Automotive Claims Adjuster
Claim specialist job in Oak Brook, IL
We are First Chicago Insurance Company! We currently have offices in Bedford Park, IL, (about one mile south of Chicago Midway Airport), as well as Richardson, Texas (Dallas area). Due to our significant growth, we are pleased to announce that we have a new Claims office in Oak Brook, IL!
If you are an experienced Non-Standard Auto CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL!!
We are seeking experienced Non-Standard Auto Liability Claims Specialist to join our new office in Oak Brook!
This talented individual must possess previous experience in the investigation, determination of coverage, prompt evaluation of both First- and Third-Party auto property damage claims with an eye towards prompt, courteous and economical resolution of both First and Third Party related property damage claims.
DUTIES & RESPONSIBILITIES:
Review and determine course of action on each file assigned, utilizing technical knowledge and 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
Honor/decline/negotiate first and third-party liability claims upon completion of coverage/policy investigation and analysis of damages and liability
Work directly with internal and external customers to develop evidence and establish facts on assigned claims
Organize, plan and prioritize work activities to keep up with current assignments and to ensure prompt conclusion of claims
Prepare and present claim evaluations for the appropriate settlement authority
Notify the Underwriting Department of any adverse information uncovered in the course of the investigation
Familiarity with unfair claim practices in states where we do business
Conduct business with vendors in a professional manner while maintaining a reasonable expense factor and upholding the company's reputation for quality service
Provide customer service both to internal and external customers
Handle other duties as assigned
QUALIFICATIONS REQUIRED:
Minimum 2-3 years previous auto insurance or other auto related experience A MUST!
Non-Standard Auto claims handling experience a plus!
Excellent analytical, organizational, interpersonal and communication (verbal, written, phone) skills
General working knowledge of policies, file procedures, state rules and regulations
Ability to pass written examinations where required by state statutes to become a licensed Claims Adjuster
Preferred:
Prior claims experience
Ability to use on-line claims system
Bi-lingual a plus!
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
Flexible Work Schedules
Remote and Hybrid
Commitment to your Training & Development
Medical and Dental
Telemedicine Benefit
401k with a generous company match
Paid Time Off and Paid Holidays
Tuition Reimbursement Training Programs
Wellness Program
Fun company sponsored events
And so much more!
Claims Specialist, Lawyers Professional Liability
Claim specialist 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
Auto and GL Claim Specialist
Claim specialist 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.
Experience with handling injury claims.
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
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Auto-ApplyCargo Claims Specialist
Claim specialist 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
Auto-ApplyClaims Specialist - Management Liability
Claim specialist 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. 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
Auto-ApplyTrucking Claims Specialist
Claim specialist 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.
Auto-ApplyAuto Casualty Claims Specialist
Claim specialist job in Chicago, 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
Auto Casualty Claims Specialist
Claim specialist 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.
Claims Specialist
Claim specialist 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
Auto-ApplyWorkers Compensation Claims Specialist, West
Claim specialist 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).
This position enjoys a flexible, hybrid work schedule and is available in Plano TX, Brea CA, Downers Grove IL or Portland OR CNA office.
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-Hybrid
#LI-KA1
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 ***************************.
Auto-ApplyAssociate Claims Specialist
Claim specialist job in Hoffman Estates, IL
Under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Assists in providing service to policyholders/customers on mid-sized and/or large commercial accounts.
This is a hybrid position requiring twice a month in-office with preference on candidates residing within 50 miles of Suwanee, GA office. Please note this is subject to change.
Responsibilities
* Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.
* Establishes action plans based on case facts, best practices, protocols, jurisdictional issues and available resources.
* Manages an inventory of property/casualty and disability claims (e.g. workers` compensation, general liability, commercial automobile, property, group benefits), evaluates compensability/liability and losses, and negotiates settlements within prescribed limits.
* Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols.
* Confirms or denies coverage based on facts obtained during the investigation and advises policyholders as to proper course of action.
* Makes effective use of loss management techniques (e.g. Immediate Contact Plan, L9 check, Disability Management, open end release, first call settlements) and other resources.
* Updates files and provides comprehensive reports as required.
Qualifications
* Effective interpersonal, analytical and negotiation abilities required.
* Ability to provide information in a clear, concise manner with an appropriate level of detail.
* Demonstrated ability to build and maintain effective relationships.
* Demonstrated success in a professional environment; success in a customer service/retail environment preferred.
* Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent.
* Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory.
* Licensing may be required in some states.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
* California
* Los Angeles Incorporated
* Los Angeles Unincorporated
* Philadelphia
* San Francisco
Auto-ApplyClaims Examiner
Claim specialist job in Chicago, IL
With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
Position Summary
The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence.
Responsibilities:
* Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level
* Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution
* Review and analyze supporting damage documentation
* Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions
* Establish appropriate loss and expense reserves with documented rationale
* Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines
Experience & Qualifications
* Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word
* Knowledge of ImageRight preferred
* Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
* Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions
* Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines
* Ability to work well independently and in a team environment
* Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date.
Education
* Bachelor's degree preferred
* 3-5 years' experience handling the process of commercial insurance claims
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$71,900 - $97,110/year
* Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.
* Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.
14400 Arch Insurance Group Inc.
Auto-ApplyClaims Specialist
Claim specialist 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
Auto-ApplySr Claims Analyst
Claim specialist job in Chicago, IL
At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.
**Job Summary**
This position includes a variety of claim administrative and technical tasks that support a Claim Unit and/or vendor staff, as well as the Claims Team and serves as a liaison for any internal departments.
In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times. Also advise team members regarding claim processing procedures.
**Required Job Qualifications:**
+ High School diploma or GED equivalent
+ 3 years prior medical claim processing experience
+ Ability to work in a fast-paced, customer centric & production driven environment
+ Excellent verbal and written communication skills
+ Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
+ Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form
+ Flexible; open to continued process improvements
+ Self-directed individual who works well with minimal supervision
+ Good leadership, organizational and interpersonal skills
+ Ability to effectively handle with complex situations and reach resolution
+ Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs)
+ Ability to adapt to various system platforms, and to effectively use MS Excel/Word
**Preferred Job Qualifications:**
+ Health Insurance/Third Party Administrator Experience
****This is a Telecommute (Remote) role. Candidates must live within the following states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX or WI****
**Sponsorship is not available**
**\#LI-NR1**
**\#LI-Remote**
**Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!**
**EEO Statement:**
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
**Pay Transparency Statement:**
At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
**Min to Max Range:**
$17.71 - $33.25
Exact compensation may vary based on skills, experience, and location.
Global Risk Solutions Claims Specialist Development Program (January, June 2026)
Claim specialist job in Hoffman Estates, IL
Claims Specialist Program
Are you looking to help people and make a difference in the world? Have you considered a position in the fast-paced, rewarding world of insurance? Yes, insurance!
Insurance brings peace of mind to almost everything we do in our lives-from family trips to your first car to weddings and college graduations. As a valued member of our claims team, you'll help our customers get back on their feet and restore their lives when catastrophe strikes.
The details
When you're part of the Claims Specialist Program, you'll acquire various investigative techniques and work with experts to determine what caused an accident and who is at fault.
You'll independently manage an inventory of claims, which may include conducting investigations, reviewing medical records, and evaluating damages to determine the severity of each case. You'll resolve cases by working with individuals or attorneys to settle on the value of each case.
You will have required comprehensive training, one-on-one mentoring, and a strong pay-for-performance compensation structure at a global Fortune 100 company. Make a difference in the world with Liberty Mutual.
Qualifications
What you've got
You have 0-2 years of professional experience.
A strong academic record with a cumulative 3.0 GPA preferred
You have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism.
You possess strong negotiation and analytical skills.
You are detail-oriented and thrive in a fast-paced work environment.
You must have permanent work authorization in the United States.
What we offer
Competitive compensation package
Pension and 401(k) savings plans
Comprehensive health and wellness plans
Dental, Vision, and Disability insurance
Flexible work arrangements
Individualized career mobility and development plans
Tuition reimbursement
Employee Resource Groups
Paid leave; maternity and paternity leaves
Commuter benefits, employee discounts, and more
Learn more about benefits at **************************
A little about us
As one of the leading property and casualty insurers in the country, Liberty Mutual is helping people embrace today and confidently pursue tomorrow.
We were recognized as a ‘2018 Great Place to Work' by Great Place to Work US, and were named by
Forbes
as one of the best employers in the country for new graduates and women-as well as for diversity.
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information, or on any basis prohibited by federal, state, or local law.
We can recommend jobs specifically for you! Click here to get started.
Auto-ApplyComplex Claims Specialist - Cyber, Technology, Media & Crime
Claim specialist job in Chicago, IL
Job Type:
Permanent
Build a brilliant future with Hiscox
Put your claims skills to the test and join one of the top Professional Liability Insurers in the Industry as a Complex Claims Specialist!
Please note that this position is hybrid and requires working in office two (2) days per week. Position can be based near the following office locations:
West Hartford, CT (preferred)
Atlanta, GA
Boston, MA
Chicago, IL
Los Angeles, CA
Manhattan, NY
About the Hiscox Claims team:
The US Claims team at Hiscox is a growing group of professionals with experience across private practice and in-house roles, working together to provide the ultimate product we offer to the market. Complex Claims Specialists are empowered to manage their claims with high levels of authority to provide fair and fast resolution of claims for our insured and broker partners.
The role:
The primary role of a Complex Claims Specialist is to analyze liability claim submissions for potential coverage, set adequate case reserves, promptly and professionally respond to inquiries from our customers and their brokers, and to proactively drive early resolution of claims arising from our commercial lines of insurance. This particular role is open to Atlanta and will be focused on servicing claims and potential claims arising from our book of Cyber, Tech PL, Media and/or Crime professional liability lines of business. This is a fantastic opportunity to join Hiscox USA, a growing business where you will be able to make a real impact. Together, we aim to be the best people producing the best insurance solutions and delivering the best service possible.
What you'll be doing as the Complex Claims Specialist:
Key Responsibilities: To perform all core aspects of in-house claims management, including but not limited to:
Reviewing and analyzing claim documentation and legal filings
Drafting coverage analyses for tech E&O, first and third party cyber claims
Strategizing and maximizing early resolution opportunities
Monitoring litigation and managing local defense and breach counsel
Attending mediations and/or settlement conferences, either in person or by phone as appropriate
Smartly managing and tracking third-party vendor and service provider spend
Continually assessing exposures and adequacy of claim reserves, and escalating high exposure and/or volatile claims to line manager
Liaising directly on daily basis with insureds and brokers
Maintaining timely and accurate file documentation/information in our claims management system
Our must-haves:
5+ years of professional lines claims handling experience
A JD from an ABA-accredited law school and bar admission in good standing may be considered as a supplement to claims handing experience
A minimum of 2-3 years professional experience in the area of Cyber and Technology coverage experience required
Proven ability to positively affect complex claims outcomes through investigation, negotiation and effectively leading litigation
Advanced knowledge of coverage within the team's specialty or focus
Advanced knowledge of litigation process and negotiation skills
Excellent verbal and written communication skills
Advanced analytical skills
B.A./B.S degree from an accredited College or University, JD degree from an ABA accredited law school is preferred
What Hiscox USA Offers
Competitive salary and bonus (based on personal & company performance)
Comprehensive health insurance, Vision, Dental and FSA (medical, limited purpose, and dependent care)
Company paid group term life, short-term disability and long-term disability coverage
401(k) with competitive company matching
24 Paid time off days with 2 Hiscox Days
10 Paid Holidays plus 1 paid floating holiday
Ability to purchase 5 additional PTO days
Paid parental leave
4 week paid sabbatical after every 5 years of service
Financial Adoption Assistance and Medical Travel Reimbursement Programs
Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
Company paid subscription to Headspace to support employees' mental health and wellbeing
Recipient of 2024 Cigna's Well-Being Award for having a best-in-class health and wellness program
Dynamic, creative and values-driven culture
Modern and open office spaces, complimentary drinks
Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation
About Hiscox USA
Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.
Today, Hiscox USA has a talent force of about 420 employees mostly operating out of 6 major cities - New York, Atlanta, Dallas, Chicago, Los Angeles and San Francisco. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism.
You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)
Salary range $140,000 - $155,000 (Boston, Manhattan, West Hartford)
Salary range $125,000-$135,000 (Chicago, Atlanta)
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
#LI-AJ1
Work with amazing people and be part of a unique culture
Auto-ApplyOutbound Claims Specialist
Claim specialist job in Mokena, IL
Job Details Headquarters - Mokena, IL Full Time High School $44000.00 - $50000.00 Salary/year Full Time: 80 hours per pay period Billing & InsuranceDescription
The Outbound Claims Specialist is responsible for coding and scrubbing claims for errors, adding modifiers, and submitting claims to insurance.
Work Schedule: This position is on-site with a schedule of Monday - Friday 7:30 am - 4:00 pm
Essential Functions:
Bill out claims to insurance providers in a timely manner.
Review provider coding on notes/appointments to ensure compliance with insurance guidelines and to ensure accurate and timely reimbursement.
Ensure client records are up-to-date and accurate.
Initiate internal communication with therapists ensuring accuracy and completion of notes.
Serve as a liaison between clients and clinics to ensure timely, appropriate transfer of information and response to billing inquiries.
Attend relevant seminars to remain abreast of current issues regarding therapy and ABA billing practices, compliance with CMS guidelines and industry best practice.
Meet or exceed department goals set by team lead or billing manager on a regular basis.
Adhere to all practice policies related to HIPAA.
Qualifications
Required Education, Experience and Credentials:
High school diploma or equivalent
One year of billing experience in a medical office or healthcare setting
Knowledge, Skills and Abilities:
Excellent interpersonal and communication skills
Able to work effectively with all levels of the organization and in a diverse work group.
Proactive and independent with the ability to take initiative.
Excellent time management skills with a proven ability to meet deadlines.
Comfortable with technology, with the ability to learn multiple systems and software.
Proficient with Google Workspace
Must maintain discretion and client confidentiality.
Personal Attributes:
Interpersonal skills with strong verbal and written communication skills
Process oriented with strong attention to detail and accuracy
Accountability
Integrity
Problem Solving
Initiative
Work Environment & Physical Demands
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift up to 15 pounds at times.
Travel Requirements
Not applicable
This is a full-time position. Full-time employees are eligible for a comprehensive range of benefits, including Medical, Dental, Vision, and Life Insurance; a 401(k) retirement plan with company match; Paid Time Off; Sick Time; and a robust Employee Assistance Program.
Pharmacy Claims Adjudication Specialist
Claim specialist job in Woodridge, IL
We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Woodridge, IL. This will be a Full-Time position. This position must be located within driving distance to our pharmacy, with a hybrid work style. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Starting salary from $23.00 an hour and up Sign-On Bonus: $5,000 for employees starting before January 1, 2026. We offer a variety of benefits including:
Medical; Dental; Vision
401k with a match
Paid Time Off and Paid Holidays
Tuition Reimbursement
Company paid benefits - life; and short and long-term disability
Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360...
Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information..
Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim.
Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays
Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible)
Manages all funding related adjudications and works as a liaison to Onco360 Advocate team.
Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment.
Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable.
Document and submit requests for Patient Refunds when appropriate.
Pharmacy Adjudication Specialist Qualifications and Responsibilities...
Education/Learning Experience
Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication
Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience
Work Experience
Required: 1+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
Skills/Knowledge
Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills
Desired: Knowledge of Foundation Funding, Specialty pharmacy experience
Licenses/Certifications
Required: Registration with Board of Pharmacy as required by state law
Desired: Certified Pharmacy Technician (PTCB)
Behavior Competencies
Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills
#Company Values: Teamwork, Respect, Integrity, Passion
Technical Claim/Litigation Manager-Auto Bodily Injury/Personal Liability Umbrella
Claim specialist 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.
Auto-ApplyPublic Adjuster
Claim specialist job in Chicago, IL
Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Location: Primary Locations: KS City, Des Moines IA, State of CO, State of CA, St. Louis, State of IL with emphasis on ChicagoCompensation: $75,000 - $100,000 compensation + Performance-based bonuses
QUICK FACTS:
Must have Public Adjuster License
Must have experience with Xactimate
Must have network of Condo, Apartment, Property Management partners
Must be able to physically examine all buildings top to bottom (roofs as well)
About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth.
Position Overview:We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment.
Key ResponsibilitiesKey Responsibilities:
Identify and pursue new business opportunities with homeowners, contractors, and referral partners.
Educate prospective clients on our services and guide them through the insurance claims process.
Develop and maintain a pipeline of leads through prospecting and networking efforts.
Conduct presentations and training sessions to build brand awareness and establish partnerships.
Provide exceptional customer service to existing clients, ensuring their satisfaction and retention.
Work closely with internal teams to optimize the sales process and improve closing rates.
Maintain accurate records of sales activities and client interactions.
Skills, Knowledge and ExpertiseQualifications & Experience:
3+ years of proven sales experience as a licensed Public Adjuster
Strong ability to generate leads, manage relationships, and close deals.
Bachelor's degree in Business, Marketing, Communications, or equivalent experience.
Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms.
Highly organized with strong follow-through skills in a fast-paced environment.
Public Adjuster license
BenefitsWhat We Offer:
Extensive training and support to help you succeed.
Flexible work environment with opportunities for growth and career advancement.
A team-oriented culture with strong leadership and professional development opportunities.
If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!