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 Required
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
We can recommend jobs specifically for you! Click here to get started.
$75k-85k yearly Auto-Apply 10d ago
Looking for a job?
Let Zippia find it for you.
Claims Examiner, Commercial Insurance
Arch Capital Group Ltd. 4.7
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
Arch Insurance Group Inc., AIGI, has an opening with the Claims Division as a Claims Examiner, Casualty. In this role, the responsibilities include actively managing medium-high severity commercial liability claims in jurisdictions throughout the United States.
Responsibilities
* Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis
* Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care
* Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures
* Maintain contact with any/all associated claims carrier(s)' claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary
* Investigate claims and review the insureds' materials, pleadings, and other relevant documents
* Identify and review each jurisdiction's applicable statutes, rules, and case law
* Review litigation materials including depositions and expert's reports
* Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues
* Retain counsel when necessary and direct counsel in accordance with resolution strategy
* Analyze coverage, liability and damages for purposes of assessing and recommending reserves
* Prepare and present written/oral reports to senior management setting forth all issues influencing evaluations and recommending reserves
* Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter
* Negotiate resolution of claims
* Select and utilize structure brokers
* Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims
Experience & Required Skills
* Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
* Strong time management and organizational skills
* Demonstrated ability to take part in active strategic discussions
* Demonstrated ability to work well independently and in a team environment
* Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word
* Willing and able to travel 10%
* Hybrid schedule, 3 days a week in office
Education
* Bachelor's degree required.
* Minimum of 3 years of working experience with a primary and or excess carrier supporting commercial accounts for Casualty claims
* Proper & active adjuster licensing in all applicable states
#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.
$95,000 - $150,000/year based on experience level
* 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.
$39k-50k yearly est. Auto-Apply 2d ago
Lead Claim Examiner I
Amtrust Financial Services, Inc. 4.9
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 16h 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 4d ago
Auto Property Damage/Bodily Injury Claims Examiner
The Jonus Group 4.3
Claim processor job in Chicago, IL
Seeking a skilled and detail-oriented Auto PD/Bodily Injury Claims Adjuster to handle claims arising from commercial auto accidents involving bodily injury.
COMPENSATION:
$75,000 - $85,000/year (based on experience)
Potential for annual bonus
Full Medical Benefits
401(k) with company match
REQUIREMENTS:
2+ years of experience handling Auto Property Damage and Bodily Injury claims
Strong understanding of non-admitted policy forms, surplus lines regulations, and claims handling procedures.
Experience managing litigated files and working with outside counsel.
Proven negotiation and settlement skills with moderate to high severity claims.
Proficient in claims management systems and Microsoft Office Suite.
RESPONSIBILITIES:
Investigate, evaluate, and resolve commercial auto and bodily injury claims
Review and interpret policy coverage to determine liability and exposure.
Conduct thorough claim investigations, including obtaining statements, police reports, medical records, and expert evaluations.
Evaluate injury severity and medical treatment to assess claim value.
Handle claim negotiations and settlements with claimants, attorneys, and other parties.
Manage claims involving litigation; collaborate with defense counsel and monitor legal proceedings.
Maintain accurate and detailed claim files and documentation in the claim management system.
Communicate effectively with internal stakeholders, insureds, brokers, and third parties.
#LI-MW1
$26k-39k yearly est. 8d ago
Associate Claims Specialist
Liberty Mutual 4.5
Claim processor job in Hoffman Estates, IL
Under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Assists in providing service to policyholders/customers on mid-sized and/or large commercial accounts.
This is a hybrid position requiring twice a month in-office with preference on candidates residing within 50 miles of Suwanee, GA office. Please note this is subject to change.
Responsibilities
Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.
Establishes action plans based on case facts, best practices, protocols, jurisdictional issues and available resources.
Manages an inventory of property/casualty and disability claims (e.g. workers` compensation, general liability, commercial automobile, property, group benefits), evaluates compensability/liability and losses, and negotiates settlements within prescribed limits.
Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols.
Confirms or denies coverage based on facts obtained during the investigation and advises policyholders as to proper course of action.
Makes effective use of loss management techniques (e.g. Immediate Contact Plan, L9 check, Disability Management, open end release, first call settlements) and other resources.
Updates files and provides comprehensive reports as required.
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
We can recommend jobs specifically for you! Click here to get started.
$55k-76k yearly est. Auto-Apply 6d ago
Auto Casualty Claims Specialist
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 20d ago
Auto Casualty Claims Specialist
First Chicago Insurance Company (FCIC
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 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.
Job Posted by ApplicantPro
$54.8k-97.5k yearly 19d 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 19d ago
Claims Specialist - Management Liability
Axis Capital Holdings Ltd. 4.0
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.
About the Team
AXIS is a leading provider of specialty insurance and global reinsurance. The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength of our team is grounded in our people and culture, encouraging collaboration, growth, and diversity.
How does this role contribute to our collective success?
The selected individual will collaborate with a team to investigate, analyze, and evaluate Third Party Liability claims, ensuring proper coverage determinations. Expertise will be developed in Directors & Officers or Financial Institutions units while engaging with complex insureds on significant and dynamic disputes. This role offers meaningful opportunities to contribute to impactful case resolutions within specialized insurance sectors.
What Will You Do In This Role?
* Serving as a Claims Specialist focused on Management Liability Claims within AXIS' North America Claim team.
* Managing a diverse range of liability claims, including Public D&O, Private D&O, and Private Equity, and Insurance Company Professional Liability.
* Determining the appropriate valuation of complex claims, recommending settlement strategies, adhering to company policies, and collaborating with insureds, brokers, and partners effectively.
* Traveling to distinctive destinations to participate in mediations, observe trials, and strengthen relationships with vital AXIS partners.
* Escalating coverage concerns to internal teams and collaborating with external coverage attorneys when specific assignments necessitate their involvement.
* Developing claims and litigation strategies, delegating tasks, and overseeing the work of external legal advisors effectively.
* Assisting with underwriting inquiries while analyzing claim trends, conducting data analysis, and performing comprehensive risk assessments to support decision-making processes.
* Keeping precise records of claim activities and promptly updating systems with all relevant details ensuring accuracy and efficiency.
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
* Seek candidates who bring unique perspectives and diverse skills to the team.
* Contribute actively to the success of a growing and dynamic team by bringing energy and a positive attitude.
* Hold a Juris Doctorate.
* Operate efficiently in settings with high visibility, shifting deadlines, and evolving expectations while staying focused and achieving outcomes.
* Demonstrate organizational abilities and solve problems effectively.
* Exhibit outstanding skill in verbal communication and written expression.
* Showcase skill as a litigator or litigation manager, well-versed in dispute resolution.
* Write coverage letters independently with precision and attention to detail, ensuring accuracy in all aspects of the work.
Role Factors
Travel is associated with this role. The role requires you to be in 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 $73,000 - $146,000. 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.
$73k-146k yearly Auto-Apply 60d+ ago
Claims Processor
Ed Napleton Automotive Group 4.5
Claim processor job in Oakbrook Terrace, IL
The Ed Napleton Automotive Group is looking for our next ClaimsProcessor. This is an exciting opportunity in a growing, fast-paced industry. Located in Oakbrook Terrace, the ClaimsProcessor 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 4d ago
Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations
Stout Risius Ross 4.1
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 13d ago
Liability Claims Specialist (Construction Defect)
CNA Financial Corp 4.6
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 21d ago
Trucking Claims Specialist
Berkshire Hathaway 4.8
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.
About Us We're not like other insurance companies. From our specialty products to our business model, our culture to our results - we're different. Different is who we are, and how we work, interact, deliver and succeed together. Creating a different and better insurance experience doesn't just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us.
RLI is a Glassdoor Best Places to Work company with a strong, successful background. For decades, our financial track record has been stellar - a testament to our culture and validation of our reputation as an excellent underwriting company.
Principal Duties & Responsibilities
* Proactively handle Personal Umbrella Liability claims (auto, premises and personal liability) with a detailed focus on claim investigation, evaluation, and monitoring of primary carrier activity to achieve optimum results.
* Effectively investigate and analyze complex coverage issues and write coverage letters as appropriate.
* Complete timely and thorough investigations into liability and damages for early exposure recognition.
* Focus on claims resolution with timely and effective liability investigations and damage evaluations and reserve setting.
* Handle claims in accordance with RLI's Best Practices.
Education & Experience
* Typically requires a bachelor's degree and 6+ years of relevant legal or technical claims experience.
* Experience handling large exposure third-party liability claims on a primary/excess basis is preferable.
* Significant experience in effective handling of policy limit demands in states such as Florida, Texas and California.
* Must be able to excel in a fast-paced environment with little supervision.
* Effectively work with primary carriers and defense counsel and understand umbrella/excess handling and management of outside counsel.
* Ideal candidate will have superior working knowledge of Florida, California, New York and Texas case law, statutes and procedures impacting the handling and value of liability claims.
Knowledge, Skills, & Competencies
* Ability to use analytical methods in complex claim processes to find workable solutions.
* Ability to generate innovative solutions within the claims department.
* Ability to communicate findings and recommendations to internal and external contacts on claim matters.
Compensation Overview
The base salary range for the position is listed below. Please note that the base salary is only one component of our robust total rewards package at RLI. The salary offered will take into account a number of factors including, but not limited to, geographic location, experience, scope & responsibilities of the role, qualifications/credentials, talent availability & specialization, as well as business needs. The below range may be modified in the future.
Base Pay Range
$108,348.00 - $157,917.00
Total Rewards
At RLI, we're all owners. We hire the best and the brightest employees and allow them to share in the company's success through our Total Rewards. With the Employee Stock Ownership plan at its core, the Total Rewards program includes all compensation, benefits and perks that come with being an RLI employee.
Financial Incentives
* Annual bonus plans
* Employee stock ownership plan (ESOP)
* 401(k) - automatic 3% company contribution
* Annual 401k and ESOP profit-sharing contributions (Up to 15% of eligible earnings)
Work & Life
* Paid time off (PTO) and holidays
* Paid volunteer time off (VTO) to support our communities
* Parental and family care leave
* Flexible & hybrid work arrangements
* Fitness center discounts and free virtual fitness platform
* Employee assistance program
Health & Wellness
* Comprehensive medical, dental and vision benefits
* Flexible spending and health savings accounts
* 2x base salary for group life and AD&D insurance
* Voluntary life, critical illness, & accident insurance for purchase
* Short-term and long-term disability benefits
Personal & Professional Growth
RLI encourages its employees to pursue professional development work in insurance and job-related areas. We make a commitment to employees to provide educational opportunities that help them enhance their skills and further their career advancement. RLI fosters a true learning culture and encourages professional growth through insurance courses, in-house training and other educational programs. RLI covers the cost for most programs and employees typically earn a bonus upon successful completion of approved courses and certifications. Our personal and professional growth benefits include:
* Training & certification opportunities
* Tuition reimbursement
* Education bonuses
Diversity & Inclusion
Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers. We actively support, and participate in, initiatives led by the American Property Casualty Insurance Association that aim to increase diversity in the insurance industry. Cultivating an exceptional and diverse workforce to deliver excellent customer service reinforces our culture and is a key to achieving superior business results.
RLI is an equal opportunity employer and does not discriminate in hiring or employment on the basis of race, color, religion, national origin, citizenship, gender, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law.
$108.3k-157.9k yearly Auto-Apply 60d+ 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 49d ago
Claims Appeals Specialist
Chubb 4.3
Claim processor job in Chicago, IL
Combined Insurance, A Chubb company, is seeking a Claims Appeals Specialist to join our fast-paced, high energy, growing company. We are proud of our tradition of success in the insurance industry of nearly 100 years. Come join our team of hard-working, talented professionals!
JOB SUMMARY
The Claims Appeals Specialist is responsible for managing and processing appeals related to insurance claims. This role involves reviewing denied claims, analyzing documentation, and ensuring compliance with regulatory standards, including the Employee Retirement Income Security Act (ERISA) of 1974. The specialist will work closely with insurance claimants, healthcare providers, Claims, and Legal & Compliance teams to resolve disputes and ensure fair outcomes.
RESPONSIBILITIES
Review and analyze claim decisions to determine the validity of the denial, including status and within timeframe expectation.
Prepare and submit appeal letters and documentation for review.
Communicate with Claims, healthcare providers, and claimants to gather necessary information and clarify details.
Maintain detailed records of appeals and outcomes in the claims management system.
Ensure compliance with all relevant regulations, policies, and procedures.
Monitor appeal deadlines and ensure timely submission of all required documentation.
Collaborate with other departments to resolve complex claim issues.
Provide feedback and recommendations for process improvements to reduce claim denials.
Stay updated on changes in insurance regulations and industry best practices.
Assist in training and mentoring new team members as needed.
Support compliance needs and risk audits as needed.
Assist with incorporation of Compliance's interpretation of regulations and laws into Claims processes in a user-friendly way.
Perform other duties as assigned.
COMPETENCIES
Problem Solving: Takes an organized and logical approach to thinking through problems and complex issues. Simplifies complexity by breaking down issues into manageable parts. Looks beyond the obvious to get at root causes. Develops insight into problems, issues and situation.
Continuous Learning: Demonstrates a desire and capacity to expand expertise, develop new skills and grow professionally. Seeks and takes ownership of opportunities to learn, acquire new knowledge and deepen technical expertise. Takes advantage of formal and informal developmental opportunities. Takes on challenging work assignments that lead to professional growth
Initiative: Willingly does more than is required or expected in the job. Meets objectives on time with minimal supervision. Eager and willing to go the extra mile in terms of time and effort. Is self-motivated and seizes opportunities to make a difference.
Adaptability: Ability to re-direct personal efforts in response to changing circumstances. Is receptive to new ideas and new ways of doing things. Effectively prioritizes according to competing demands and shifting objectives. Can navigate through uncertainty and knows when to change course
Results Orientation: Effectively executes on plans, drives for results and takes accountability for outcomes. Perseveres and does not give up easily in challenging situations. Recognizes and capitalizes on opportunities. Takes full accountability for achieving (or failing to achieve) desired results
Values Orientation: Upholds and models Chubb values and always does the right thing for the company, colleagues and customers. Is direct truthful and trusted by others. Acts as a team player. Acts ethically and maintains a high level of professional integrity. Fosters high collaboration within own team and across the company; constantly acts and thinks “One Chubb”
SKILLS
Significant experience working with claims and claimants.
Excellent verbal and written interpersonal and communication skills.
Strong understanding of insurance policies and medical records.
Excellent analytical and problem-solving skills.
Ability to work independently and manage multiple tasks effectively.
Detail-oriented with a high level of accuracy.
Ability to research and solve problems with moderate supervision.
EDUCATION AND EXPERIENCE
4-year college degree or equivalency strongly preferred; equivalent work experience may substitute.
3 years of experience in claims processing, specifically in life, accident and health insurance, or a related field.
Experience working with Compliance, Risk Management, Legal is a plus.
Proficient in MS Office, including Outlook, Word, Excel, & PowerPoint.
$77k-98k yearly est. Auto-Apply 60d+ ago
Global Risk Solutions Claims Specialist Development Program (January, June 2026)
Law Clerk In Cincinnati, Ohio
Claim processor job in Hoffman Estates, IL
Claims Specialist Program
Are you looking to help people and make a difference in the world? Have you considered a position in the fast-paced, rewarding world of insurance? Yes, insurance!
Insurance brings peace of mind to almost everything we do in our lives-from family trips to your first car to weddings and college graduations. As a valued member of our claims team, you'll help our customers get back on their feet and restore their lives when catastrophe strikes.
The details
When you're part of the Claims Specialist Program, you'll acquire various investigative techniques and work with experts to determine what caused an accident and who is at fault.
You'll independently manage an inventory of claims, which may include conducting investigations, reviewing medical records, and evaluating damages to determine the severity of each case. You'll resolve cases by working with individuals or attorneys to settle on the value of each case.
You will have required comprehensive training, one-on-one mentoring, and a strong pay-for-performance compensation structure at a global Fortune 100 company. Make a difference in the world with Liberty Mutual.
Qualifications
What you've got
You have 0-2 years of professional experience.
A strong academic record with a cumulative 3.0 GPA preferred
You have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism.
You possess strong negotiation and analytical skills.
You are detail-oriented and thrive in a fast-paced work environment.
You must have permanent work authorization in the United States.
What we offer
Competitive compensation package
Pension and 401(k) savings plans
Comprehensive health and wellness plans
Dental, Vision, and Disability insurance
Flexible work arrangements
Individualized career mobility and development plans
Tuition reimbursement
Employee Resource Groups
Paid leave; maternity and paternity leaves
Commuter benefits, employee discounts, and more
Learn more about benefits at **************************
A little about us
As one of the leading property and casualty insurers in the country, Liberty Mutual is helping people embrace today and confidently pursue tomorrow.
We were recognized as a ‘2018 Great Place to Work' by Great Place to Work US, and were named by
Forbes
as one of the best employers in the country for new graduates and women-as well as for diversity.
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.
We can recommend jobs specifically for you! Click here to get started.
$30k-51k yearly est. Auto-Apply 14d 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. 12d ago
Claims Analyst II
Csengineering
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.
How much does a claim processor earn in Elgin, IL?
The average claim processor in Elgin, IL earns between $22,000 and $55,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.