286 claims jobs found in Downers Grove, IL

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote or hybrid position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This can be a hybrid or remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work...

The Workers' Compensation Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This role can be hybrid or remote. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises claims staff in their day-to-day operations Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval) Provides technical and...

The Liability Claims Specialist manages non-complex and non-problematic Liability claims under direct supervision of a senior claims professional. This role aims to achieve optimal outcomes for both CorVel and our clients. The Liability Claims Specialist handles litigated files and works with delegated limited authority, adhering to company best practices.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Manages non-complex and non-problematic medical only claims and minor lost-time liability claims under close supervision Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Communicates claim status with the customer, claimant, and client Adheres to client and carrier guidelines and participates in claims review as needed Collaborates with team members on more complex or problematic claims as necessary...

The WC Medical Only Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This role can be hybrid or remote. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or...

The Senior Liability Claims Specialist manages mid to complex Auto and/or General Liability claims, including bodily injury and property damage. This role aims to achieve optimal outcomes for both CorVel and our clients. The Senior Liability Claims Specialist handles litigated files and works with delegated authority, adhering to company best practices.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Investigates claims and handles Auto and/or General Liability claims Establishes reserves and authorizes payments within reserving authority limits Communicates claim status with the customer, claimant, and client Adheres to client and carrier guidelines and participates in claims review as needed Collaborates with team members on more complex or problematic claims as necessary Additional duties as assigned   KNOWLEDGE &...

The Claims Assistant will support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific customer needs. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Sets up new claims Process mail, handle files (until paperless), and input notes/diary entries in the claims system Process payments, as needed Process form letters, state forms and reports Assist claims examiners with telephone calls including provider, claimant and customer calls Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent written and verbal communication skills PC literate, including Microsoft Office (Word, Excel) Ability to work independently and in a team environment Strong organizational skills   EDUCATION & EXPERIENCE:  High school diploma, college degree preferred Six (6) months of service oriented office...

The Senior WC Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior WC Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts...

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Naperville, IL - Hybrid Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?   Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.  Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.  Take advantage of a variety of...

Description Join us as a Field Property Claims Adjuster where you’ll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner’s property.  This is a role where people who love every day to be new, different and exciting, can thrive – you’ll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support .   The Field Property Claims Adjuster will be traveling locally to insured homes within Lemont, IL (60440) and surrounding areas. To be successful within the role, candidates should live within or near this area.   Sign-On Bonus Available!  We’re offering a sign-on bonus for experienced and actively licensed new hires.   What you’ll do Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture . SUMMER INTERNSHIP OVERVIEW:  The Hanover’s Internship Program provides college students with the opportunity to work on a variety of critical business assignments, test your skills, use your academic knowledge, and match your interests to a real job. Through the 10-week summer program​ (June – mid August), You will:  Take on meaningful projects and work alongside some of the very best talent in the industry Be supported and mentored by a community of exceptional talent (leaders, managers, subject matter experts and recent graduates)  Participate in a cross-functional team building project focused on corporate philanthropy Attend weekly development workshops with your...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture . SUMMER INTERNSHIP OVERVIEW:  The Hanover’s Internship Program provides college students with the opportunity to work on a variety of critical business assignments, test your skills, use your academic knowledge, and match your interests to a real job. Through the 10-week summer program​ (June – mid August), You will:  Take on meaningful projects and work alongside some of the very best talent in the industry Be supported and mentored by a community of exceptional talent (leaders, managers, subject matter experts and recent graduates)  Participate in a cross-functional team building project focused on corporate philanthropy Attend weekly development workshops with your...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture . SUMMER INTERNSHIP OVERVIEW:  The Hanover’s Internship Program provides college students with the opportunity to work on a variety of critical business assignments, test your skills, use your academic knowledge, and match your interests to a real job. Through the 10-week summer program​ (June – mid August), You will:  Take on meaningful projects and work alongside some of the very best talent in the industry Be supported and mentored by a community of exceptional talent (leaders, managers, subject matter experts and recent graduates)  Participate in a cross-functional team building project focused on corporate philanthropy Attend weekly development workshops with your...

The Claims Service Specialist will support the Claims Services Managers (CSM’s) to help ensure member claim service satisfaction and provide claims service management ensuring proper communication and follow through. ESSENTIAL EDUCATION AND EXPERIENCE: Bachelor’s Degree or equivalency in a related discipline and at least five (5) years of claim handling experience and claims customer service. Must have direct client service experience in commercial claims either through face-to-face or telephonic interactions. SKILLS/COMPETENCIES REQUIREMENTS: Strong customer service orientation Organization, planning, and prioritization expertise with strong skills in multi-tasking and follow-up Works well independently and in a team environment Excellent written and verbal communication skills Comfortable in a client facing role Strong analytical, problem solving, judgment, and communication skills Willingness and ability to travel domestically at a minimal amount as...

The Claims Services Manager provides day to day claims administration assistance, customer service, dispute resolution, and general claims consultation services to all assigned captive clients. ESSENTIAL EDUCATION AND EXPERIENCE: Bachelor’s Degree or equivalency in a related discipline and at least seven (7) years of experience in Casualty claims handling and/or claims customer service. Construction claims experience preferred. SKILLS/COMPETENCIES REQUIREMENTS: Strong team attitude Works well independently and in a team environment Interpersonal skills Business acumen Excellent written and verbal communication skills Proficient in Microsoft Office, especially using Excel and Word, and other on-line computer systems Utilize PowerPoint to effectively communicate ideas Comfortable giving presentations to audiences of all sizes Organization, planning and prioritization skills Strong analytical, problem solving and judgment skills Strong customer service...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture .   Our Casualty Claims team is currently seeking early in career talent to join our Claims Development Program in our Itasca, IL location.  This is a full-time non-exempt role. POSITION OVERVIEW: The Casualty Associate Adjuster is responsible for the investigation, evaluation, negotiation, and resolution of casualty claims in alignment with policy provisions, industry best practices, and applicable jurisdictional regulations. This role involves accurate input and management of claim data, as well as providing clear guidance to insureds and claimants throughout the claims process and available options. IN THIS ROLE, YOU WILL:  Mentoring & Learning Structure: •    Engages with...

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we  CARE  through our values,  Sustainability  initiatives and  inclusive corporate culture .   Our Casualty Claims team is currently seeking early in career talent to join our Claims Development Program in our Itasca, IL location.  This is a full-time non-exempt role. POSITION OVERVIEW: The Casualty Associate Adjuster is responsible for the investigation, evaluation, negotiation, and resolution of casualty claims in alignment with policy provisions, industry best practices, and applicable jurisdictional regulations. This role involves accurate input and management of claim data, as well as providing clear guidance to insureds and claimants throughout the claims process and available options. IN THIS ROLE, YOU WILL:  Mentoring & Learning Structure: •    Engages with...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description Applications are accepted on an ongoing basis. An open position may not be available at this time. We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company’s...

Company: Marsh McLennan Agency Description: About Marsh McLennan Agency Midwest  Marsh McLennan Agency’s Midwest Region is a full-service brokerage providing business insurance, employee benefits, private client insurance, and retirement services to businesses and individuals across the country. MMA Midwest is consistently recognized as a top workplace, attracting and retaining its insurance talent by rewarding expertise and investing in career development. Colleagues enjoy an award-winning culture that fosters a highly productive and results-driven working environment. A day in the life. As a Claims Consultant, you will be responsible for providing exceptional customer service and collaborating with various stakeholders to ensure timely and accurate claims processing. Our future colleague. We’d love to meet you if your professional track record includes these skills: Proficient in managing client claims through thorough interpretation of coverage, and...