3 claims processor jobs found in Itasca, IL

The Assistant Vice President (AVP) Underwriting Manager for Medical Stop Loss Insurance is responsible for leading an underwriting team, developing and implementing underwriting strategies, and managing the underwriting process for assigned captive program(s). This includes overseeing the underwriting of new and renewal business, ensuring underwriting guidelines and delegated authority are followed, managing a team of underwriters, and maintaining profitability while controlling risk. The AVP will work closely with senior management, fronting carriers, actuarial, and sales teams to support business goals and drive performance across the medical stop loss portfolio. ESSENTIAL EDUCATION AND EXPERIENCE : Bachelor’s Degree in Business, Insurance, Finance, or other related discipline, and at least eight (8) years of experience in underwriting with 3 years in a leadership/management role within medical stop loss or health insurance industry.   SKILLS/COMPETENCIES REQUIREMENTS:...

The Account Manager works collaboratively with the Underwriting team once binding decisions have been made, owns post sale process through policy issuance, establish files for policy holders, and works with Captive Resources Program Management for new policy holder onboarding. ESSENTIAL EDUCATION AND EXPERIENCE: Bachelor’s Degree or other related discipline, and at least two (2) years of stop loss experience in account management, claims, underwriting, or sales. SKILLS/COMPETENCIES REQUIREMENTS: Group health benefits or related experience Organizational skills and experience with prioritizing project work and tasks Excellent communication skills both verbal and written Proficient in Microsoft Word and Excel Experience with Connexure ELS Office preferred. ESSENTIAL DUTIES AND RESPONSIBILITIES: Serve as primary service contact for assigned stop loss book of business (new business and renewal) including claims payment inquiries, premium remittance and...

The Underwriter is responsible for evaluating and underwriting stop-loss insurance. The role involves analyzing medical risk, pricing policies, and making recommendations based on a thorough understanding of both medical costs and insurance principles. EDUCATION AND EXPERIENCE: A bachelor’s degree in business, finance, insurance, mathematics, or a related field.  2 -5 years of experience in insurance underwriting, preferably in the health insurance or medical stop-loss field. Experience with medical claims analysis, pricing, and risk management is essential. SKILLS/COMPETENCIES REQUIREMENTS: Stay updated on industry trends, regulatory changes, and best practices in medical stop-loss underwriting. Risk management principles and stop-loss insurance products. Medical terminology, healthcare costs, and trends in medical claims. Regulatory and compliance issues in insurance underwriting. Strong analytical and problem-solving abilities. Proficiency in underwriting...