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  • Stop Loss Claims Clerk

    BCS Financial Corporation 4.2company rating

    Claim processor job in Oakbrook Terrace, IL

    Claims Clerk Full TimeSME/Specialist Oakbrook Terrace, IL, US Salary Range:$50,500.00 To $57,500.00 Annually The Claims Clerk will be responsible for accurate, timely screening and distribution of incoming electronic claims correspondence. This role will aid the Analysts in timely processing of the claims and help secure a manageable turnaround time for the entire Claims Department. This position will report to the Claims Manager. Essential Elements Manage the Secure File Transfer Portal (SFTP) site ensure all reporting received is processed in a timely manner Download and pivot reports from Power BI, to locate all possible medical and prescription claims. Identify and review claims data ensuring data integrity Distributing claim requests for processing Convert the PDF claims received into an Excel Template for the Claims Analyst to upload and process Additional duties as assigned Requirements Education and Certifications Associates degree or commensurate experience required Experience Excel, Microsoft Office Suite, Power BI, Clerical functions Travel Required May need to travel to the home office quarterly Hybrid workplace
    $50.5k-57.5k yearly 1d ago
  • Claims Specialist, Lawyers Professional Liability

    Swiss Re 4.8company rating

    Claim processor job in Chicago, IL

    Do you have experience handling Lawyers Professional Liability or other Professional Liability claims? Are you motivated by working in a collaborative environment? If so, this role may be for you! We are looking for a strategic thinker with leadership skills to join our U.S. Lawyers Claims team. About the Role This role has responsibility for handling Lawyers Professional Liability claims while also supporting internal and external customers. You will manage a caseload of claims from receipt to final resolution. Our team works closely with the U.S. Agents Claims team, and you may have the opportunity to handle Agents Claims, as well. Additional key responsibilities include: * Maintain strong client focus by aggressively and proactively analyzing issues, providing support, and assuring client satisfaction in a timely fashion. * Complying with legal and regulatory requirements, investigate, evaluate, and settle claims, applying technical knowledge and people skills to reach fair and prompt claim resolution. * Complete detailed reviews of claim related issues, including coverage, liability, and damage assessments, and document the claim file appropriately. * Set and maintain appropriate and timely indemnity and expense reserves. * Formulate and execute negotiation and resolution strategies. * Evaluate claims data to assist with identifying claim trends. * Support Underwriting in connection with Claims information and consultation on coverages. * In this role, you will be working with other Claims Handlers dedicated to working on Lawyers Professional Liability Claims. Our team also handles other types of claims, including U.S. Agents claims, and has a strong emphasis on quality and customer service. About the Team We are a highly skilled, professional, and experienced claims team. Our department works closely with colleagues in Client Markets, Underwriting, Products, Actuary, and HR and we collaborate with various offices throughout the US and other places in the world. We are proud to deliver unparalleled customer service to our business partners and clients. We are looking for a new colleague to help us continue to raise the bar! About You Focused, self-motivated, and a confident professional with a hardworking sales mindset to develop insights, propose solutions, and build growth opportunities for clients and Swiss Re. You are a proactive and well-organized decision maker who works well both independently and as part of a team. You also have the following: Additional requirements include: * Bachelor's degree or equivalent industry experience. * 3+ years' Claims handling experience or equivalent industry experience. * Possess solid coverage, liability, damage investigation, evaluation, and claims resolution skills. * Excellent negotiation skills. * Excellent customer service skills and experience collaborating with underwriters, clients, brokers, and internal and external business partners. * Strong data analytic skills. * Experience with handling claims in a paperless environment. * Interest in developing leadership and management skills. * Possess, or willing to obtain, adjuster licenses as needed for various jurisdictions. * Ability to successfully deliver the Swiss Re Claims Commitment. Our company uses a hybrid work model requiring a minimum of three days in the office each week, with the option of working onsite full-time if preferred. The estimated base salary range for this position is $84,000 to $140,000. The specific salary offered for this or any given role will take into account a number of factors including but not limited to job location, scope of role, qualifications, complexity/specialization/scarcity of talent, experience, education, and employer budget. At Swiss Re, we take a "total compensation approach" when making compensation decisions. This means that we consider all components of compensation in their totality (such as base pay, short-and long-term incentives, and benefits offered), in setting individual compensation. About Swiss Re Swiss Re is one of the world's leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world. Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, race, ethnicity, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability. If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience. Keywords: Reference Code: 136177 Nearest Major Market: Chicago Job Segment: Liability, Claims, Underwriter, Accounting, Actuarial, Insurance, Finance
    $84k-140k yearly 8d ago
  • Auto and GL Claim Specialist

    Ccmsi 4.0company rating

    Claim processor job in Chicago, IL

    Multi-Line Claim Specialist (Auto and GL) Schedule: Monday-Friday, 8:00 AM-4:30 PM CT Compensation: $75,000-$85,000 annually At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile. Reasons you should consider a career with CCMSI: Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm. Career development: CCMSI offers robust internships and internal training programs for advancement within our organization. Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP. Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads. The Multi-Line Claim Specialist position is responsible for the investigation and adjustment of assigned general liability claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The position is also accountable for the quality of multi-line claim services as perceived by CCMSI clients and within our corporate claim standards. Responsibilities Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws. Establish reserves and/or provide reserve recommendations within established reserve authority levels. Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated multi-line claims. Negotiate any disputed bills or invoices for resolution. Authorize and make payments of multi-line claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority. Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate. Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.) Review and maintain personal diary on claim system. Assess and monitor subrogation claims for resolution. Compute disability rates in accordance with state laws. Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the multi-line claim adjustment process. Provide notices of qualifying claims to excess/reinsurance carriers. Compliance with Corporate Claim Handling Standards and special client handling instructions as established. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent oral and written communication skills. Initiative to set and achieve performance goals. Good analytic and negotiation skills. Ability to cope with job pressures in a constantly changing environment. Knowledge of all lower level claim position responsibilities. Must be detail oriented and a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, accuracy, initiative and the ability to work with minimum supervision. Discretion and confidentiality required. Reliable, predictable attendance within client service hours for the performance of this position. Responsive to internal and external client needs. Ability to clearly communicate verbally and/or in writing both internally and externally. Education and/or Experience 10+ years liability claim experience is required. Bachelor's Degree is preferred. Computer Skills Proficient with Microsoft Office programs. Certificates, Licenses, Registrations Adjusters license may be required based upon jursidiction. AIC, ARM or CPCU Designation preferred. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Object Handling Categories Work requires the ability to sit or stand up to 7.5 or more hours at a time. Work requires sufficient auditory and visual acuity to interact with others. CORE VALUES & PRINCIPLES Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example. 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. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. 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. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #ClaimsJobs #LiabilityAdjuster #RemoteJobs #InsuranceCareers #ChicagoJobs #LI-Remote
    $75k-85k yearly Auto-Apply 8d ago
  • Cargo Claims Specialist

    Hub Group 4.8company rating

    Claim processor job in Oak Brook, IL

    This position is responsible for handling and resolving claims with shippers, consignees, and carriers relating to cargo damage claims. In this role, the Cargo Claims Specialist will evaluate, negotiate, and authorize settlements with all stakeholders within their designated level of authority. Essential Job Functions: Evaluate and resolve cargo claims across all of Hub Group's transportation and logistics solutions. Proactively and aggressively monitor and manage cargo claims. Develop and maintain strong relationships with internal and external stakeholders to ensure superior customer service. Notify customer, carrier, and draymen of claim filings and/or rejected claims and work with the customer to understand the value of damaged products and how the product should be handled. Determine next steps and oversee inspections to support settlement decisions. Interpret law enforcement and/or independent inspector reports. 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. Investigate and gather information necessary to pursue subrogation from responsible parties. Minimum Qualifications: High school diploma required. One to three years of experience handling cargo and/or insurance claims preferred. Ability to learn, understand and apply knowledge of DOT and other federal regulations applicable to the transportation industry. Excellent written and oral communication skills necessary to prepare reports and to interpret and communicate complex material, statistical data, and results to management. Creative ability to find innovative improvement opportunities while balancing accountabilities, specifically with external customers. Proficient with Microsoft Office products, including Excel, and with web-based applications, claims database software and the ability to determine trend analysis and produce reports to support findings. Ability to manage multiple priorities as well as flexibility to adapt to change with new systems and methods while working in a team environment. BEWARE OF FRAUD! Hub Group has become aware of online recruiting related scams in which individuals who are not affiliated with or authorized by Hub Group are using Hub Group's name in fraudulent emails, job postings, or social media messages. In light of these scams, please bear the following in mind: Hub Group will never solicit money or credit card information in connection with a Hub Group job application. Hub Group does not communicate with candidates via online chatrooms such as Signal or Discord using email accounts such as Gmail or Hotmail. Hub Group job postings are posted on our career site: ******************************** Salary Range: $46,400 - $53,000/year 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
    $46.4k-53k yearly Auto-Apply 49d ago
  • Claims Specialist - Management Liability

    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. 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 24d ago
  • Sr. Claims Compliance Analyst

    Arch Capital Group 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 Senior Claims Analyst will report directly the Vice President of Claims Compliance. Senior Claims Compliance Analyst will coordinate with the claims organization, including Third Party Administrators (TPAs). In this capacity, the Senior Claims Compliance Analyst is responsible for Regulatory Compliance and Reporting, Coordinating State Audits and Inquiries and Claim Operational Controls. This role should proactively identify gaps and opportunity areas to ensure Claims Compliance. The Senior Claims Compliance Analyst will have Global Services support and will be instrumental in building the Claims Compliance function. Responsibilities: Regulatory Compliance and Reporting Monitor and identify relevant regulatory changes and determine potential impact to the claims organization Communicate regularly changes to appropriate business units Identify any required system or process changes ensure regulatory compliance and reporting Gather data to prepare and analyze Compliance managed regulatory reports and data calls. Timely submit state specific annual/quarterly reports where required. State Inquiry and Audit Coordination Coordinate effective responses to any inquiries by the State Departments of insurance. Will serve as an intermediary between the business, handling entity, and the State Departments. Coordinate Claims Audits that are conducted by the various State Departments. Medicare Reporting and Lien Management experience Analyze and assess audit reports and complaints that are issued by the State Departments to identify performance issues. Review state report cards and metrics on claims processing and reporting and work with TPAs and Arch staff to remediate any issues. Fostering working relationships with regulatory bodies and Arch business groups supporting Compliance efforts. Claim Operational Controls Monitor claims operational control structure and recommend any necessary changes to controls based upon audit feedback Drive continuous improvement and development of claim control library/documentation Support all internal audit processes Assist with both the development of enterprise-wide Compliance best practices and delivery of compliance training Conduct periodic compliance quality reviews for both internal claim departments and TPAs Experience and Required Skills: Knowledge of state insurance regulations Knowledge of Medicare compliance is a plus Efficient organization and project management skills Familiarity with Wolters Kluwer, Lexis/Nexis or similar subscription services Proficiency with the suite of Microsoft products such as Excel, Word, PowerPoint, etc. Ability to effectively communicate ideas, issues and solutions. Education: Must have at least 5-7 years' Claims Compliance experience. P&C claims knowledge, and the ability to communicate effectively with external business partners. Working knowledge of SOX controls and testing is preferred. #LI-Hybrid #LI-SW1 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. $85,295 - $148,902/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.
    $85.3k-148.9k yearly Auto-Apply 60d+ ago
  • Claims Specialist

    ICW Group 4.8company rating

    Claim processor job in Lisle, IL

    Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more about why you want to be here! PURPOSE OF THE JOB This Claims Specialist is responsible for handling complex claims with a focus on providing exceptional service for stakeholders in order to drive claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes. ESSENTIAL DUTIES AND RESPONSIBILITIES Manages all aspects of a complex claims inventory. Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information and provide the highest possible level of customer service. Promptly investigates claims to determine exposure, works with appropriate experts and makes strategic recommendations. Utilizes appropriate resolution tactics (e.g., mediation, negotiation, denial, litigation or offer) to proactively drive outstanding results. Operates within the requirements of related state and/or the governing entity rules and regulations as well as internal claims handling policies and procedures. Directs defense counsel throughout the litigation process in line with ICW litigation guidelines while monitoring legal fees and costs. Additional Responsibilities: Consistently provides exceptional customer service. Effectively collaborates with team members from various departments for project and process discussions. Acts as a Subject Matter Expert for the department. Makes recommendations for streamlining processes and adopting the industry's best practices. Ensures accuracy of data in claims system for compliance with applicable regulatory reporting. Provides knowledge transfer across the organization. Continuously seeks to improve technical skills by attending job related training and tracking current case law. Acts as a mentor and provides training for less experienced team members. Prepares and presents claims status reports for internal and external stakeholders. Administers timely and appropriate benefits to injured workers; manages and approves payment of benefits within designated authority level. Works within applicable state rules, regulations as well as ICW Group's internal claims handling policies and procedures. Creates and adjusts reserves in a timely manner to ensure reserving activities are consistent with company policies. Resolves claims fairly and equitably, acting in the best interest of the insured while providing timely benefits to injured workers as required by law. SUPERVISORY RESPONSIBILITIES This position has no supervisory responsibility but will serve as a technical leader. EDUCATION AND EXPERIENCE Bachelor's degree from an accredited institution (or equivalent education and experience) along with 8-10 years of related claims experience. CERTIFICATES, LICENSES, REGISTRATIONS Certification that meets the minimum standards of training, experience, and skill required. WCCA and WCCP preferred. State Workers Compensation License is required in some branches. KNOWLEDGE AND SKILLS Thorough understanding of laws and jurisdictional restraints to manage injuries. Excellent verbal and written communication skills, time management, attention to detail and organizational skills required. Ability to read, analyze, and interpret technical journals, financial reports, and legal documents. Ability to write reports, business correspondence, and procedure manuals. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to effectively present information to management, public groups, and/or boards of directors. Must be adept at learning new technology and embrace change. Facilitates and leads meetings across a team of claims professionals for assigned projects. PHYSICAL REQUIREMENTS Office environment - no specific or unusual physical or environmental demands and employees are regularly required to sit, walk, stand, talk, and hear. WORK ENVIRONMENT This position operates in an office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment. We are currently not offering employment sponsorship for this opportunity #LI-JM1 #LI-Hybrid The current range for this position is $78,678.61 - $132,686.15 This range is exclusive of fringe benefits and potential bonuses. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work. WHY JOIN ICW GROUP? • Challenging work and the ability to make a difference • You will have a voice and feel a sense of belonging • We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match • Bonus potential for all positions • Paid Time Off with an accrual rate of 5.23 hours per pay period (equal to 17 days per year) • 11 paid holidays throughout the calendar year • Want to continue learning? We'll support you 100% ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law. ___________________ Job Category Claims
    $78.7k-132.7k yearly Auto-Apply 48d ago
  • Medical Device Cybersecurity Analyst

    Intelas

    Claim processor job in New Lenox, IL

    Job Description Medical Device Cybersecurity Analyst- New Lenox, IL Salary: $70,000 to $90,000/yr Other Forms of Compensation: Join Intelas, a Compass One Healthcare company. Intelas, a Compass One Healthcare company, delivers smarter asset management by blending expert service teams with intelligent, data-driven strategies that help hospitals improve uptime, simplify oversight, and make more informed capital decisions. Our programs support 100% regulatory compliance and drives 98% equipment uptime-so clinicians can focus on care, not equipment issues. We support nearly 4,500 healthcare sites nationwide-from large, campus-based acute care hospitals to system-integrated outpatient clinics. With more than 1.15 million medical devices managed, we provide the clarity and consistency needed in today's rapidly evolving healthcare environment. Join Intelas-where your career thrives, your potential is unleashed, and your work directly supports patient care. Whether you're just starting out or are a seasoned professional, our people-first approach ensures opportunities for continuous growth, development, and fulfillment. Explore more at intelashealth.com. Job Summary Please note:This is an on site position SUMMARY The Medical Device Cybersecurity Analyst will be involved in response to cybersecurity alerts, ensuring Client KPI's are met, perform audits and risk assessments of medical devices, and provide subject matter expertise with Intelas's resources for medical device cybersecurity. ESSENTIAL DUTIES AND RESPONSIBILITIES: • Monitors and responds to Intelas's comprehensive medical device asset and cybersecurity management platform findings and mitigating steps. •Strong knowledge of computers, operating systems, security, and networking •Ability to interpret technical documentation and manuals •Generate and build bi-weekly, monthly, and quarterly client reports •Correlate and perform GAP analysis on discovered medical devices with Intelas's CMMS •Create security work orders in Intelas's CMMS and assign to the field as applicable •Triage, respond and assign work orders generated from Intelas's CMMS cybersecurity module as appropriate •Ensure work orders are completed within defined KPI's and assist on site Crothall resources if needed for successful completion •Research and engage OEM's for available approved patches and firmware upgrades •Proactively collect most current MDS2 forms •Maintain database of approved patches, firmware upgrades and MDS2 forms •Collaborate and work with Clients to respond and coordinate mitigating steps and compensating controls on contracted medical devices that may arise from Clients passive asset discovery and risk assessment technology •Participate and contribute to Intelas's CEIT Council •Maintains operational security metrics to measure the effectiveness of security controls and identify opportunities for improvement •Assist in threat intelligence gathering, monitoring of zero-day and correlate to clients CMMS inventory •Assist in development and implementation of continued best practices and risk management of inventoried connected medical devices •Assures compliance with all regulatory standards including patient safety and all relative criteria governing the safe and appropriate use, testing and management of medical devices. MINIMUM QUALIFICATIONS: •Knowledge of the operation and prior hands-on experience in the maintenance and repair of wide variety of medical equipment and systems •High attention to detail and exceptional work quality •Experience with process improvement •Proven ability to work effectively in an unstructured, fast-paced environment •Excellent written and verbal communication skills •Overnight travel may be required for Client visits or industry conferences or workshop. PREFERRED QUALIFICATIONS: • Healthcare experience; General knowledge of Biomedical and Diagnostic Imaging • Knowledge of healthcare cybersecurity is considered a plus • Experience with Computerized Maintenance Management Systems (CMMS) • Knowledge of connected medical device asset discovery and risk analysist platforms EDUCATION: • Associates degree in Information Technology or Biomedical Engineering required • Security+ within 3 years of employment • BMET preferred Apply to Intelas today! Intelas is a member of Compass Group USA Click here to Learn More about the Compass Story Associates at Intelas are offered many fantastic benefits. • Medical • Dental • Vision • Life Insurance/ AD • Disability Insurance • Retirement Plan • Flexible Time Off • Holiday Time Off (varies by site/state) • Associate Shopping Program • Health and Wellness Programs • Discount Marketplace • Identity Theft Protection • Pet Insurance • Commuter Benefits • Employee Assistance Program • Flexible Spending Accounts (FSAs) • Paid Parental Leave • Personal Leave Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws. For positions in Washington State, Maryland, or to be performed Remotely, click here for paid time off benefits information. Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law. Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity. We will consider for employment all qualified applicants, including those with a criminal history (including relevant driving history), in a manner consistent with all applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York Fair Chance Act. We encourage applicants with a criminal history (and driving history) to apply. Applications are accepted on an ongoing basis. Intelas maintains a drug-free workplace. Req ID: 1467914 Intelas ASHLEY VAVROCK [[req_classification]]
    $70k-90k yearly 15d 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 2d 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 2d 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 1d ago
  • General Liability Claims Specialist

    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 commercial claims with moderate to high complexity and exposure for a specific line of business. 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). This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office. JOB DESCRIPTION: 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-LG1 #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 53d ago
  • Workers Compensation Claims Specialist, West

    CNA Holding Corporation 4.7company rating

    Claim processor job in Downers Grove, 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 commercial claims with moderate to high complexity and exposure for a specific line of business. 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-AR1 #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
  • 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 35d 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 9d ago
  • Technical Claim/Litigation Manager-Auto Bodily Injury/Personal Liability Umbrella

    RLI Corp 4.8company rating

    Claim processor job in Chicago, IL

    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
  • Examiner

    CME Group 4.4company rating

    Claim processor job in Chicago, IL

    The Examiner participates in financial and compliance examinations, limited reviews of daily customer protection statements, & financial statement analysis of clearing member firms of CME to ensure they are in compliance with CME & other regulatory organization rules and regulations. The incumbent works to ensure the financial integrity of CME's Clearing Members by conducting risk based examinations, limited daily reviews, financial statement reviews, and various special projects. Principal Accountabilities: * Learns and understands firm reconciliations, equity system documents, third party documents (e.g. bank statements, trade registers), the 1-FR and FOCUS Report, testing procedures and requirements (e.g. completeness, verification), and rules and regulations (e.g. financial statement filing requirements.) * Maintains the audit trail and ensures it is logical and organized. Follows the examination process from beginning to end. * Performs and is responsible for detailed examination testing and documentation of assigned areas. * Performs monthly and daily financial statement reviews, addresses issues with clearing member firms, and documents findings on edit checks and alerts. Performs biweekly SIDR (Segregated Investment Detail Report) reviews, addresses issues with clearing member firms, and documents findings on edit checks. * Prepares any examination issues and findings in a clear and concise manner. The staff examiner, along with a more senior examination team member, is responsible for presenting their findings to the firm. * Responsible for identifying any examination issues and problems. * Responsible for most components of the regulatory financial and compliance examination, working from Joint Audit Committee approved programs, including bank statement, safekeeping, carrying broker, clearing organization and equity system analysis. * Sets reasonable scopes, identifies problems, researches the problems, and determines and obtains all necessary information from the firm for completion of their assigned areas, with guidance from senior members of the examination team. Skills & Software Requirements: * Bachelor's Degree in Accounting required * Proficiency with Microsoft Office applications #EarlyCareers CME Group is committed to offering a competitive total rewards package for our employees that recognizes their contributions to the business and reflects our long-term investment in their future. The pay range for this role is $53,300-$88,900. Actual salary offered will be dependent on a wide array of factors including but not limited to: relevant experience, skills, education and comparison to internal employees (where relevant). Our compensation program also includes an annual target bonus opportunity for all employees, as well as the opportunity to become an owner in the company through our broad-based equity program. Through our benefits program, we strive to offer flexibility, value and choice. From comprehensive health coverage, to a retirement package that includes both a 401(k) and an active pension plan, to highly competitive education reimbursement provisions, paid time off and a mental health benefit, CME Group offers a holistic benefits package for our team and their dependents. CME Group: Where Futures are Made CME Group is the world's leading derivatives marketplace. But who we are goes deeper than that. Here, you can impact markets worldwide. Transform industries. And build a career by shaping tomorrow. We invest in your success and you own it - all while working alongside a team of leading experts who inspire you in ways big and small. Problem solvers, difference makers, trailblazers. Those are our people. And we're looking for more. At CME Group, we embrace our employees' unique experiences and skills to ensure that everyone's perspectives are acknowledged and valued. As an equal-opportunity employer, we consider all potential employees without regard to any protected characteristic. Important Notice: Recruitment fraud is on the rise, with scammers using misleading promises of job offers and interviews to solicit money and personal information from job seekers. CME Group adheres to established procedures designed to maintain trust, confidence and security throughout our recruitment process. Learn more here.
    $53.3k-88.9k yearly 30d ago
  • Claims Appeals Specialist

    Chubb 4.3company rating

    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
  • Claims Specialist

    Example Corp

    Claim processor job in Chicago, IL

    *** This is where your organization can create a consistent intro to all of your jobs, creating consistency in voice and messaging across all job posts *** C'est ici que votre organisation peut créer une introduction cohérente à tous vos emplois, en créant une cohérence dans la voix et la messagerie dans tous les postes. Overview The Claims Specialist position is responsible for Point of Sale (POS) data management and processing back-end pricing rebates/credits, including resolution of issues/disputes in a timely and accurate manner. Responsibilities Ingest and cleanse partner Point of Sale (POS) data in Vistex Go-to-Market Suite (GTMS). Upload manual POS files timely and track monthly progress. Review data for deficiencies or errors, correct any inaccuracies in POS daily. Investigate, research, and identify business entities with minimal information provided. Cleanse, enrich, and monitor master data elements (customer, product, and pricing). Collaborate with POS reporters to improve the completeness and accuracy of the data submitted in Electronic Data Interchange (EDI) or manual submissions. Identify issues related to master data that impact POS and/or claims data. Process and issue credits for incoming claims in an accurate and timely manner. Upload claim files timely and track weekly/monthly progress. Resolve and analyze claim errors/rejections; escalate to management and/or Bid Desk for further internal review as needed. Communicate discrepancies/denials to claim partner for review and alignment. Issue credits for approved claims and send claim discrepancy report to claim partner. Work with Accounts Receivable to reconcile discrepancies/denials for collection. Collaborate with claim partners to improve the claim submission data for processing efficiency. Address any internal and/or external issues or questions regarding data or claims in an accurate and timely manner. Validate and create credits honoring price protection in SAP. Qualifications High school diploma or GED required. Associate degree in Business or work-related experience. Minimum one year rebate/claim processing, data management, or equivalent experience. Demonstrated problem solving skills with a proficient understanding of processes. Proven detail-oriented individual who enjoys managing large amounts of data. Established strong process and organizational skills with the ability to process high volumes of transactions, research errors and exceptions, and manage to completion. Ability to interact with a variety of individuals/functions within the organization as well as with external customers. Ability to work independently in a fast-paced, professional team environment with minimal supervision. Demonstrated experience creating and managing reports that identify discrepancies. Proven capacity to identify and maintain consistent accuracy. Strong oral and written communication skills. Intermediate Microsoft application user including Outlook, Word, and especially Excel. Ability to multi-task and prioritize. Experience with Salesforce, Channel Data Management (CDM), SAP ECC6, Vistex is a plus. ABOUT US: Sharp Imaging and Information Company of America (SIICA) Sharp Imaging and Information Company of America (SIICA) is a division of Sharp Electronics Corporation, the U.S. subsidiary of Japan's Sharp Corporation, a global technology company which has been named to Fortune magazine's World's Most Admired Company List. Sharp strives to help businesses achieve Simply Smarter work by helping companies manage workflow efficiently, create immersive and engaging environments, and increase productivity. SIICA offers a full suite of secure printer and copier solutions, professional and commercial visual displays and projectors, software management and productivity software and markets durable Dynabook laptops. As a total solutions provider, Sharp has a reputation for innovation, quality, reliability, and industry-leading customer support expertise. Compensation for this position The compensation range for this role is $53,900 - $67,650. The listed salary range or contractual rate excludes bonuses, incentives, differential pay, and any other forms of compensation or benefits. The starting salary will be determined by several variables, including but not limited to experience, education, training, certification, and location. You may also be eligible to receive an annual discretionary incentive award, commissions, and program-specific awards, which are subject to the rules governing these programs. Employee perks Comprehensive, family-friendly healthcare plans (medical, dental, vision). 401k retirement plan with a competitive match and plenty of financial support tools. Employee Assistance Plan to care for you and your family's mental and behavioral health, balance, and support. Financial protection for you and your family (life insurance and disability insurance) Rewarding and wholistic wellness program. Training, professional development, and mentorship Full suite of voluntary insurance benefits for financial planning (auto, home, ID protection and legal) Dynamic culture eager to innovate, enhance diversity, and work smarter. Sharp Electronics Corporation is an equal opportunity employer - minority - female - disability - veteran. No agency resumes will be accepted or fees paid in the absence of an official written engagement agreement executed in advance by Human Resources for this particular position. All applicants must be authorized to work in the US without sponsorship. All applications must include compensation expectations in order to be considered. Local candidates only, please. #LI-SR1 #SIICA *** Similar to the introduction that can precede all job descriptions, an outro can also be formatted for consistency on all posts *** Semblable à l'introduction qui peut précéder toutes les descriptions de poste, une outro peut également être formatée pour la cohérence sur tous les messages
    $53.9k-67.7k yearly Auto-Apply 15d ago
  • Medical Coding Analyst

    IMO 4.2company rating

    Claim processor job in Chicago, IL

    The Medical Coding Analyst plays a critical role in applying accurate and compliant code set mappings for customers and clients using IMO Health's interface terminology. This role requires a solid foundation in terminology mapping and active participation in complex work beyond core team responsibilities. The Medical Coding Analyst is committed to continuous growth across IMO Health knowledge, technical expertise, and soft skills, and contributes meaningfully to team success through collaboration and initiative. WHAT YOU'LL DO: Assign and maintain administrative code set mappings (ICD-10-CM, ICD-10-PCS, CPT4, HCPCS) for interface terminology in accordance with production and release schedules. Maintain content in accordance with code set updates and adhere to nationally recognized authoritative coding guidelines. Collaborate with internal teams to address customer inquiries via IMO health's defined ticketing system as necessary. Stay current with evolving clinical practices, regulatory guidelines, and updates to code sets from CMS, AMA, and other regulatory organizations. Participate in editorial discussions and contribute to the development of team standards and best practices. Take initiative in identifying mapping discrepancies and proactively engage in discussions to resolve them. Contribute to team systems that support quality and data-driven decision-making. WHAT YOU'LL NEED: Experience with US-based ICD-10-CM, ICD-10-PCS, CPT4, and HCPCS code sets required. Associate or bachelor's degree in health information management systems or equivalent experience preferred. A minimum of three years' experience with medical records coding, electronic health records and medical terminology preferred. One of the following credentials required: RHIA, RHIT, CCS, or CPC. Demonstrated ability to apply conceptual and critical thinking to solve complex mapping challenges, identify root issues, and communicate solutions clearly. Effective communication skills, including the ability to present information clearly, listen actively, and collaborate constructively across teams. Technical expertise in applying and expanding knowledge of code sets (ICD-10-CM, ICD-10-PCS, CPT4, HCPCS) and emerging technologies to support quality and compliance. IMO Health is a hybrid workplace. We generally work wherever we do our best work; however, we value facetime & collaboration in the office.
    $34k-50k yearly est. Auto-Apply 55d ago

Learn more about claim processor jobs

How much does a claim processor earn in Hammond, IN?

The average claim processor in Hammond, IN earns between $20,000 and $51,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average claim processor salary in Hammond, IN

$32,000
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