Managing Director Strategic Claims Oversight - Healthcare Severity CNAManaging Director Strategic Claims Oversight - Healthcare SeverityChicago, IllinoisDevelops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legal developments and other relevant business updates. . Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities. .
Complex Claims Consultant - Financial Lines/Public D&O CNAComplex Claims Consultant - Financial Lines/Public D&OChicago, IllinoisResolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. Manages an inventory of highly complex litigated claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Trainee Casualty Claims Specialist First Chicago Insurance CompanyTrainee Casualty Claims SpecialistIL$27.88–$31.25 / hourThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. At the end of the training program, you will be expected to and able to successfully investigate, evaluate, negotiate, and resolve bodily injury, uninsured/underinsured motorist bodily injury, and medical payments claims.
Claims Consultant - Global Specialty Property Major Case The Hartford Insurance Group IncClaims Consultant - Global Specialty Property Major CaseNaperville, IL$84,800–$127,200 / yearFor full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Wi-Fi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 10Mbps/75Mbps will be required. The Hartford will make a direct contribution of $125 per month - with a lifetime maximum up to $10,000 - as a supplemental payment towards your student loan in order to help you manage the stress of student debt and help you pay down your student loan faster.
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistWoodridge, IllinoisSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Remote Claims Representative - 630669D Metro Public AdjustmentRemote Claims Representative - 630669DGary, INRemoteMetro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.
Remote Claims Representative - 11717 Metro Public AdjustmentRemote Claims Representative - 11717Gary, INRemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
Remote Claims Representative - 630669F Metro Public AdjustmentRemote Claims Representative - 630669FCrown Point, INRemoteMetro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.
Multi-Line Claims Adjuster - Illinois Provencher & Company, LLCMulti-Line Claims Adjuster - IllinoisChicago, ILWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
Claims Examiner - Liability | Multi State Jurisdiction | Auto, BI, PD, GL | Licensing: NY Preferred and Reciprocal required Sedgwick Claims Management Services, Inc.Claims Examiner - Liability | Multi State Jurisdiction | Auto, BI, PD, GL | Licensing: NY Preferred and Reciprocal requiredDowners Grove, ILRemote$65,000–$85,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Accounts Receivable Specialist - Medical Billing Bionic Prosthetics and OrthoticsAccounts Receivable Specialist - Medical BillingMerrillville, INBionic Prosthetics and Orthotics is seeking an Accounts Receivable Specialist specializing in older and outstanding insurance claims. This position is responsible for researching, tracking, and resolving aged insurance accounts to maximize reimbursement.
Trainee Casualty Claims Specialist First Chicago Insurance Company (FCIC)Trainee Casualty Claims SpecialistBedford Park, IL$27.88–$31.25 / hourThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. At the end of the training program, you will be expected to and able to successfully investigate, evaluate, negotiate, and resolve bodily injury, uninsured/underinsured motorist bodily injury, and medical payments claims.
Customer Service Representative - State Farm Agent Team Member Michael Johnson - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberChicago, ILFull timeAs a Customer Service Representative - State Farm Agent Team Member with Michael Johnson - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Lead Claim Examiner I Amtrust Financial Services IncLead Claim Examiner IOak Brook, ILThe Workers'' Compensation Examiner Lead is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans.
Reimbursement Specialist - Healthcare PhilipsReimbursement Specialist - HealthcareChicago, IL$26–$41 / hourYou're the right fit if: You've acquired 2+ years of experience in Accounts Receivable Management, Reimbursement, Collections, or Denial Management, with hands-on experience resolving denied and rejected insurance claims and working directly with payers. The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
Reimbursement Specialist (Healthcare) PhilipsReimbursement Specialist (Healthcare)Chicago, IL$26–$41 / hourYou're the right fit if: You've acquired 2+ years of experience in Accounts Receivable Management, Reimbursement, Collections, or Denial Management, with hands-on experience resolving denied and rejected insurance claims and working directly with payers. The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
Senior Technical Claims Specialist Argo Group International Holdings IncSenior Technical Claims SpecialistChicago, IL$173,706–$208,386 / yearEssential Responsibilities: Working with limited oversight under broad management direction, adjudicate highly complex claims and insurance coverage disputes mostly for our professional liability line of business, at the highest authority limits on assignments reflecting the highest degree of technical complexity and coordination in liability and litigated claims, potentially with major impact on departmental results. Qualifications / Experience Required: A deep knowledge of claims adjudication and focus on customer service typically achieved through: At least seven years' experience handling insurance coverage issues and disputes, with exposure of $100,000 or more, for Professional Liability claims.
Claims Specialist II - Workers Compensation Zurich Insurance Group LtdClaims Specialist II - Workers CompensationSchaumburg, ILPurpose: With moderate direction, handles workers compensation claims of low to moderate exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service. Designed with our employees needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable.
Auto Litigation Claims Specialist Zurich Insurance Group LtdAuto Litigation Claims SpecialistSchaumburg, ILDesigned with our employees needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. Document claims file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate exposure and complexity personal or commercial line claims.
Claims Associate - Liability Sedgwick Claims Management Services, Inc.Claims Associate - LiabilityChicago, ILRemote$65,000–$70,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Processes low level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.