3> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Essential Duties and Responsibilities</strong></span></h3> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Manage complex workers’ compensation claims involving high financial exposure, sensitive issues, or extended life cycles.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Investigate coverage and compensability, ensuring thorough documentation and compliance with state statutes.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Oversee advanced medical case management, including coordination with Nurse Case Managers and external vendors.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Develop and implement Return-to-Work plans for high-risk claims, collaborating with vocational consultants and legal counsel.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Identify and investigate potential fraud and subrogation opportunities, partnering with the Special Investigation Unit.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Establish and maintain accurate claim reserves within authority levels, ensuring timely responsiveness to changing circumstances.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Evaluate and negotiate settlements within approved authority levels, including structured settlements and Medicare compliance.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Collaborate with legal counsel to manage litigation and ensure adherence to MEM guidelines.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Maintain accurate system data and prepare reports for management on high-profile claims.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Foster cross-departmental collaboration with Underwriting, Premium Consultation, and Loss Prevention.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Provide mentorship and training to junior adjusters, supporting professional growth and team development.</span></li> </ul> <p> </p> <hr> <h3> </h3> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Qualifications</strong></span></h3> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">High school diploma or equivalent required; bachelor’s degree preferred.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Associate in Claims (AIC) designation preferred.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Valid driver’s license required; Texas-All Lines license preferred.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">3–5 years of claims handling experience, primarily in Workers’ Compensation. Missouri experience preferred.</span></li> </ul> <p> </p> <hr> <h3> </h3> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Company Culture and Values</strong></span></h3> <div><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other’s growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered.</span></div> <div> </div> <hr> <h3> </h3> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Diversity Statement</strong></span></h3> <div><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities.</span></div> <div> </div> <hr> <h3> </h3> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Total Rewards Overview</strong></span></h3> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Health Plans:</strong> Medical, Dental, and Vision</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Includes fertility benefits, fully paid preventative care, and adult orthodontia.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Employer-Paid Life and Disability Benefits:</strong></span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Life Insurance (3x base salary), AD&D, Short and Long-term Disability.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Wellness and Recognition Program:</strong> Employer-paid incentives for employees and spouses.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Flexible Spending Account and Dependent Care options</strong></span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Health Savings Account:</strong> Generous employer contribution.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Time Away from Work:</strong></span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Employee Assistance Programs</strong></span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>401k Retirement Plan:</strong> Employer match and profit sharing.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Adoption Assistance and Tuition Assistance</strong></span></li> </ul> <p> </p> <hr> <div> </div> <div><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Notice Regarding Use of Artificial Intelligence</strong></span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">MEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.</span></div> </div>