Forensics - Insurance and Federal Claims Services - Grants - Senior Manager Ernst & Young Global LtdForensics - Insurance and Federal Claims Services - Grants - Senior ManagerChicago, IL$134,000–$305,900 / yearIf you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at ssc.customersupport@ey.com. This might include managing large projects for states and local governments, developing client relationships, developing and implementing engagement processes, working with stakeholders to resolve complex compliance issues and managing teams who undertake the monitoring of federally funded projects.
Claims Consultant - Ocean Marine (Hybrid) Onebeacon Professional Insurance IncClaims Consultant - Ocean Marine (Hybrid)Naperville, IL$143,000–$167,000 / yearWe currently have an opportunity for a Claim Consultant to join our Ocean Marine team based in our Plymouth, MN; Canton, MA; New York City, NY; Chicago, IL; Naperville, IL; Barrington, IL; Alpharetta, GA; Irvine, CA; Southfield, MI office on a hybrid schedule. In return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society.
Managing Director Strategic Claims Oversight - Healthcare Severity CNAManaging Director Strategic Claims Oversight - Healthcare SeverityChicago, Illinois$97,000–$189,000 / yearDevelops andmaintainscollaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legaldevelopmentsand other relevant business updates. . Responsible for the ongoing management of staff by attracting talent, setting clear direction, providingappropriate guidance, managing performance, recognizing contributions, and developingcapabilities.
NewSenior Technical Claims Specialist Argo Group International Holdings Ltd.Senior 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.
Complex Claims Specialist - Professional Liability (Real Estate) CNAComplex Claims Specialist - Professional Liability (Real Estate)Chicago, IllinoisPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Medical Only Claims Team Supervisor CCMSIMedical Only Claims Team SupervisorLisle, Illinois$70,000–$90,000 / yearAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.
Complex Claims Consulting Director - Mass Tort Unit CNAComplex Claims Consulting Director - Mass Tort UnitChicago, Illinois$97,000–$189,000 / yearManages an inventory of the most complex commercial claims, which generally involve multiple years of coverage, have significant loss exposure, by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations, investigations, and resolution strategies which may include pursuit of risk transfer, extensive negotiations and management of complex litigation. Drives the resolution of claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that often includes negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Claims Specialist - Property Philadelphia Insurance CompaniesClaims Specialist - PropertyNaperville, IL$84,422–$99,320 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Complex Claims Consultant/Specialist - Lawyers Professional Liability CNAComplex Claims Consultant/Specialist - Lawyers Professional LiabilityChicago, 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. Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Claims Consultant - Surety (Hybrid) Onebeacon Professional Insurance IncClaims Consultant - Surety (Hybrid)Chicago, IL$143,000–$167,000 / yearFor candidates located in San Francisco, CA; Washington DC; our Massachusetts based offices and the New York City metro area, the base salary range is $143,000 - $167,000. Some of the Claim Consultant responsibilities include but are not limited to: Makes timely and appropriate contacts and completes appropriate level of investigation to make determination of coverage, liability and damages for very complex and specialized claims.
Complex Claims Consultant - Hospitals , Allied Facilities and Physicians CNAComplex Claims Consultant - Hospitals , Allied Facilities and PhysiciansChicago, 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. Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
NewSenior 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.
NewComplex Claims Consultant - Healthcare Medical Malpractice CNAComplex Claims Consultant - Healthcare Medical MalpracticeChicago, Illinois$72,000–$141,000 / yearResolves 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. As a Complex Claims Consultant, you will be responsible for the overall investigation, management and resolution of claims in multiple states within your assigned jurisdiction including matters of different focus areas depending on the role available, that may involve nurses, therapists, counselors, dentists, aging services or other healthcare provider or facility insureds.
NewAdvisory Intern, Risk, Claims Recovery - Summer 2027 (Chicago, Dallas, Grand Rapids) BDO USA PCAdvisory Intern, Risk, Claims Recovery - Summer 2027 (Chicago, Dallas, Grand Rapids)Chicago, IL$40–$45 / hourThis role provides the opportunity to gain an understanding of the business by working on various stages of engagements, including areas of damages & lost profits, fraud analyses, client industry research and other matters as necessary. Job Duties: Participates in the quantification of client matters including damages & lost profits claims, product recall matters, data breaches/cyber security incidents, and other matters as required.
Claims and Research Analyst Zing HealthClaims and Research AnalystIL$64,000–$74,000 / yearMember-centric Impact Statement: From the first day of coverage through every claim and service interaction, Zing Core Operations is meant to reduce friction, fix problems quickly, and ensure members get the help and benefits they've earned-especially during high-stress moments. Supports claims editing escalated provider disputes/appeals and provides guidance across all areas of the company with regards to claims editing and proper coding, billing, and payment.
Complex Claims Director - TPA Oversight American International GroupComplex Claims Director - TPA OversightChicago, ILAs Complex Claims Director- TPA Oversight, you will analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution.
Complex Claims Consulting Director - Healthcare Severity & Excess team CNAComplex Claims Consulting Director - Healthcare Severity & Excess teamChicago, IllinoisCNA is a market leader in insuring Healthcare providers and entities including Allied Healthcare Facilities, Aging Services and Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists, and more than 100 other categories of medical service providers. This role is responsible for analyzing complex coverage matters, driving claim resolution, managing complex litigation including risk transfer opportunities, advising leadership on legal and claim risks, and partnering with Underwriting and other business units on emerging trends and portfolio management.
Workers'''' Compensation Senior Claim Representative The Hartford Insurance Group IncWorkers'''' Compensation Senior Claim RepresentativeNaperville, IL$62,400–$93,600 / yearCandidates who live near one of our office locations (Hartford, CT, Lake Mary, FL, San Antonio, TX, Las Vegas, NV, Naperville, IL or Scottsdale, AZ) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies.
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.
Zonal Claims Executive American International GroupZonal Claims ExecutiveChicago, IL$125,000–$166,000 / yearThe Zonal Claims Executive is the key enabler to promoting AIG Claims as a competitive differentiator by providing local resolution of complex claims issues and offering clients and brokers access to claims senior management. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.