Managing Director Strategic Claims Oversight - Healthcare Severity CNA Financial CorpManaging Director Strategic Claims Oversight - Healthcare SeverityDowners Grove, IL$97,000–$189,000 / yearDevelops 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.
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.
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.
MRSGM NA Logistics Liability Claims Manager- Third Party Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)MRSGM NA Logistics Liability Claims Manager- Third PartySchaumburg, ILWe are in search of an experienced insurance professional responsible for investigating, evaluating, and settling complex cargo liability 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 legal liability insurance policies, shipping regulations, and claims handling procedures. Direct day to day operations of the liability claims department and ensure that claims are processed within client and company guidelines including delegating workload and oversight for all processes and approvals within the department.
Complex Claims Consultant - Financial Lines/Public D&O CNA Financial Corp.Complex Claims Consultant - Financial Lines/Public D&ODowners Grove, IL$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: 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. Resolves 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.
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.
NewReconstruction Sales Paul Davis RestorationReconstruction SalesWaukegan, Illinois$80,000–$100,000 / yearWhether property damage is caused by water, fire, smoke, storms or other disasters, we deliver on our promise to deliver excellence, expertise and a customer experience that is second to none. We're looking for a driven Reconstruction Sales Rep who can connect with clients & insurance agents, navigate insurance processes, and see projects through from first call to final walkthrough.
NewClaims Specialist Liberty Mutual Holding Company IncClaims SpecialistHoffman Estates, ILAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. 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.
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.
Reconstruction Sales Paul Davis Restoration of Southeast WI & Northern ILReconstruction SalesWaukegan, ILFull timeWe're looking for a driven Reconstruction Sales Rep who can connect with clients & insurance agents, navigate insurance processes, and see projects through from first call to final walkthrough. Join Paul Davis Restoration, the industry leader in disaster recovery, and help homeowners and businesses rebuild after fire, water, and storm damage.
Lead Claim Examiner I AmTrust Financial Services, Inc.Lead Claim Examiner IOak Brook, IllinoisFull timeOverview: The 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.
NewSenior Claims Specialist - Professional Liability - Non-Profit D&O BerkleySenior Claims Specialist - Professional Liability - Non-Profit D&ONaperville, Illinois$135,000–$155,000 / yearWe are looking for a highly skilled claims professional who enjoys analyzing complex coverage issues, developing litigation strategies, collaborating with defense counsel, and delivering exceptional service to insureds and brokers. At Berkley Program Specialists, we are dedicated exclusively to program business and excel at partnering with program administrators who possess significant underwriting expertise for homogeneous, niche classes of business.
Commercial Claims Adjuster Associate - Auto (Hybrid) Amerisure Mutual Insurance CompanyCommercial Claims Adjuster Associate - Auto (Hybrid)Lisle, ILObtain and verify information by gathering missing or incomplete details from relevant parties, including policyholders, claimants, witnesses, and external vendors, to support accurate claim processing. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus.
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.
Surveillance Investigator Allied UniversalSurveillance InvestigatorWaukegan, Illinois$20–$23 / hourFull timeThe 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. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
NewEmployee Benefits Claims Coordinator MST Insurance Solutions, IncEmployee Benefits Claims CoordinatorSchaumburg, ILFull timeJob Title: Employee Benefits Claims CoordinatorClassification: Non-ExemptDepartment: Employee BenefitsLocation: Hybrid/Torrance, CA or Schaumburg, IL Reports to: Customer Service Manager OverviewUnder the direction of the Customer Service Manager, the Employee Benefits Claims Coordinator provides claims support and advocacy for clients and their employees. The Claims Coordinator works closely with the Customer Service Manager, Account Management Team, insurance carriers, providers, and employees to research and assist with the resolution of benefit claim issues.
Commercial No Fault PIP/ Med Pay Adjuster - Claims Specialist II Liberty Mutual Holding Company IncCommercial No Fault PIP/ Med Pay Adjuster - Claims Specialist IIHoffman Estates, ILAssesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Westborough, MA; Boston, MA; Weatogue, CT; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Chandler, AZ; Las Vegas, NV; Plano, TX; or Suwanee, GA.