4 member representative i jobs found in Downers Grove, IL

The Casualty General Adjuster manages within company standards and best practices to investigate, evaluate, and handle to conclusion complex injury claims in litigation. Handle as required in specific customer service requirement to achieve the best possible outcome in the claim, supporting the goals of claims department and of CorVel.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Successfully handles any complex coverage or liability claims investigation. Willingness to travel for Mediations, Trials and CAT Scene incidents Evaluates complex injury claims and determines the appropriate settlement value. Attends internal and external training programs to advance knowledge in the area of liability    claims. Works closely with the Claims Supervisor, Claims Manager, or Unit Vice President of Liability. Works and partners with defense counsel, when applicable, to respond timely, accurately, and professionally to plaintiff...

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source Provide assessment, planning, implementation, and evaluation of...

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 general direction to identify and investigate subrogation potential, negotiate, litigate and pursue recoveries for moderate to high complex commercial claims that require strong technical expertise in a specific line of business. Responsibilities include following company protocols to identify, evaluate, analyze and interpret subrogation potential, working with internal resources and external parties to negotiate/litigate through final resolution of the recovery process. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Manages subrogation of...

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source Provide assessment, planning, implementation, and evaluation of...