NewInsurance Claims Specialist JobotInsurance Claims SpecialistCicero, IL$80,000–$100,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are a well-established, growing insurance company offering a great team, hybrid work environment, long-term stability and excellent career growth opportunities!
Claims Representative Senior - Commercial Liability Sentry InsuranceClaims Representative Senior - Commercial LiabilityEdwardsville, IL$74,900–$112,300 / yearAs a Senior Claims Representative on our Commercial Lines - Liability teams, you'll provide superior service by conducting prompt claim investigations, which includes evaluating coverage, determining liability, and settlement of damages. Evaluate physical damages and bodily injury claims, working closely with repair shops, medical providers, automobile appraisers, and/or contractors to facilitate necessary and related services or repair work.
Claims Examiner MedMal Diedre Moire Corp.Claims Examiner MedMalRockford, IL$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Medical Claims Investigator Claritev CorpMedical Claims InvestigatorNaperville, IL$50,000–$55,000 / yearThe incumbent will employ data mining and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.
Forensics - Insurance and Federal Claims Services - Insurance Adjuster - Manager Ernst & Young Global LtdForensics - Insurance and Federal Claims Services - Insurance Adjuster - ManagerChicago, IL$104,800–$192,300 / 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. EYs Forensics Insurance and Federal Claims Services practice specializes in helping clients achieve their financial recovery goals following disaster events such as hurricanes, fires, tornadoes, cyber incidents, and other catastrophic losses.
Forensics - Insurance and Federal Claims Services - Insurance - Manager Ernst & Young Global LtdForensics - Insurance and Federal Claims Services - Insurance - ManagerChicago, IL$104,800–$192,300 / 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. You will work alongside forensic accountants, valuation professionals, attorneys, risk managers, brokers, and insurers to develop and execute claim strategies, manage engagement teams, and support clients through all stages of the claims process.
Forensics - Insurance and Federal Claims Services - Insurance - Senior Ernst & Young Global LtdForensics - Insurance and Federal Claims Services - Insurance - SeniorChicago, IL$84,700–$139,800 / 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. You will work closely with clients, brokers, insurers, adjusters, attorneys, engineers, and other stakeholders to gather and evaluate claim-related information, assess financial impacts, and develop well-supported claim submissions.
Property Adjuster Insurance Claims Elevate Claims SolutionsProperty Adjuster Insurance ClaimsCarbondale, IllinoisElevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders.
Forensics - Insurance and Federal Claims Services - Grants - Manager Ernst & Young Global LtdForensics - Insurance and Federal Claims Services - Grants - ManagerChicago, IL$104,800–$192,300 / 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, leading interactions with local governments to support project development, verifying numerous aspects of compliance including transaction testing and programmatic requirements, and managing teams who undertake monitoring of federally funded projects.
Forensics - Insurance and Federal Claims Services - Grants - Senior Ernst & Young Global LtdForensics - Insurance and Federal Claims Services - Grants - SeniorChicago, IL$84,700–$139,800 / 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, leading interactions with local governments to support project development, verifying numerous aspects of compliance including transaction testing and programmatic requirements, and managing and participating in teams who undertake monitoring of federally funded projects.
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.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerIL$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
Seeking Retired Insurance Claims Professionals First Chicago Insurance Company (FCIC)Seeking Retired Insurance Claims ProfessionalsBedford Park, IL$41,600–$75,000 / yearThe Auto Liability Claims Specialist will possess previous experience in the investigation, determination of coverage, prompt evaluation of both First and Third Party auto property damage claims with an eye towards prompt, courteous and economical resolution of both First and Third Party related property damage claims. They 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.
Forensics - Insurance and Federal Claims Services - Grants - Experienced Staff Ernst & Young Global LtdForensics - Insurance and Federal Claims Services - Grants - Experienced StaffChicago, IL$65,000–$107,400 / 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 assisting with large grant projects for states and local governments, interacting with local governments to support project development, organizing and analyzing large volumes of information, and verifying numerous aspects of compliance including transaction testing and programmatic requirements.
Field Property Claims Adjuster-Champaign, IL Farmers Group, Inc.Field Property Claims Adjuster-Champaign, ILChampaign, ILRemote$23.22–$38.76 / hourPersonal contacts are a major part of activity and include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and all other persons incident to the investigation and processing of claims. Investigates, confirms coverage, determines liability, establishes damages, reports status and negotiates the settlement of assigned cases (has authority to make payment of assigned claims within prescribed limits).
Claims & Insurance Associate Summit School ServicesClaims & Insurance AssociateWarrenville, IL$60,000–$82,000 / yearAssisting our Customer Service Centers (CSC’s) and the claims TPA with the Company’s light duty and return to work (RTW) programs to ensure our injured employees receive the best attention and are assisted in their transition back to their roles: o Identifying light duty/transitional duty assignments that will allow an employee’s early return to work. This position will report to the Director of Liability Claims and will primarily be responsible for general support of the Risk and Insurance Department, with specific focus on working with the company’s field operations and the claims TPA to manage the company’s light duty and return to work programs.
MRSGM NA Logistics Claims Manager - First Party Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)MRSGM NA Logistics Claims Manager - First PartySchaumburg, ILWe are in search of an experienced insurance professional responsible for investigating, evaluating, and settling complex cargo damage claims by examining policies, gathering evidence, analyzing loss details, negotiating settlements with involved parties, and ensuring compliance with company guidelines, often handling high-value or intricate claims with a focus on minimizing losses; requiring strong knowledge of cargo insurance policies, shipping regulations, and claims handling procedures. Complex Claim Management - Leading the handling of large or complex cargo claims involving multiple parties, legal disputes, or significant financial exposure.
SIU Investigator Allied UniversalSIU InvestigatorChicago, Illinois$27–$32 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Investigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)IL$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Surveillance Investigator Allied UniversalSurveillance InvestigatorEffingham, IL$20–$23 / hourThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.
(Remote) Sr. Special Investigator Efinancial LLC(Remote) Sr. Special InvestigatorDes Plaines, ILRemote$91,545–$118,470 / yearProven ability to independently plan and conduct structured investigative interviews, including complex or adversarial interviews, with strong written communication skills and a demonstrated track record of producing investigative reports and case summaries used in regulatory or legal proceedings. Draft clear, concise, and well-supported fraud case summaries and investigative reports for SIU leadership, legal counsel, and compliance teams as well as reports to state departments of insurance and national fraud databases within required timeframes.
Field Investigator - SIU Auto-Owners Insurance GroupField Investigator - SIUIL$73,000–$93,000 / yearAdditional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program; student loan assistance program, a gym membership and fitness class reimbursement program and a company car. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
NewSurveillance Investigator The Robison GroupSurveillance InvestigatorSchaumburg, IllinoisThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
Full-Time Surveillance Investigator The Robison GroupFull-Time Surveillance InvestigatorWaukegan, IllinoisThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
Field Investigator - SIU Auto-Owners Insurance CompanyField Investigator - SIUMt Vernon, IllinoisAdditional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program; student loan assistance program, a gym membership and fitness class reimbursement program and a company car. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Claims Call Center Specialist Warrior Insurance NetworkClaims Call Center SpecialistBedford Park, IL$16–$22 / hourFull timeWhether 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.
Disability Claims Specialist AxelonDisability Claims SpecialistHometown, ILRemote$40–$50 / hourCommunicate proactively with claimants and representatives, demonstrating empathy and active listening. Interact and communicate effectively with claimants, customers, attorneys, brokers, and family members.
Reinsurance Claims Analyst Zurich Insurance Group LtdReinsurance Claims AnalystSchaumburg, ILThe role supports end-to-end review and analysis of reinsurance claims across multiple treaty structures, including Group and Single Parent Captive Treaties, Cyber and Miscellaneous E&O, and Large Property Treaties. Stakeholder and Operational Support: The role also serves as a key liaison with internal and external stakeholders by: Responding to Reinsurer and Captive Consultant inquiries and managing treaty notices and updates.
NewClaims Support Specialist - E. Peoria, IL Kaeppel ConsultingClaims Support Specialist - E. Peoria, ILEast Peoria, ILIn this role, you will provide administrative and operational support to claims professionals by processing documentation, maintaining claim files, communicating with customers and vendors, and ensuring timely and accurate claims handling. Duties and Responsibilities: Performs support and administrative functions, including answering phones, filing, copying/imaging, faxing, processing and distributing mail and supporting third party vendor relationships and processes.
Senior Fraud and Waste Investigator, Medicaid HumanaSenior Fraud and Waste Investigator, MedicaidIllinoisRemoteThe Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Make decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.
AVP - Claims Operations Ryan Specialty GroupAVP - Claims OperationsChicago, IllinoisThe AVP Claims Operations is responsible for managing the team of claims professionals, developing strategic plans to optimize claim outcomes and ensure effective claim advocacy and handling. Differences in race, creed, color, religious beliefs, physical or mental capabilities, gender identity or expression, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we provide our clients, trading partners, and communities.
Trainee Casualty Claims Specialist Warrior Insurance NetworkTrainee Casualty Claims SpecialistBedford Park, IL$27.88–$31.25 / hourFull timeThey 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.
NewClaims Call Center Specialist First Chicago Insurance CompanyClaims Call Center SpecialistIL$16–$22 / 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.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorChicago, ILPerforms sophisticated analyses of large-scale hard-copy and electronic data such as health care claims data, financial transaction data, accounting records, or bank records to develop investigative leads and to determine their potential relevance to the allegations at issue. • Performs analysis to clarify the target suspects or organizations pattern of operations to identify information relevant to the legal issues involved and to recommend valuable approaches to the AUSAs or other members of the investigative team.
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.
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.
Claims Specialist - Professional Liability Philadelphia Insurance CompaniesClaims Specialist - Professional LiabilityNaperville, IL$95,000–$105,000 / 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.
Commercial Auto Bodily Injury Claims Specialist First Chicago Insurance CompanyCommercial Auto Bodily Injury Claims SpecialistILcomplex claims including those involving coverage related property damage/total loss claims to prompt, courteous and fair closure of collision, comprehensive, rental, towing and property damage claims while maintain a reasonable expense factor. They 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.
AVP Applied AI, Claims The Hartford Insurance Group IncAVP Applied AI, ClaimsChicago, IL$182,400–$273,600 / yearEstablish and enforce evaluation, monitoring, and production readiness across solution types (classification, regression, retrieval/RAG/chat, forecasting), including metric taxonomies, thresholds, validation evidence, gold/synthetic test sets, A/B testing, drift detection, failure mode analysis, and incident response expectations. Be the senior business partner for Claims leaders: proactively understand short- and long-term goals, shape the problem statements, define success measures, and ensure solutions are adopted and embedded into core claim processes and colleague experiences.
AVP, Claims Account Manager Sompo International Holdings LimitedAVP, Claims Account ManagerChicago, IL$130,000–$190,000 / yearOur business, your impact, our opportunity: What you'll be doing: Build and manage relationships between claim operations, clients, brokers, and business partners to support strong service delivery and collaboration. This position will also support Sompo's Broker Claims Advocacy Council initiative, working with brokers, clients, and internal stakeholders to enhance claims servicing and strengthen broker relationships.
Field Claims Representative Solera Holdings LLCField Claims RepresentativeILOur 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff.
Property Claims Supervisor ICC Holdings, Inc.Property Claims SupervisorRock Island, ILRemoteThe Property Claims Supervisor is responsible for overseeing the establishment, maintenance, investigation, documentation, evaluation, negotiation and settlement of property claim files through the supervision of assigned inside and/or outside claims adjusting personnel as well as handling a limited personal caseload of property claims. Supervising, directing and evaluating the work of assigned claims adjusting personnel through continuous review of claims (open and closed) to ensure their adherence to departmental, statutory and regulatory claims handling requirements.
Senior Claims Specialist, Cyber AXA SASenior Claims Specialist, CyberIL$117,000–$184,400 / yearManaging assigned complex Cyber and Technology claims across multiple jurisdictions, setting the case strategy for these claims in partnership with the Cyber Practice Leader and Claims Management, and taking all available steps to achieve the optimal outcome. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business - property, casualty, professional, financial lines and specialty.
Claims Specialist, Cyber AXA SAClaims Specialist, CyberChicago, IL$83,500–$145,500 / yearCoordinating and managing communication with internal colleagues and key external stakeholders (e.g., clients, brokers, reinsurers, vendors, etc.) ensuring we are providing the highest level of customer service Responsive claims management in direct coordination with a diverse team of specialists: computer forensics, data breach notification and call center services, credit and ID monitoring, public relations and expert legal counsel. Managing assigned complex Cyber and Technology claims across multiple jurisdictions, setting the case strategy for these claims in partnership with the Cyber Practice Leader and Claims Management, and taking all available steps to achieve the optimal outcome.
Sr. Claims Counsel, Environmental and Design Professional Liability Sompo International Holdings LimitedSr. Claims Counsel, Environmental and Design Professional LiabilityChicago, IL$125,000–$175,000 / yearThe successful candidate will be able to provide insight and analysis on complex high profile/high exposure Architects & Engineers (Design Professional Liability) and Environmental (Contractors Pollution and Professional Liability, Site Environmental Liability and Excess Environmental Liability) claims. Our business, your impact, our opportunity: What you'll be doing: Provide coverage, liability, and damages analysis for complex environmental and professional liability claims, including Architects & Engineers, Construction Professional, and Pollution.
Senior Claims Counsel - Financial Institutions/Public D&O CNASenior Claims Counsel - Financial Institutions/Public D&OChicago, IllinoisThe position requires the ability to independently evaluate liability and coverage; proactively formulate and execute claim resolution strategies; and, without the assistance of counsel, attend mediations, navigate complex settlement dynamics and drive and influence best possible claim outcomes. The individual in this position will primarily focus on high severity D&O and E&O claims under policies issued to Public Companies as well as Financial Institutions such as large depository institutions, insurance companies, asset managers, private equity and venture capital firms and REITs.
Sr. Claims Advocacy Specialist Ryan Specialty GroupSr. Claims Advocacy SpecialistChicago, IllinoisThey represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the specialty insurance market. Differences in race, creed, color, religious beliefs, physical or mental capabilities, gender identity or expression, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we provide our clients, trading partners, and communities.
Claims Specialist - Professional Liability Westfield Insurance CoClaims Specialist - Professional LiabilityILWith a surplus of over $3 billion and an over 170-year history, Westfield combined their unprecedented financial strength, a stellar reputation, and ideal market conditions to the start-up opportunity that is Westfield Specialty. What you will do: • Be responsible for primary and excess lawyers, accountants, insurance agents and brokers, and architects and engineers professional liability claims from first notice through resolution, including coverage evaluation and litigation management.
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.
Total Loss Claims Specialist First Chicago Insurance CompanyTotal Loss Claims SpecialistIL$40,000–$58,000 / yearYour role involves investigating and evaluating total loss files for both insureds and third-party claimants, ensuring prompt follow-up on necessary documentation like signed titles to facilitate efficient salvage resolution. As a Full-Time Total Loss Claims Specialist at First Chicago Insurance Company (FCIC), you will review and determine the course of action for each assigned claim, leveraging your technical expertise to support the final disposition of losses.