Professional Accounts Receivable Specialist - EHS Patient Accounts - Full Time SolutionHealthProfessional Accounts Receivable Specialist - EHS Patient Accounts - Full TimeManchester, New HampshireThe Professional Accounts Receivable (AR) Specialist is responsible for timely and accurate billing, follow-up, and resolution of third-party payer claims including commercial insurance, Medicare, Medicaid, and government-assisted programs. Assist Denial and Payment Variance teams in researching, analyzing, and resolving denied or underpaid claims, including technical and administrative denials, and escalate complex issues when necessary.
NewMedical Front Desk Rep - Lynn, MA (Spanish Speaker) Gather HealthMedical Front Desk Rep - Lynn, MA (Spanish Speaker)Lynn, MA$18–$25 / hourGather's model achieves superior care by individualizing care and is reinforced by a three-prong approach: a unique care model quarterbacked by PCPs and supported by multi-disciplinary care teams, tailored Social Care Plans that are led by Gather Guides and facilitated by deeply rooted community partners, and a proprietary "Tech Enabled Home Model.". To address the needs of these clinically and socially complex patients, Gather Health's Social Primary Care solution is comprehensive and wholistic in nature, encompassing care and community within the four walls of Gather Health Centers and in the homes of its patients.
NewCommercial Auto Bodily Injury Claims Specialist Warrior Insurance NetworkCommercial Auto Bodily Injury Claims SpecialistBedford Park, ILFull timeFollow up as needed relative to obtaining of the properly signed title in order to resolve all salvage in a timely mannerWork directly with internal and external customers to develop evidence and establish facts on assigned claimsConduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage liability, status and damages that are applicable for each claimOrganize, plan and prioritize work activities to keep up with current assignments and to ensure prompt conclusion of claimsHonor/decline/negotiate first and third-party liability claims upon completion of coverage/policy investigation and analysis of damages and liabilityPrepare and present claim evaluations for the appropriate settlement authorityNotify the Underwriting Department of any adverse information uncovered in the course of the investigationFamiliar with unfair claim practices in states where doing businessConduct business with vendors in a manner with maintains a reasonable expense factor and upholds the company's reputation for quality serviceProvide customer service both to internal and external customersHandle other duties as assignedQUALIFICATIONS REQUIRED:5+ years previous Commercial Auto Claims Insurance experience A MUST!Excellent analytical, organizational, interpersonal and communication (verbal, written, phone) skillsGeneral working knowledge of policies, file procedures, state rules and regulationsAbility to pass written examinations where required by state statutes to become a licensed Claims AdjusterLitigation experience preferred. DUTIES & RESPONSIBILITIES:Review and determine course of action on each file assigned, utilizing technical knowledge and experience for the purpose of supporting final disposition of a lossInvestigate, prepare evaluation and settle total loss files for insures and claimants.
Inside Auto Claims Adjuster - Midwest Zone Allstate Insurance CompanyInside Auto Claims Adjuster - Midwest ZoneIL$50,000–$60,000 / yearWhat Allstate Provides: A technology bundle that includes all equipment needed to perform your work from home (laptop, monitor, headset, keyboard, mouse). From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
NewCommercial Auto Bodily Injury Claims Specialist First Chicago Insurance Company (FCIC)Commercial Auto Bodily Injury Claims SpecialistBedford Park, ILFull timeFollow up as needed relative to obtaining of the properly signed title in order to resolve all salvage in a timely mannerWork directly with internal and external customers to develop evidence and establish facts on assigned claimsConduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage liability, status and damages that are applicable for each claimOrganize, plan and prioritize work activities to keep up with current assignments and to ensure prompt conclusion of claimsHonor/decline/negotiate first and third-party liability claims upon completion of coverage/policy investigation and analysis of damages and liabilityPrepare and present claim evaluations for the appropriate settlement authorityNotify the Underwriting Department of any adverse information uncovered in the course of the investigationFamiliar with unfair claim practices in states where doing businessConduct business with vendors in a manner with maintains a reasonable expense factor and upholds the company's reputation for quality serviceProvide customer service both to internal and external customersHandle other duties as assigned QUALIFICATIONS REQUIRED:5+ years previous Commercial Auto Claims Insurance experience A MUST!Excellent analytical, organizational, interpersonal and communication (verbal, written, phone) skillsGeneral working knowledge of policies, file procedures, state rules and regulationsAbility to pass written examinations where required by state statutes to become a licensed Claims AdjusterLitigation experience preferred. DUTIES & RESPONSIBILITIES:Review and determine course of action on each file assigned, utilizing technical knowledge and experience for the purpose of supporting final disposition of a lossInvestigate, prepare evaluation and settle total loss files for insureds and claimants.
Claims Consultant - Advertising / Personal Injury CNAClaims Consultant - Advertising / Personal InjuryChicago, IllinoisIndividual contributor responsible for the overall strategic management and resolution of highly complex claims that involve personal and advertising injury exposures, including but not limited to intellectual property, class action, and commercial disparagement. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost-effective manner and ensuring timely issuance of disbursements.
General Liability Claims Consultant CNAGeneral Liability Claims ConsultantDowners Grove, IllinoisThis individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line(s) of business. Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
NewWorkers Compensation TPA Oversight Claims Consultant CNAWorkers Compensation TPA Oversight Claims ConsultantDowners Grove, Illinois$72,000–$141,000 / yearThis individual contributor position works under general direction, and within broad authority limits, to provide technical oversight of complex, high-exposure commercial Workers’ Compensation claims handled by Third-Party Administrators (TPAs). Success in this role requires the ability to lead through influence by setting expectations, partnering effectively with TPAs, clients, and internal stakeholders, and driving accountability for quality, compliance, and performance through consultative engagement and clear communication.
NewClaims Call Center Specialist Warrior Insurance NetworkClaims Call Center SpecialistBedford Park, IL$16–$20 / hourFull timeQualificationsRequiredPrior customer service experienceStrong verbal communication and phone skillsExcellent organizational and interpersonal skillsData entry and typing proficiency (minimum 30 WPM)Basic PC and computer navigation skillsAbility to multitask and work effectively in a fast-paced environmentPreferredAssociate or bachelor's degreePrior insurance, claims, or call center experienceBilingual skills are a plusWhy Join Warrior Insurance Network (WIN)?At Whether you bring prior insurance experience or a strong customer service background, Warrior Insurance Network (WIN) offers the training, development, and career growth opportunities needed to build a successful future in claims and insurance operations.
Property Claims Client Manager Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)Property Claims Client ManagerChicago, ILThe Property Claims Client Manager will deliver comprehensive Claim expertise throughout the entire Munich Re Claim Organization in order to lead efforts to provide significant financial contributions in core claim handling, strong relationship building in external client management, timely and insightful internal business support and competitively distinguishing Claim products and services. Build strong relationships with, anticipate challenges of and provide creative solutions for insureds; serve as a focal point of contact in coordinating MR US actions with respect to clients' property, energy, and engineering claim activity, consistent with the client centric focus of the MR Group, Business Units and Corporate Centers.
Senior/Lead Product Manager (Medhub) EvolutionIQSenior/Lead Product Manager (Medhub)Chicago, ILYou'll work across both EIQ and CCC product lines to develop and execute on an ambitious multi-year roadmap to deliver next-generation workflows, synthesis, insights, and decision guidance technologies to our broad shared customer base in Disability and P&C. As part of CCC Intelligent Solutions, a publicly traded technology company (NASDAQ: CCC) serving the P&C insurance industry, we combine EIQ's AI-native product development with CCC's 40 years of proprietary data and deep carrier relationships.
Senior/Lead Product Manager Evolution IQSenior/Lead Product ManagerChicago, ILYou''ll work across both EIQ and CCC product lines to develop and execute on an ambitious multi-year roadmap to deliver next-generation workflows, synthesis, insights, and decision guidance technologies to our broad shared customer base in P&C. As part of CCC Intelligent Solutions, a publicly traded technology company (NASDAQ: CCC) serving the P&C insurance industry, we combine EIQ''s AI-native product development with CCC''s 40 years of proprietary data and deep carrier relationships.
NewClaims Call Center Specialist First Chicago Insurance CompanyClaims Call Center SpecialistIL$16–$20 / hourWhether you bring prior insurance experience or a strong customer service background, Warrior Insurance Network (WIN) offers the training, development, and career growth opportunities needed to build a successful future in claims and insurance operations. Support departmental operations by processing tow bills, ordering police reports, mailing claim payments, handling unmatched mail, and completing other administrative tasks.
Senior Claims Representative Liberty Mutual Holding Company IncSenior Claims RepresentativeHoffman Estates, ILResponsibilities: Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.
APD - Rideshare Commercial Claims Auto Physical Damage Adjuster Liberty Mutual Holding Company IncAPD - Rideshare Commercial Claims Auto Physical Damage AdjusterHoffman Estates, ILResponsibilities: Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.
Cyber Claims Counsel At-Bay IncCyber Claims CounselChicago, IL$120,000–$150,000 / yearDesire to have an impact far deeper than just the claims that you manage by collaborating across the company to understand the risks our insureds face and consistently improve our underwriting technology and products. With 98% of cyber insurance claims in the past five years coming from small and mid-size businesses with revenue under $2B, providing an integrated solution to help manage risk is more critical than ever.
Financial Advisory Services - Consultant I Resolution EconomicsFinancial Advisory Services - Consultant IChicago, IllinoisAssisting with client engagements, including performing data- and document-intensive financial analysis and modeling/projections, strategic analysis, due diligence, valuation analysis, damage calculations and analysis, forensic accounting procedures, litigation support, intellectual property disputes, risk assessments and remediation, quality control analysis, and/or industry research. We perform detailed financial analyses, develop damages models, conduct business valuations using income, market, and asset-based approaches, and investigate allegations of financial fraud and accounting irregularities across industries such as technology, energy, healthcare, and hospitality.
Construction Claims Representative - Complex Claims Unit The Hartford Insurance Group IncConstruction Claims Representative - Complex Claims UnitNaperville, IL$56,391–$84,587 / yearRESPONSIBILITIES: Provide proactive communications and respond to inquiries from customers and business partners in the management of claims; Review and analyze complex policies and coverage parts; Write and articulate coverage positions; Conduct investigations regarding claims and/or lawsuits; Manage litigation with counsel and/or other carriers; Make liability and damages assessments; Pursue risk transfer against other liable parties and insurance carriers; Attend mediations and trials, as necessary; Keep management informed of claim developments; Manage expenses, reserves and financial transactions; QUALIFICATIONS: Strong verbal and written communication skills; Strong analytical, problem solving and critical thinking skills; Strong customer service and active listening skills; Strong time management and organization skills; Strong negotiation and conflict resolution skills; A desire to learn and grow and work as part of a team toward common goals; Proficiency in Microsoft Office applications, including Outlook, Word, Excel, PowerPoint, and Microsoft Teams, with the ability to effectively leverage these tools in a fast-paced professional environment. The Claim Representative will demonstrate the ability to proactively manage high excess and lower-exposure primary claims with an analytical focus, demonstrating the ability to comprehend and communicate facts, issues, and resolution strategies to management and other stakeholders.
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 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.