4 jobs found in oak brook

Overview AmTrust Financial Services, a fast-growing commercial insurance company, has an opportunity for a Manager, RN Branch Manager of Telephonic Case Management for Workers Compensation where your clinical talent and leadership abilities contribute to our competitive edge.    PRIMARY PURPOSE: The RN Branch Manager for telephonic case management services will oversee operations as well as a team of experienced worker’s compensation nurse case managers. The ideal candidate will have a minimum of three (3) or more years’ experience overseeing a nursing claims management program as well as in-depth understanding of worker’s compensation injury claims and utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering quality telephonic case management to proactively drive best in class outcomes including appropriate medical...

Title: Eligibility & Enrollment Processor 2                          Department: Technical Operations Union: UFCW 1546                                                                  Grade: 22 Position Summary The Eligibility and Enrollment Processor 2 supports the administration of member eligibility and enrollment activities by maintaining accurate records and responding to member and client inquiries. This role applies knowledge of assigned benefit plans to research and resolve eligibility issues and ensure accurate processing of enrollment information. The position contributes to effective customer service and supports coordination with internal teams and external vendors to maintain accurate member coverage. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Maintain current knowledge of assigned benefit plan(s) and applies plan...

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Overview The Workers' Compensation Examiner Lead is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. The Lead Examiner  is often, though not always, assigned to larger or more complex claims than an Adjuster I or II. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of AmTrust and the Claims organization.    This position will sit 4 days hybrid out of our Oak Brook Office.  Responsibilities Follows AmTrust policies and procedures in managing claims. Investigates the claim and coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured, claimant, witnesses and medical providers. Evaluates, establishes, maintains, and adjusts reserves based on...