Post job

Claim processor jobs in Des Plaines, IL - 182 jobs

All
Claim Processor
Claim Specialist
Examiner
Claims Analyst
Medical Claims Analyst
Claims Representative
Liability Claims Manager
Claim Investigator
Senior Claims Analyst
Liability Claims Examiner
Claims Coordinator
  • Michigan Homeowners Claim Representative II

    The Auto Club Group 4.2company rating

    Claim processor job in Chicago, IL

    Michigan Homeowners Claim Representative II - AAA The Auto Club Group Reports to: Claim Manager IWhat you will do: Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements, and establish clear evaluation and resolution plans for claims. Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system. Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss. Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system. Utilize strong negotiating skills. Employees assigned to the Homeowner/CAT claim unit will handle claims generally valued between $5,000 and $25,000 (for the inside desk role) and up to $100,000 (for field role). Investigate claims requiring coverage analysis. When handling claims in the field, prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and update. Supervisory Responsibilities: None How you will benefit: A competitive annual salary between $64,000 - $72,000 ACG offers excellent and comprehensive benefits packages, including: Medical, dental and vision benefits 401k Match Paid parental leave and adoption assistance Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays Paid volunteer day annually Tuition assistance program, professional certification reimbursement program and other professional development opportunities AAA Membership Discounts, perks, and rewards and much more We're looking for candidates who:Required Qualifications (these are the minimum requirements to qualify) Education: Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience in property adjusting In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members. Experience: One year of experience or equivalent training in the following: Negotiating claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advance knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Knowledge of building construction and repair techniques Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines Work within assigned ACG Claim systems including basic PC software Perform basic claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound decision making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Research, analyze, and interpret subrogation laws in various states Strong negotiating skills Ability to work outside normal business hours as needed Preferred Qualifications: Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Xactimate software experience/training or experience in an equivalent software Claims adjuster experience specifically in home/property claims preferred Experience working within a customer service setting Call center experience or experience handling high volume calls preferred, but not required Excellent communication skills both oral and written Experience working within an insurance or claims-based role for one year or more Full claims cycle experience preferred Work Environment This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit *********** Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
    $64k-72k yearly 1d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

    Stout 4.2company rating

    Claim processor job in Chicago, IL

    At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.What You'll DoAs an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include: Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations. Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies. Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic. Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning. Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives. Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support. Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations. Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery. Continue developing technical, analytical, and consulting skills while building credibility with clients. Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement. Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team. What You Bring Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred. Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles. Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance. Epic Resolute or other hospital billing system experience preferred; Epic certification a plus. Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required. Additional certifications such as CHC, CFE, or AHFI preferred. Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization. Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred. Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act. Willingness to travel up to 25%, based on client and project needs. How You'll Thrive Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions. Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships. Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time. Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment. Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility. Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
    $30k-37k yearly est. 2d ago
  • Claims Examiner

    Arch Capital Group Ltd. 4.7company rating

    Claim processor job in Chicago, IL

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence. Responsibilities: * Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level * Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution * Review and analyze supporting damage documentation * Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions * Establish appropriate loss and expense reserves with documented rationale * Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines Experience & Qualifications * Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word * Knowledge of ImageRight preferred * Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions * Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines * Ability to work well independently and in a team environment * Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date. Education * Bachelor's degree preferred * 3-5 years' experience handling the process of commercial insurance claims #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $71,900 - $97,110/year * Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. * Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. 14400 Arch Insurance Group Inc.
    $71.9k-97.1k yearly Auto-Apply 4d ago
  • Multi-Line Claim Specialist (Auto and GL)

    Ccmsi 4.0company rating

    Claim processor job in Chicago, IL

    Multi-Line Claim Specialist (Auto and GL) Chicago-area candidates preferred. This remote role may be performed in states where CCMSI is authorized to hire. Pay transparency requirements are met for applicable jurisdictions. Schedule: Monday-Friday, 8:00 AM-4:30 PM CT Compensation: $75,000-$85,000 annually Build Your Career With Purpose at CCMSI At 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. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary The Multi-Line Claim Specialist (Auto & General Liability) is responsible for the full investigation, evaluation, negotiation, and resolution of assigned auto and general liability claims across multiple jurisdictions. This role supports multiple client accounts. This position is ideal for an experienced adjuster who believes that every claim represents a real person's livelihood, owns outcomes, and takes pride in delivering accurate, compliant, and timely claim resolutions. The role may also serve as an advanced career step for future leadership consideration. This is a true adjusting role. It is not an HR, consulting, or administrative position. The Specialist is accountable for end-to-end claim handling, decision-making, and results. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Investigate, evaluate, and adjust auto and general liability claims in compliance with corporate standards, client-specific handling instructions, and applicable state laws Establish reserves and provide reserve recommendations within assigned authority Review, approve, and negotiate medical, legal, damage, and miscellaneous invoices to ensure accuracy, reasonableness, and claim-relatedness Authorize and issue claim payments in accordance with established procedures and authority levels Negotiate settlements in alignment with corporate claim standards, jurisdictional requirements, and client expectations Coordinate with and oversee outside vendors, including legal counsel and other claim-related service providers Maintain accurate and timely claim documentation and diary management within the claim system Identify and monitor subrogation opportunities through resolution Communicate effectively and consistently with clients, claimants, attorneys, and internal partners Ensure compliance with corporate claim handling standards and audit expectations Provide timely notice of qualifying claims to excess or reinsurance carriers, when applicable Qualifications 10+ years of auto liability claim handling experience Demonstrated experience handling injury claims Strong analytical, negotiation, and decision-making skills Ability to manage workload independently in a fast-paced, multi-jurisdiction environment Excellent written and verbal communication skills Strong organizational skills with consistent attention to detail Reliable, predictable attendance during core client service hours Nice to Have Multiple state adjuster licenses Professional designations such as AIC, ARM, or CPCU Bilingual (Spanish) proficiency - This role may involve communicating with injured workers, employers, or vendors where Spanish-language skills are beneficial but not required. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #ClaimsJobs #LiabilityAdjuster #AutoClaims #RemoteJobs #InsuranceCareers #ChicagoJobs #LI-Remote
    $75k-85k yearly Auto-Apply 11d ago
  • Lead Claim Examiner I

    Amtrust Financial Services, Inc. 4.9company rating

    Claim processor job in Chicago, IL

    The Lead Claims Examiner 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. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of AmTrust and the Claims organization. Responsibilities Follows AmTrust policies and procedures in managing claims. Investigates the claim and coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured, claimant, witnesses and medical providers. Evaluates, establishes, maintains and adjusts reserves based on fact, company standard and experience. Skillfully negotiates claims, turning adverse perspectives into quick resolution. Gains trust of other parties to negotiations and demonstrates good sense of timing. Approaches discussions from merits or strengths of case. Leverages strong critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues. Establishes effective relationships with internal or assigned counsel for customized defense plan. Applies company principles and standards including planning, organizing and monitoring legal panel services and cost in partnership with internal legal counsel. 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. Obtain medical records (past and present), police, ambulance and other agency reports as required. Provides insights and input when reviewing claims of others. May be sought out by others for advice. Writes in a clear, succinct and fact-based manner in claims files as well as in other communication. Manages mail and diary entries effectively and efficiently. Provides exceptional customer service. Performs other functional duties as requested or required. Qualifications Required: 3+ years experience as a Workers Comp adjuster MS Office experience (Work, Excel, Outlook) Effective negotiation skills Strong verbal and written communication skills Ability to prioritize work load to meet deadlines Ability to manage multiple tasks in a fast-paced environment This is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time The expected salary range for this role is $66,900-$93,000 annual. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future. Not ready to apply? Connect with us for general consideration.
    $29k-40k yearly est. Auto-Apply 19h ago
  • Claims Innovation - Senior Analyst - Casualty or Commercial PD

    Geico Insurance 4.1company rating

    Claim processor job in Chicago, IL

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. About GEICO The Government Employees Insurance Company (GEICO) is a private American auto insurance company with headquarters in Chevy Chase, Maryland. GEICO is a wholly owned subsidiary of Berkshire Hathaway and is the third largest auto insurer in the United States. In 2023, GEICO earned premiums worth over $40 billion U.S. dollars. GEICO is going through a massive digital transformation to re-platform the Insurance industry, removing friction across Customers, Partners, Marketplace, Segments, Channels, and Experiences as we grow our reach and market share. About The Role GEICO is hiring a Innovation Analyst to join their Claims Innovation team. As an Innovation Analyst, you will support GEICO's Claims Innovation team in identifying, analyzing, and implementing opportunities to improve processes and technology. This role partners with cross-functional teams to deliver innovative solutions that enhance efficiency, accuracy, and customer experience. Responsibilities: * Evaluate and analyze existing claims processes, data, and performance metrics to identify areas of opportunity for efficiency, effectiveness, or accuracy * Gather and analyze data to provide insights into claims processes and performance metrics * Support the development of actionable strategies and assist in implementing process and technology enhancements. * Assist the Director, Claims Innovation in establishing priorities, goals, and objectives * Collaborate with Operations, Product, AI/ML, and Engineering teams to define and prioritize requirements. * Prepare reports and presentations summarizing findings, recommendations, and project progress. * Contribute to and/or lead pilot programs, POC's, or A/B testing and reporting on performance and progress * Participate in innovation workshops, ideation sessions, and design sprints. * Monitor project risks, benefits, and performance metrics; escalate issues as needed. * Stay informed on industry trends, emerging technologies, and best practices. About You Skills & experiences: * 3+ years of experience in business process optimization, business analysis, consulting, innovation, or process engineering. * Leadership experience in P&C insurance claims * Bachelor's degree in Business, Finance, Economics, Statistics, or related field. * Knowledge of innovation methodologies, processes, and principles * Strong analytical skills and ability to interpret data for decision-making. * Effective communicator with strong collaboration skills. * Demonstrated ability to adapt and learn in a fast-paced environment. * Commitment to diversity, equity, and inclusion. Leadership qualities: * Leads from the front and isn't shy about using their voice * Ability to lead and influence with empathy and humility * Ability to navigate and lead through complexity * Curiosity, critical thinking skills; a lifelong learner who sees situations through multiple lenses * Exceptional character and an ability to instill confidence and build trust. Someone who possesses high emotional intelligence, and is an attentive, empathetic listener Location: Remote, or available office #LI-HB1 Annual Salary $82,000.00 - $172,200.00 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. * Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. * Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. * Access to additional benefits like mental healthcare as well as fertility and adoption assistance. * Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $82k-172.2k yearly Auto-Apply 43d ago
  • Claims Examiner

    Canopius

    Claim processor job in Chicago, IL

    The Role Provides oversight of personal and commercial lines property claims, including review and approval of claims exceeding the TPA's authority. Analyses coverage and ensures that appropriate coverage letters are sent by the TPA. Participates in audits of assigned TPAs and ongoing review of monthly reports. Works with underwriting to provide relevant information on claims, coverage and agents. Responsibilities Review claims submitted by TPAs and authorize reserves and payments where those amounts exceed the TPA's authority Provide guidance to TPAs to ensure proper investigation and timely, equitable disposition of claims, including retention of experts and/or attorneys where needed Assist TPA with coverage analysis, seeking underwriting assistance where appropriate Review and approve reservation of rights and coverage denial letters to ensure accuracy and consistency in coverage analysis Review claims to ensure appropriate reserve levels and that changes are made on a timely basis Refer claims in excess of authority to supervisor Prepare notification to underwriters and reinsurers for large or contentious claims Review and approve TPA funding requests within authority Participate in claim file audits to monitor TPA performance Assist with preparation of reports for underwriting, agents, insureds or state agencies as needed Occasional travel Other duties as assigned Skills and Experience Bachelor's degree or the equivalent in related work experience; five or more years of progressive technical claim experience is required Thorough technical knowledge of commercial property claims practices and procedures; some D&F claim experience is preferred. Thorough technical knowledge of commercial property coverage forms; first party commercial auto knowledge a plus. Thorough functional knowledge of Microsoft Office tools, including Word and Excel Willingness to learn and handle other lines of business based on workload and need Self-starter with the desire to work in a collaborative environment and provide insight and feedback to other departments Detail-oriented service professional with the ability to communicate effectively with adjusters, co-workers and clients Strong analytical skills Strong verbal and written communication skills Good mathematical skills with ability to compute rate, ratio and percent and to draw and interpret bar graphs and tables. Strong attention to detail and focused on the delivery of high-quality work Highly motivated, enthusiastic and structured working style Claims Evaluation Claims Negotiation Claims Strategy Communication Customer Relationship Management Local Market / Policy Knowledge Portfolio Management Reading Comprehension Third-Party Management TPA / DCA Management Salary Range: $80,000 - $100,000
    $27k-44k yearly est. Auto-Apply 6d ago
  • Trucking Claims Specialist

    Berkshire Hathaway 4.8company rating

    Claim processor job in Rosemont, IL

    Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking Claims Specialist to join our P&C Claims Casualty team. This role will report to the AVP of Claims and is responsible for investigating and resolving commercial auto liability and physical damage claims, with a focus on trucking exposures. The ideal candidate will bring strong analytical skills, sound judgment, and a commitment to delivering high-quality claims service. Key Responsibilities Investigate and resolve commercial auto liability and physical damage claims involving trucking exposures. Review and interpret policy language to determine coverage and consult with coverage counsel when needed. Manage a caseload of moderate to high complexity and exposure, applying effective resolution strategies. Communicate with insureds, claimants, attorneys, body shops, and law enforcement to gather relevant information. Collaborate with defense counsel and vendors to support litigation strategy and recovery efforts. Ensure claims are handled accurately, efficiently, and in alignment with service and regulatory standards. Participate in file reviews, team meetings, and ongoing training to support continuous learning. Salary Range $95,000.00-$145,000.00 USD The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. Qualifications Minimum of 3 years of trucking industry experience. Experience with bodily injury and/or cargo exposures. Familiarity with trucking operations, FMCSA/DOT regulations, and multi-jurisdictional claims practices. Strong analytical and negotiation skills, with the ability to manage multiple priorities. Proven ability to manage sensitive and high-stakes situations with accuracy and professionalism. Possession of applicable state adjuster licenses. Juris Doctor (JD) preferred; alternatively, a bachelor's degree or equivalent experience in insurance, risk management, or a related field.
    $34k-39k yearly est. Auto-Apply 12d ago
  • Auto Casualty Claims Specialist

    First Chicago Insurance Company (FCIC

    Claim processor job in Oak Brook, IL

    Are you unhappy at your present job? ? Is it time for a change? Are you an experienced Auto Bodily Injury Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities? If you answered YES to the above, it's time to talk to First Chicago Insurance Company! We offer: * Competitive Salaries * Excellent benefits * Growth opportunities! Apply only if you consider yourself a career professional who loves to work, because we work hard here! If you are an experienced AUTO CLAIMS PROFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFESSIONAL!! We are seeking an experienced Auto Bodily Injury Claims Specialist! The Auto Bodily Injury Claims Specialist will be responsible for investigating and settlement of automobile bodily injury 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. DUTIES & RESPONSIBILITIES: * Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss * Conduct 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 claim * Process Bodily Injury, and coverage claims in accordance with established office procedures * Work closely with Third Parties, plaintiff counsel, Claim Director and Chief * Operating Officer to determine necessary injury and coverage investigation * Research case and statutory law in order to conduct proper claim investigation * Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims * Prepare and present claim evaluations for the appropriate settlement authority * Maintain reasonable expense factors * Handle other duties as assigned QUALIFICATIONS REQUIRED: * 3-5 Years in Auto Casualty claims experience a MUST! * Non-Standard Auto Claims experience a plus, not required * Knowledge of legal and medical terminology * Excellent negotiation, communication, written, organizational and interpersonal skills * Ability to pass written examinations where required by state statutes to become a licensed claims adjuster * Proficiency in Microsoft Office products First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive: * Competitive Salaries * Commitment to your Training & Development * Medical and Dental and Vision Reimbursement * Short Term Disability/Long Term Disability * Life Insurance * Flexible Spending Account * Telemedicine Benefit * 401k with a generous company match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Wellness Program * Fun company sponsored events * And so much more! Estimated Compensation Range: $54,750/year-$97,500/year* * Published ranges are estimates. Offered compensation will be based on experience, skills, education, certifications, and geographic location.
    $54.8k-97.5k yearly 22d ago
  • Auto Casualty Claims Specialist

    Warrior Insurance Network

    Claim processor job in Oak Brook, IL

    Job Description Are you unhappy at your present job? ? Is it time for a change? Are you an experienced Auto Bodily Injury Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities? If you answered YES to the above, it's time to talk to Warrior Insurance Network! We offer: Competitive Salaries Excellent benefits Growth opportunities! Apply only if you consider yourself a career professional who loves to work, because we work hard here! If you are an experienced Auto CLAIMS PROFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFESSIONAL!! The Auto Bodily Injury Claims Specialist will be responsible for investigating and settlement of automobile bodily injury 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. DUTIES & RESPONSIBILITIES: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss Conduct 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 claim Process Bodily Injury, and coverage claims in accordance with established office procedures Work closely with Third Parties, plaintiff counsel, Claim Director and Chief Operating Officer to determine necessary injury and coverage investigation Research case and statutory law in order to conduct proper claim investigation Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims Prepare and present claim evaluations for the appropriate settlement authority Maintain reasonable expense factors Handle other duties as assigned QUALIFICATIONS REQUIRED: 3-5 Years in Auto Bodily Injury/Casualty claims experience a MUST! Non-Standard Auto Claims experience a plus, not required Knowledge of legal and medical terminology Excellent negotiation, communication, written, organizational and interpersonal skills Ability to pass written examinations where required by state statutes to become a licensed claims adjuster Proficiency in Microsoft Office products Warrior Insurance Network (WIN) provides a competitive benefits package to all full- time employees. Following are some of the perks Warrior Insurance Network (WIN) employees receive: Competitive Salaries Commitment to your Training & Development Medical and Dental and Vision Reimbursement Short Term Disability/Long Term Disability Life Insurance Flexible Spending Account Telemedicine Benefit 401k with a generous company match Paid Time Off and Paid Holidays Tuition Reimbursement Wellness Program Fun company sponsored events And so much more! Estimated Compensation Range: $54,750/year-$97,500/year* *Published ranges are estimates. Offered compensation will be based on experience, skills, education, certifications, and geographic location. Job Posted by ApplicantPro
    $54.8k-97.5k yearly 20d ago
  • Claim Examiner Commercial Auto Bodily Injury

    The Jonus Group 4.3company rating

    Claim processor job in Chicago, IL

    Claims Examiner - Commercial Auto Bodily Injury Seeking a dedicated and experienced Claims Examiner specializing in Commercial Auto Bodily Injury to join a team. This role involves managing and resolving claims with a focus on accuracy, efficiency, and exceptional service. The position operates in a hybrid work environment, requiring three days per week onsite at one of the office locations. Compensation Package Salary Range: $85,000 - $110,000 per year Bonus: Up to 10% annual bonus Comprehensive Benefits Package: Medical, dental, and vision insurance Flexible spending and health savings accounts Group life and AD&D insurance (2x base salary) Voluntary life, critical illness, and accident insurance Short-term and long-term disability benefits Work-Life Balance: Paid time off (PTO) and holidays Paid volunteer time off (VTO) Parental and family care leave Flexible and hybrid work arrangements Fitness center discounts and free virtual fitness platform Employee assistance program Professional Development: Training and certification opportunities Tuition reimbursement Education bonuses Responsibilities Investigate, analyze, and manage new and reassigned bodily injury claims for coverage, liability, damages, and reserves. Handle subrogation and arbitration processes. Oversee appraisers, investigators, adjusters, and experts as needed. Maintain and document claim files to ensure proper coverage and resolution. Occasionally handle cargo claims for consumer products. Participate in special projects as assigned. Qualifications/Requirements Bachelor's degree in business administration, insurance, or a related field. Minimum of 5 years of experience in auto claim handling. At least 5 years of experience in litigation handling, including mediation and trial observation. Proven expertise in managing trucking, bus, and/or commercial auto claims. AIC or CPCU designation is preferred. Strong communication and negotiation skills. Detail-oriented with excellent organizational abilities. Self-motivated and proactive in claim investigation and resolution. #LI-BC1
    $26k-39k yearly est. 32d ago
  • Claims Specialist - Primary Casualty

    Axis Capital Holdings Ltd. 4.0company rating

    Claim processor job in Chicago, IL

    This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process. Senior Specialist I, Claims Technician Job Code 13575 About the Team AXIS is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves managing primary claims for AXIS U.S. Primary Casualty policies. How does this role contribute to our collective success? The individual will manage claims by investigating, analyzing, and evaluating coverage and for liability third-party primary casualty claims. What Will You Do In This Role? Assessing claims within a specialized area to determine coverage, liability, and settlement value. Evaluating coverage and claim exposure, determining appropriate actions, and pursuing claims until resolution. Setting accurate and timely claim reserves and make referrals to Claim Manager where necessary Managing the lifecycle of a claim from notification to closure, ensuring timely and accurate resolution. Reviewing relevant policies, validating coverage for claims by analyzing policy wordings, and escalating identified issues for further resolution. Drafting coverage positions to be reviewed and approved by Claim Manager Working closely with Insureds, Claimants, attorneys and brokers ensuring a premier and best practices claim service is maintained, escalating issues as appropriate About You We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals. What We're Looking For Be recognized as a subject matter expert in claims within their area of specialization. Possess the ability to interpret and apply policy provisions accurately in various claim scenarios. Be capable of coordinating with teams to review and enhance claims processes effectively. Have the skill to manage the complete lifecycle of a claim with attention to detail and accuracy. Be adept at collaborating with external parties to gather information and resolve claims. Show a commitment to continuous professional development in the field of claims management. Be able to implement strategies aimed at improving claims handling efficiency and customer satisfaction. Demonstrate the ability to document claim activities and decisions comprehensively for audit support. Role Factors This role requires you to be in the office 3 days per week and adhere to AXIS licensing requirements What We Offer For this position, we currently expect to offer a base salary in the range of $75,000 to $130,000. Your salary offer will be based on an assessment of a variety of factors including your specific experience and work location. In addition, you will be offered competitive target incentive compensation, with awards based on overall corporate and individual performance. On top of this, you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more. Where this role is based in the United States of America, this role is Exempt for FLSA purposes. About Axis This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process. AXIS Persona AXIS Capital seeks professionals who thrive in a dynamic, high-performing environment grounded in humility and mutual respect. We employ those who exemplify our core values of People, Excellence, Decisiveness, and Stronger Together. We are a team characterized by integrity and self-discipline, striving for continuous improvement and driven to achieve ambitious results. Our focus is on hiring, developing, retaining, and rewarding individuals who excel in: Purposeful Action: Delivering top-tier work with a data-driven approach and operating at AXIS speed. Collaborative Decision-Making: Valuing input from all relevant groups and being open to debate. Able to leave their ego at the door and be committed to achieving results through teamwork, fully supporting decisions once made. Measuring Outcomes: Consistently evaluating performance against established expectations. The AXIS employee will cultivate a collaborative workplace atmosphere, fostering trust within the team. We believe in respectful challenges, presuming best intent, and building meaningful relationships with colleagues, customers, and the communities we serve. Joining our team means becoming part of a workplace where every individual's contributions are valued, and excellence is pursued with purpose and passion. Together, we elevate our standards, achieve ambitious results, and make a lasting impact on each other and those we serve
    $75k-130k yearly Auto-Apply 9d ago
  • Claims Processor

    Napleton Automotive Group 4.5company rating

    Claim processor job in Oakbrook Terrace, IL

    The Ed Napleton Automotive Group is looking for our next Claims Processor. This is an exciting opportunity in a growing, fast-paced industry. Located in Oakbrook Terrace, the Claims Processor works with our Warranty team reviewing and completing warranty claims. This includes preparing, recording, reconciling warranty claims and submitting them to the appropriate party. Take advantage of this rare opportunity to join one of the country's largest and most successful automotive dealership groups and Apply Today! The Ed Napleton Automotive Group is affiliated with over 25 brands of new vehicles and 50+ dealerships throughout seven states. Our strength comes from the more than 3,500 employees nationwide. We are currently the tenth largest automotive group in the country, providing incredible growth opportunity. What We Offer: Pay - $19.00 per hour Flexible hours Monday- Friday 7:30am to 4:30pm, or 9am to 6pm Opportunity to work remotely after training (Candidates must be local, as training is in person in Oakbrook Terrace, IL) Medical, Dental, Vision Insurance, and 401K For additional benefit information please go to : NapletonCorpFlorida.MyBenefitsLibrary.com Paid Vacation and Sick time Paid Training. Discounts on products, services, and vehicles Opportunity to grow into a full-time Warranty Administrator Family Owned and Operated- 90+ years in business! Job Responsibilities: Obtain certain information / data from the dealership personnel. Accurately entering information into various computer programs. Analyzing the data for errors. Work closely with co-workers in the department and maintain a team-oriented environment. Organizing files and collecting data to be entered into the computer. Reporting problems with the data to the department manager. Keeping sensitive customer or company information confidential. Other duties as assigned. Job Requirements: 1-2 years of data entry experience Speed, accuracy, and attention to detail are essential for this role. Experience working with Excel Tech Savvy, able to learn and use technology. 18+ years of age or older to comply with the company driving policy We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws
    $19 hourly Auto-Apply 6d ago
  • Associate Claims Specialist - Workers Compensation - Central Region

    Liberty Mutual 4.5company rating

    Claim processor job in Hoffman Estates, IL

    Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Claims Specialists within the Central Region! As a Workers Compensation Claims Specialist, the successful candidate will join a dedicated Claims Team, utilizing the latest technology to manage a caseload of routine to moderately complex claims. Responsibilities include investigating claims, assessing liability and compensability, evaluating losses, and negotiating settlements. The role involves interactions with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. Training is a critical component of your success, and that success starts with reliable attendance. Attendance and active engagement during training are mandatory. Training will require 1 week in our Plano, TX office onsite in February 2026. This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I, or a Workers Compensation Claims Specialist II. The salary range posted reflects the range for the varying pay scale across various locations. To be considered for this position, candidates must reside within 50 miles of Hoffman Estates, IL, or Indianapolis, IN, and will be required to work in the office twice a month. Candidates located in Ohio, Montana, and Virginia are eligible for 100% remote work, as we do not have claims offices in these states. Please note that this policy is subject to change. Responsibilities * Manages an inventory of claims to evaluate compensability/liability. * Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. * Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages. * Assesses 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. * Evaluates actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. * Performs other duties as assigned. Qualifications * Effective interpersonal, analytical and negotiation abilities required * Ability to provide information in a clear, concise manner with an appropriate level of detail * Demonstrated ability to build and maintain effective relationships * Demonstrated success in a professional environment; success in a customer service/retail environment preferred * Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent * Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory * Licensing may be required in some states About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. 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. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco
    $55k-76k yearly est. Auto-Apply 5d ago
  • Liability Claims Specialist (Construction Defect)

    CNA Financial Corp 4.6company rating

    Claim processor job in Chicago, IL

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage third party liability construction defect commercial claims with moderate to high complexity and exposure. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s). JOB DESCRIPTION: Essential Duties & Responsibilities: Performs 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. * Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information. * Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. * 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. * Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims. * Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate. * Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. * Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation. * Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements. * Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. * May serve as a mentor/coach to less experienced claim professionals May perform additional duties as assigned. Reporting Relationship Typically Manager or above Skills, Knowledge & Abilities * Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices. * Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed. * Demonstrated ability to develop collaborative business relationships with internal and external work partners. * Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions. * Demonstrated investigative experience with an analytical mindset and critical thinking skills. * Strong work ethic, with demonstrated time management and organizational skills. * Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity. * Developing ability to negotiate low to moderately complex settlements. * Adaptable to a changing environment. * Knowledge of Microsoft Office Suite and ability to learn business-related software. * Demonstrated ability to value diverse opinions and ideas Education & Experience: * Bachelor's Degree or equivalent experience. * Typically a minimum four years of relevant experience, preferably in claim handling. * Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience. * Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. * Professional designations are a plus (e.g. CPCU) #LI-KP1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
    $54k-103k yearly Auto-Apply 23d ago
  • Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

    Stout Risius Ross 4.1company rating

    Claim processor job in Chicago, IL

    At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.What You'll DoAs an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include: Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations. Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies. Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic. Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning. Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives. Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support. Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations. Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery. Continue developing technical, analytical, and consulting skills while building credibility with clients. Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement. Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team. What You Bring Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred. Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles. Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance. Epic Resolute or other hospital billing system experience preferred; Epic certification a plus. Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required. Additional certifications such as CHC, CFE, or AHFI preferred. Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization. Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred. Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act. Willingness to travel up to 25%, based on client and project needs. How You'll Thrive Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions. Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships. Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time. Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment. Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility. Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. ***************************************** The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - *****************************************.
    $40k-50k yearly est. Auto-Apply 15d ago
  • Cargo Claims Coordinator

    Hub Group 4.8company rating

    Claim processor job in Oak Brook, IL

    The Claims Coordinator collaborates extensively with other departments, customers and insurance adjusters in order to mitigate risk, reduce costs, and provide best in class service to Hub Group's customers. In performing this job, the Claims Coordinator is responsible for managing, opening and closing property damage, freight, inventory variance, insurance, and legal claims received by our customers. Essential Job Functions: Responsible for the intake and processing of all assigned customers and claims. Support management of email inboxes for clients and customers. Assemble documents and information relating to assigned claims. Provide status updates to customers and appropriate internal stakeholders. Develop and distribute internal reports, tracking and analytics. Pursue recovery of claims payments from third party service providers. Analyze data after entering incidents, notice of intent and claims, into the claims database, from customers, shippers, consignees and carriers relating to property damage and cargo loss incidents. Work within company guidelines to analyze contractual agreements of the customer, shipper, consignee or carrier and then assess the physical damage reports. Communicate with customers, carriers, and internal stakeholders regarding claim filings and/or denied claims. Investigation claims, gather evidence and preserve information in a timely manner. Negotiate and determine settlements and claim resolutions, process payment requests and final case paperwork following discussion of valid claims with customers, carriers and appropriate Hub personnel. Duties, responsibilities, and activities may be assigned or changed from time to time. Minimum Qualifications: Strong organizational and customer service skills 1-2 years claims handling experience Experience with final mile claims preferred but not required Proficiency in MS Office, including Excel, and with web-based applications, claims database software and the ability to determine trend analysis and produce reports to support findings Salary: $17/hr - $20/hr This is an estimated range based on the circumstances at the time of posting, however it may change based on a combination of factors, including but not limited to skills, experience, education, market factors, geographical location, budget, and demand. Benefits We offer a comprehensive benefits plan including: Medical Dental Vision Flexible Spending Account (FSA) Employee Assistance Program (EAP) Life & AD&D Insurance Disability Paid Time Off Paid Holidays
    $17 hourly Auto-Apply 16d ago
  • Professional Liability Claims Analyst

    Omsnic

    Claim processor job in Schaumburg, IL

    At OMS National Insurance Co., our mission is simple. We are dedicated to serving and protecting oral and maxillofacial surgeons and dental professionals nationwide. If you wish to be part of a growing, well-respected industry leader, OMSNIC could be the right place for you. We offer a robust array of benefits to support our employees- generous PTO, long-term incentive plan, affordable and comprehensive benefits plans, a hybrid work schedule, tuition assistance, and opportunities to advance your career. What makes us special is our collaborative culture and the impact we make as a team. Claims Analysts have direct contact with our policyholders and are regarded as trusted partners, managing an assigned caseload of claims. This includes the investigation, evaluation, and resolution of both pre-litigation and litigated matters. ESSENTIAL DUTIES AND RESPONSIBILITIES: Evaluate coverage Assign and collaborate with defense counsel Review and analyze medical records Investigate and evaluate issues of liability, causation, and damages, proactively moving the files toward resolution Participate in the formulation of case strategy Negotiate claims in a settlement posture Evaluate indemnity and expense reserves Prepare comprehensive claims reports Present claims to management and for internal review Keep policyholders informed of the status Timely and accurately document claims files Help maintain claim file data for accurate reporting Review and approve bills General: Planning and participation in Risk Management and Defense Counsel Seminars Contribute to departmental and company goals, initiatives and projects May attend or participate in training and development programs May participate in the training and development of new hires Education and Experience: Bachelor's Degree required; might consider a demonstrated equivalent professional experience Minimum 3 years' experience in the legal, insurance, or medical professional liability claims management field Working understanding of medical records Microsoft Office Suite proficiency with emphasis on Word, Excel, and PowerPoint Competencies: Strong organizational and time management skills, ability to meet deadlines Effective written and oral communication skills to provide information in a clear and concise manner and to communicate with a variety of stakeholders Effective analytical and critical thinking skills to analyze facts and draw conclusions to make recommendations and resolve issues Ability to prepare robust reporting yet provide a broad scope overview and summary, when appropriate Superior customer service skills and ability to actively listen Strong interpersonal skills with ability to interact with policyholders, legal professionals, management, co-workers, agents, committee and board members, and external vendors Strong mediation and negotiation skills Work Requirements & Physical Demands: Occasional travel will be required Occasionally might lift, carry, or otherwise move and position objects weighing up to 10 pounds Frequently sits for long periods of time Work Environment: Performs work in an office environment (hybrid opportunity at manager's discretion) Salary : $70,000 to $120,000, depending on experience Benefits: Medical, Dental, and Vision Insurance 401(k) Short and Long-term disability Life Insurance Employee Assistance Program Free onsite fitness center membership Long-term incentive plan Educational Assistance and rewards program Paid Time Off Paid Holidays Paid parental leave #LI- Hybrid
    $35k-57k yearly est. Auto-Apply 50d ago
  • Claims Analyst II

    Csengineering

    Claim processor job in Chicago, IL

    Job Description Claims Analyst II **Future Opportunity** CSEngineering is looking to add a Claims Analyst II to our growing team! The CA II shall provide expert claims analysis and litigation support for construction projects at a VA Medical Center and will serve as a Subject Matter Expert (SME) in reviewing, analyzing, and defending owner interests against contractor claims. JOB RESPONSIBILITIES Perform comprehensive construction claims analysis in support of owner defense. Conduct Cause and Effect Analysis, Entitlement Analysis, and Cost and Schedule Integration. Review contractor claims, change requests, delay claims, and supporting documentation. Support legal defense strategy by preparing technical analyses, narratives, and exhibits. Coordinate with legal counsel, project teams, and technical experts as required. Analyze project schedules, costs, and construction records related to claims. Prepare written reports and documentation to support dispute resolution and litigation efforts. Participate in onsite meetings at JBVAMC as required by the COR. REQUIRED QUALIFICATIONS Minimum 15 years of experience in architecture, engineering, construction, or claims and litigation support Bachelor's degree in Architecture, Engineering, or a related technical field Thorough understanding of the claims review and legal defense process. Demonstrated expertise in: Cause and Effect Analysis; Cost and Schedule Integration; Entitlement Analysis. Proven experience serving as a Subject Matter Expert (SME) defending owner interests against contractor claims. Must be a United States Citizen Location: Chicago, IL COMPANY OVERVIEW CSEngineering is a Service Disabled Veteran Owned Small Business (SDVOSB) that was founded in 2002 with the mission of being the best engineering and services firm in our industry while achieving the highest level of client satisfaction. CSEngineering has significant past performance with satellite systems, weapons and missile systems, naval architecture and engineering, aviation systems, and IT and Enterprise Architecture. We have come a long way since we were founded and now also provide services with focuses on logistics, item management, administration, equipment specialization, program management, configuration management, financial management, LAN operations, information technology and maintenance, development and operation of missile system laboratories, the operation of data collection systems, database, and information management support, demilitarization processes and DevSecOps. We could not achieve this without the dedication of our employees to their work and the clients we serve. Additionally, CSE is a Hire Vets Gold Medallion award recipient. The HIRE Vets Medallion Award is the only federal-level veterans' employment award that recognizes a company or organization's commitment to veteran hiring, retention, and professional development. CSEngineering truly values its people, wants them to love their jobs, and to build their careers with us. We are forever dissatisfied with status quo and are always looking for a better way to do things, not so much out of competitiveness, but out of a desire to simply be THE BEST and to lead our industry. CSE offers a competitive salary and comprehensive benefits package, including medical, dental, life, disability, 401k, and paid time off. CSE is an equal opportunity employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, or veteran status. Job Posted by ApplicantPro
    $35k-58k yearly est. 13d ago
  • Claims Analyst II

    Constellation Software Engineering

    Claim processor job in Chicago, IL

    Future Opportunity CSEngineering is looking to add a Claims Analyst II to our growing team! The CA II shall provide expert claims analysis and litigation support for construction projects at a VA Medical Center and will serve as a Subject Matter Expert (SME) in reviewing, analyzing, and defending owner interests against contractor claims. JOB RESPONSIBILITIES * Perform comprehensive construction claims analysis in support of owner defense. * Conduct Cause and Effect Analysis, Entitlement Analysis, and Cost and Schedule Integration. * Review contractor claims, change requests, delay claims, and supporting documentation. * Support legal defense strategy by preparing technical analyses, narratives, and exhibits. * Coordinate with legal counsel, project teams, and technical experts as required. * Analyze project schedules, costs, and construction records related to claims. * Prepare written reports and documentation to support dispute resolution and litigation efforts. * Participate in onsite meetings at JBVAMC as required by the COR. REQUIRED QUALIFICATIONS * Minimum 15 years of experience in architecture, engineering, construction, or claims and litigation support * Bachelor's degree in Architecture, Engineering, or a related technical field * Thorough understanding of the claims review and legal defense process. * Demonstrated expertise in: Cause and Effect Analysis; Cost and Schedule Integration; Entitlement Analysis. * Proven experience serving as a Subject Matter Expert (SME) defending owner interests against contractor claims. * Must be a United States Citizen Location: Chicago, IL COMPANY OVERVIEW CSEngineering is a Service Disabled Veteran Owned Small Business (SDVOSB) that was founded in 2002 with the mission of being the best engineering and services firm in our industry while achieving the highest level of client satisfaction. CSEngineering has significant past performance with satellite systems, weapons and missile systems, naval architecture and engineering, aviation systems, and IT and Enterprise Architecture. We have come a long way since we were founded and now also provide services with focuses on logistics, item management, administration, equipment specialization, program management, configuration management, financial management, LAN operations, information technology and maintenance, development and operation of missile system laboratories, the operation of data collection systems, database, and information management support, demilitarization processes and DevSecOps. We could not achieve this without the dedication of our employees to their work and the clients we serve. Additionally, CSE is a Hire Vets Gold Medallion award recipient. The HIRE Vets Medallion Award is the only federal-level veterans' employment award that recognizes a company or organization's commitment to veteran hiring, retention, and professional development. CSEngineering truly values its people, wants them to love their jobs, and to build their careers with us. We are forever dissatisfied with status quo and are always looking for a better way to do things, not so much out of competitiveness, but out of a desire to simply be THE BEST and to lead our industry. CSE offers a competitive salary and comprehensive benefits package, including medical, dental, life, disability, 401k, and paid time off. CSE is an equal opportunity employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, or veteran status.
    $35k-58k yearly est. 14d ago

Learn more about claim processor jobs

How much does a claim processor earn in Des Plaines, IL?

The average claim processor in Des Plaines, IL earns between $22,000 and $55,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average claim processor salary in Des Plaines, IL

$35,000

What are the biggest employers of Claim Processors in Des Plaines, IL?

The biggest employers of Claim Processors in Des Plaines, IL are:
  1. The Jonus Group
Job type you want
Full Time
Part Time
Internship
Temporary