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casualty claims specialist

HDI Global Insurance Company

<div><div><b>Casualty Claims Specialist</b><br>
<br>
Chicago, IL (Hybrid)<br>
<br>
<br>
<br>
<b>About HDI Global Insurance Company</b><br>
<br>
HDI Global Insurance Company is a commercial property and casualty insurer headquartered in Chicago, IL. As a wholly owned subsidiary of HDI Global SE, we manage the industrial lines division of the Talanx Group. Our extensive portfolio of products and services, combined with an international network of local insurers in over 150 countries, enables us to offer comprehensive domestic and global insurance solutions for U.S.-based multinational companies.<br>
<br>
We are currently seeking a Casualty Claims Specialist to manage high-severity, litigated casualty claims involving construction defect, general liability bodily injury, and property damage exposures. This role will focus on complex, multi-jurisdictional matters with significant financial impact and strategic importance.<br>
<br>
<br>
<b>Key Responsibilities</b></div>
<ul><li>Manage a portfolio of complex, severe, litigated construction defect and general liability bodily injury and property damage claims.</li>
<li>Evaluate and assess risk exposure in excess of $100M USD, establishing appropriate reserving strategies and resolution plans.</li>
<li>Lead claim strategy development in partnership with Underwriting, Risk Engineering, Legal, and external counsel to drive favorable outcomes.</li>
<li>Direct outside counsel, forensic experts, and specialty vendors in high-exposure and catastrophe-related claims.</li>
<li>Proactively resolve large losses through early risk assessment, advanced analytics, AI-supported modeling tools, and coordinated litigation management.</li>
<li>Navigate multi-jurisdictional litigation environments, including complex venue, contractual indemnification, and coverage considerations.</li>
<li>Analyze policy language across standard and manuscript forms, independently identifying and addressing coverage issues.</li>
<li>Represent the company in mediations, settlement conferences, arbitrations, and court proceedings as necessary.</li>
<li>Develop and execute global claim resolution strategies for multinational clients in coordination with international partners.</li>
<li>Innovate and pilot new claims tools and business processes in collaboration with cross-functional teams to enhance efficiency and insight.</li>
<li>Identify subrogation and recovery opportunities to reduce loss exposure.</li>
<li>Provide clear, timely reporting to senior management on high-severity matters and emerging trends.</li>
</ul>
<div><br>
<b>Skills, Knowledge &amp; Abilities</b></div>
<ul><li>Deep expertise in complex casualty claims handling, particularly construction defect and severe general liability losses.</li>
<li>Strong understanding of catastrophic loss management and large-scale litigation strategy.</li>
<li>Advanced analytical skills with the ability to evaluate significant financial exposure and coverage implications.</li>
<li>Experience managing claims involving layered insurance programs and excess placements.</li>
<li>Familiarity with AI-based claims analytics, litigation technology platforms, and data-driven reserving methodologies.</li>
<li>Exceptional negotiation skills and comfort operating in high-stakes mediation environments.</li>
<li>Ability to collaborate effectively across underwriting, legal, actuarial, and risk engineering functions.</li>
<li>Strong written and verbal communication skills with executive-level presence.</li>
<li>Strategic mindset with a proactive, solution-oriented approach to large loss resolution.</li>
</ul>
<div><br>
<b>Additional Requirements</b></div>
<ul><li>Bachelor&rsquo;s degree required.</li>
<li>Minimum 4+ years of complex casualty claims experience, including litigated construction defect and large general liability exposures.</li>
<li>Demonstrated experience managing claims with exposure exceeding $25M USD; experience with $100M+ exposures preferred.</li>
<li>Experience handling multi-jurisdictional and multinational claims environments preferred.</li>
<li>State adjuster licenses required or willingness to obtain and maintain.</li>
<li>Willingness to travel as needed for mediations, client meetings, catastrophe response, or court proceedings.</li>
</ul>
 <div><br>
<b>Compensation</b><br>
The base salary range for this position is $100,000-$120,000 plus eligibility for a performance-based annual bonus. Actual compensation will be determined based on experience, education, and geographic location.<br>
<br>
<br>
<b>Benefits</b><br>
<br>
HDI Global Insurance Company offers a competitive benefits package, including:<br>
<br>
401(k) with company match, Paid Time Off, Sick Leave, Medical, Health Reimbursement Arrangement (HRA), Telemedicine, Wellness Program, Employee Assistance Program (EAP), Dental, Vision, Accident &amp; Critical Illness Insurance, Flexible Spending Account (FSA), Dependent Care FSA, Group and Voluntary Life Insurance, Short- and Long-Term Disability, Pet Insurance, Transit and Parking benefits.<br>
<br>
<br>
Attention California Applicants: Click here to read HDI&rsquo;s California Personnel Privacy Notice.<br>
<br>
HDI Global Insurance Company is an Equal Opportunity Employer. We consider applicants without regard to race, color, religion, national origin, age, sex, marital status, ancestry, disability, veteran status, gender identity, or sexual orientation.<br>
<br>
HDI Global Insurance Company participates in E-Verify.</div></div>

Casualty Claims Specialist

<div><div><b>Casualty Senior Claims Specialist</b><br>
<br>
<b>About HDI Global Insurance Company</b><br>
<br>
HDI Global Insurance Company is a commercial property and casualty insurer headquartered in Chicago, IL. As a wholly owned subsidiary of HDI Global SE, we manage the industrial lines division of the Talanx Group. Our extensive portfolio of products and services, combined with an international network of local insurers in over 150 countries, enables us to offer comprehensive domestic and global insurance solutions for U.S.-based multinational companies.<br>
<br>
We are currently seeking a seasoned Casualty Senior Claims Specialist to join our team. This role will focus on the investigation, evaluation, negotiation, and resolution of complex and high-exposure commercial casualty claims, including product liability and construction-related matters.<br>
<br>
<br>
<b>Key Responsibilities</b></div>
<ul><li>Manage a portfolio of high-value, complex casualty claims, including litigated matters.</li>
<li>Investigate, evaluate, negotiate, and resolve complex commercial casualty claims, utilizing external service providers where appropriate.</li>
<li>Represent the company and clients in complex claims by participating in or leading litigation teams as necessary.</li>
<li>Independently resolve significant exposure claims within delegated authority levels.</li>
<li>Effectively manage outside counsel and other external vendors to ensure cost control and quality outcomes.</li>
<li>Analyze policy coverage on standard and manuscript forms, identify coverage issues, and draft coverage position letters when required.</li>
<li>Operate within designated monetary authority for reserves, settlements, and payments.</li>
<li>Prepare timely and accurate large loss reports and keep management informed of developments on severe claims.</li>
<li>Conduct mediations and informal negotiations to drive efficient claim resolution.</li>
<li>Develop and maintain strong relationships with customers, brokers, and internal colleagues domestically and internationally.</li>
<li>Identify and pursue subrogation recovery opportunities when applicable.</li>
<li>Share claims insights and lessons learned across departments to improve organizational performance.</li>
</ul>
<div><br>
<b>Skills, Knowledge &amp; Abilities</b></div>
<ul><li>Expertise in complex casualty claims handling, litigation management, coverage analysis, and negotiations.</li>
<li>Strong analytical skills, including the ability to review medical records, expert reports, and investigative materials.</li>
<li>Excellent verbal and written communication skills.</li>
<li>Strong organizational skills with the ability to manage multiple priorities effectively.</li>
<li>Detail-oriented with strong policy interpretation capabilities.</li>
<li>Adaptable and capable of thriving in a dynamic environment.</li>
<li>Customer-focused mindset with a commitment to exceeding expectations of internal and external stakeholders.</li>
<li>Proficiency in Microsoft Office applications and electronic claims management systems.</li></ul><br>
<div><br>
<br>
<br>
<b>Additional Requirements</b></div>
<ul><li>Bachelor&rsquo;s degree required.</li>
<li>Minimum of 5 years of relevant casualty claims experience.</li>
<li>Litigation and insurance claims management experience, particularly in product liability and construction liability.</li>
<li>Willingness to obtain and maintain appropriate state adjuster licenses and required continuing education credits.</li>
<li>Travel required on a minimal or as-needed basis.</li>
</ul>
<div><br>
<b>Compensation</b><br>
The base salary range for this position is $110,000&ndash;$150,000, plus eligibility for a performance-based annual bonus. Actual compensation will be determined based on experience, education, geographic location, and other relevant factors.<br>
<br>
<br>
<b>Benefits</b><br>
HDI Global Insurance Company offers a competitive benefits package, including:<br>
401(k) with company match, Paid Time Off, Sick Leave, Medical, Health Reimbursement Arrangement (HRA), Telemedicine, Wellness Program, Employee Assistance Program (EAP), Dental, Vision, Accident &amp; Critical Illness Insurance, Flexible Spending Account (FSA), Dependent Care FSA, Group and Voluntary Life Insurance, Short- and Long-Term Disability, Pet Insurance, Transit and Parking benefits.<br>
<br>
<br>
<b>Compliance Notices</b><br>
Attention California Applicants: Click here to read HDI&rsquo;s California Personnel Privacy Notice.<br>
<br>
<b>Equal Opportunity Employer</b><br>
HDI Global Insurance Company is an Equal Opportunity Employer. We consider applicants without regard to race, color, religion, national origin, age, sex, marital status, ancestry, disability, veteran status, gender identity, or sexual orientation.<br>
HDI Global Insurance Company participates in E-Verify.</div></div>

Casualty Claims Senior Specialist

Zurich Insurance

<div><p>Zurich is currently looking to hire an experienced Executive Underwriter or AVP, Underwriting Director &ndash; Zurich E&amp;S to join our E&amp;S Primary Casualty team in our Chicago, IL, Schaumburg, IL, New York City, NY, or Rocky Hill, CT office! While this position will be based out of one of those locations, you will have the flexibility to work on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports you, our customers, and our brokers and agents. This role will require you to be visible in the marketplace to meet with our agents and brokers. In this role you will be working with national wholesalers to drive growth with a focus on profitability.</p><p></p><p><br>
Zurich E&amp;S is dedicated 100% to a wholesale distribution model and a product and technology strategy designed to make Zurich a market leader in E&amp;S as measured by gross written premium, profitability, and employee satisfaction!</p><p></p><p><br>
This role will be filled at either an Executive Underwriter or AVP, Underwriting Director level. The hiring manager will determine the appropriate level based upon the selected applicant&rsquo;s experience and skillset relative to the qualifications listed for this position.</p><div></div><div><br>
What you can expect in an E&amp;S Primary Casualty Underwriting position at Zurich:</div><br>
<div></div><ul><li>
You will develop and maintain relationships with broker partners and customers across all industries in support of business objectives</li><li>
You will leverage your casualty underwriting acumen across risk assessment, exposure evaluation and pricing to generate and maintain a profitable book of new and renewal business</li><li>
You will work collaboratively across business units including but not limited to; claims, finance, risk engineering, actuary, and technical underwriting while gaining extensive knowledge in a growing and innovative industry</li><li>
You will be empowered to use your market facing, negotiation and interpersonal skills to grow and develop relationships with preferred distribution partners in an assigned territory</li></ul><div><br>
<br>
Our E&amp;S Primary Casualty Underwriter is responsible for:</div><br>
<div></div><ul><li>
Serving as a customer industry advocate with a focus on improving the customer experience by understanding their risk and offering the best end to end solution for their insurance needs</li><li>
Using a disciplined approach to exposure evaluation, risk assessment and pricing</li><li>
Using risk insights, data and models to drive informed decisions at point of sale</li><li>
Market facing and production within the growing Zurich E&amp;S Casualty division</li><li>
Administering and monitoring underwriting rules and guidelines, insurance laws and regulations and rating manual rules</li><li>
Working within broad limits and authorities on highly complex assignments</li><li>
Coaching, developing and empowering junior team members.</li></ul><div><br>
Executive Underwriter &ndash; Zurich E&amp;S Basic Qualifications:</div><br>
<div></div><ul><li>
High School Diploma or Equivalent and 5 or more years of experience in the Underwriting or Market Facing area<br>
OR</li><li>
High School Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support area<br>
OR</li><li>
Zurich Certified Insurance Apprentice including an Associate Degree and 3 or more years of experience in the Underwriting or Market Facing area<br>
OR</li><li>
Zurich Certified Insurance Apprentice including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support area<br>
AND</li><li>
Knowledge of Microsoft Office</li><li>
Experience working on time restraints for quotes on new and renewal business</li><li>
Experience working in a team environment</li></ul><div></div><div><br>
OR</div><div></div><div><br>
AVP, Underwriting Director &ndash; Zurich E&amp;S Basic Qualifications:</div><br>
<div></div><ul><li>
High School Diploma or Equivalent and 7 or more years of experience in the Underwriting or Market Facing area<br>
OR</li><li>
High School Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support area<br>
OR</li><li>
Zurich Certified Insurance Apprentice including an Associate Degree and 5 or more years of experience in the Underwriting or Market Facing area<br>
OR</li><li>
Zurich Certified Insurance Apprentice including an Associate Degree and 12 or more years of experience in the Claims or Underwriting Support area</li></ul><div></div><div><br>
 Preferred Qualifications:</div><br>
<div></div><ul><li>
Bachelor&rsquo;s Degree or equivalent years of E&amp;S Commercial insurance industry experience</li><li>
Technical knowledge of Primary Casualty Underwriting with E&amp;S</li><li>
Established wholesale broker relationships (E&amp;S brokers)</li><li>
Creative problem-solving skills</li><li>
Strong verbal and written communication skills</li></ul><p></p><div><p><br>
Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply&mdash;your unique background matters to us. The pay range shown is a national average and may vary by location. The combined salary range for this position is $98,500.00 - $215,000.00. The proposed salary range for the Executive Underwriter is $98,500.00 - $165,000.00, with Global Specialty Incentive Plan bonus eligibility set at 30%. The proposed salary range for the AVP, Underwriting Director is $130,000.00 - $215,000.00, with Global Specialty Incentive Plan bonus eligibility set at 40%.</p></div><p></p><p><br>
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.]</p><p></p><p><b><br>
Why Zurich?</b></p><p>
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment&mdash;so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500&reg;.</p><p></p><p><br>
Join us for a brighter future&mdash;for yourself and our customers.</p><p></p><p><br>
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.</p><p></p><p><br>
Zurich complies with 18 U.S. Code &sect; 1033.</p><p></p><p><b><br>
Please note:</b> Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.</p><p></p><p><br>
Location(s): AM - Chicago, AM - New York, AM - Rocky Hill, AM - Schaumburg<br>
Remote Working: Hybrid<br>
Schedule: Full Time<br>
Employment Sponsorship Offered: No
<br>
<br>
Linkedin Recruiter Tag: #LI-JR1 #LI-ASSOCIATE #LI-HYBRID</p></div><p></p>

Executive Underwriter or AVP, Underwriting Director - Zurich E&S

Colorful Minds ABA

<div><p><b>ABA Billing Specialist (Medicaid &amp; Commercial Insurance)</b></p>
<p>
Hybrid/Remote &ndash; Chicago, IL<br>
Colorful Minds ABA</p>
<p><b>
About Colorful Minds ABA</b></p>
<p>
Colorful Minds ABA is a growing pediatric ABA therapy provider committed to delivering high-quality, ethical, and family-centered services across clinic, home, and community settings. We value accountability, integrity, teamwork, and operational excellence in everything we do.</p>
<p>
We are seeking a detail-oriented and experienced <b>ABA Billing Specialist</b> with strong knowledge of <b>Illinois Medicaid, commercial insurance payors, Rethink Behavioral Health, and Tebra</b>.</p>
<p><b>
Position Summary</b></p>
<p>
The ABA Billing Specialist is responsible for managing the full-cycle billing process, ensuring accurate claim submission, payment posting, denial management, and compliance with Medicaid and commercial payor requirements. This role works closely with Operations, Credentialing, and Clinical teams to maintain revenue integrity and reduce A/R.</p>
<p><b>
Key Responsibilities</b></p>
<p><b>
Insurance &amp; Claims Management</b></p>
<ul>
<li>Submit and track electronic claims via <b>Rethink Behavioral Health</b></li>
<li>Submit commercial claims through <b>Tebra</b></li>
<li>Process Illinois Medicaid claims (including MCOs)</li>
<li>Verify authorizations, units, and service codes (97151, 97153, 97155, 97156, etc.)</li>
<li>Ensure claims align with treatment authorizations and session notes</li>
</ul>
<p><b>Accounts Receivable &amp; Denials</b></p>
<ul>
<li>Monitor aging reports and maintain A/R within company benchmarks</li>
<li>Investigate and resolve denials, rejections, and underpayments</li>
<li>Submit corrected claims and appeals as needed</li>
<li>Follow up with payors regarding outstanding balances</li>
</ul>
<p><b>Payment Posting &amp; Reconciliation</b></p>
<ul>
<li>Post EFT, ERA, and manual payments accurately</li>
<li>Reconcile payments with billed units and authorizations</li>
<li>Coordinate with leadership regarding revenue trends</li>
</ul>
<p><b>Compliance &amp; Documentation</b></p>
<ul>
<li>Ensure billing compliance with Medicaid and commercial guidelines</li>
<li>Work closely with clinical team to resolve documentation discrepancies</li>
<li>Identify trends that may impact reimbursement</li>
<li>Maintain HIPAA compliance and confidentiality standards</li>
</ul>
<p><b>Qualifications</b></p>
<ul>
<li>Minimum 2+ years of ABA billing experience (required)</li>
<li>Strong knowledge of <b>Illinois Medicaid</b> and commercial insurance</li>
<li>Hands-on experience with:
<ul><li><b>Rethink Behavioral Health</b></li>
<li><b>Tebra</b></li>
</ul></li><li>Knowledge of CPT codes specific to ABA services</li>
<li>Experience working with authorizations and unit tracking</li>
<li>Strong Excel/Google Sheets skills</li>
<li>High attention to detail and ability to work independently</li>
</ul>
<p><b>Preferred</b></p>
<ul>
<li>Experience in pediatric behavioral health</li>
<li>Familiarity with EVV requirements</li>
<li>Understanding of credentialing workflows</li>
<li>Experience working in a multi-site ABA organization</li>
</ul>
<p><b>Compensation</b></p>
<ul>
<li>Competitive hourly rate based on experience</li>
<li>Flexible work schedule (Hybrid or Remote options)</li>
<li>Growth opportunity within a scaling organization</li>
</ul>
<p><b>Why Join Colorful Minds ABA?</b></p>
<ul>
<li>Collaborative leadership team</li>
<li>Structured processes and KPIs</li>
<li>Growing organization with advancement opportunities</li>
<li>Mission-driven culture focused on quality care</li></ul></div>

Remote ABA Billing Specialist

Chubb Insurance

<div><p>The Workers&rsquo; Compensation Senior Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of optimum medical improvement. The Senior TCM is responsible for disability management, including proactive early return to work coordination. Close collaboration with the claims and medical team to achieve individual case and department goals is a critical component of the position. This is a full-time remote position.
</p><p><b>KNOWLEDGE AND SKILLS:
</b></p><ul><li>Excellent verbal and written communication skills. This position will involve continuous personal, telephonic, and written contact.
</li><li>Strong interpersonal and relationship building skills.
</li><li>Knowledge of traumatic injuries and the resultant disabilities and medical complications.
</li><li>Knowledge of Workers&rsquo; Compensation Acts and working knowledge of the medical providers in the assigned territory.
</li><li>Knowledge and expertise in use of medical treatment guidelines and disability duration guidelines.
</li><li>Experience using Microsoft Office products and ability to learn other technology tools.
</li><li>Strong time management, critical thinking, and organizational skills with the ability to work independently to manage priorities and meet deadlines.
</li><li>Model exceptional customer experience skills.
</li></ul><p><b>MAJOR DUTIES/RESPONSIBILITIES OF THE JOB </b>:
</p><ul><li>Complete timely initial assessment report, case management plan, and establish disability duration timeframes.
</li><li>Throughout the life of an assignment review, analyze and critically assess medical records compared to evidence-based treatment guidelines; communicate findings and recommendations to the adjuster as part of the development of a medical action plan.
</li><li>Active participation with claims team to review, establish, and execute action plan.
</li><li>Develop and maintain action plan for early return to work (RTW) based on disability duration guidelines.
</li><li>Work collaboratively with all stakeholders to effectively manage recovery and return to work process.
</li><li>Meet productivity requirements.
</li><li>Effectively manage inventory based on guidelines.
</li><li>Assist with training and development of team members and broader workers&rsquo; compensation team including preparation and presentation of updates on relevant medical topics.
</li><li>Assist Nurse Manager and leadership team as needed with triage and projects.
</li></ul><p><b>EDUCATION AND EXPERIENCE:
</b></p><ul><li>Registered Nurse (RN) license in good standing required and willingness to obtain additional licenses as needed. BSN preferred.
 </li><li>Certified Case Manager (CCM) certification, CDMS and/or CRRN preferred.
 </li><li>Compact license preferred.
</li><li>7-10 years of experience in Workers&rsquo; Compensation Case Management preferred.
</li><li>Proficiency with MS Office products.
</li></ul><p>The pay range for the role is $65,900 to $111,900. The specific offer will depend on an applicant&rsquo;s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website . The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.</p></div>
<br><div><div>Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.<br>
</div><div></div><br>
<div>At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.</div></div>

Senior Telephonic Case Manager

Allstate Insurance

<div><p>At Allstate, great things happen when our people work together to protect families and their belongings from life&rsquo;s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers&rsquo; evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.</p><p></p><p><b>
Job Description</b></p><p></p><div><div><p><b>
A day in the life of an inside Property Adjuster, and what it</b><b> </b><b>takes</b><b> </b><b>to do the job!</b></p></div><div><p>
As a Moderate Inside Property Adjuster, you will provide exceptional service to our policyholders. Working remotely from your home office, your primary responsibility will involve virtually inspecting damages, investigating coverage, preparing estimates, and settling claims promptly and accurately. You will be interacting with customers, contractors, and vendors through various software platforms such as Xactimate and ClaimsX Video Collaboration. This communication will take place through different channels, including voice calls, email, and text messages. This role places a particular focus on water losses, ensuring that our customers receive the highest level of support and resolution for these specific claims.</p></div><p></p><div><p><b><br>
You'll</b><b> </b><b>wear a few hats that will require a level of experience:</b></p></div><div><ul><li><p>
The Customer Service Expert &ndash;you&rsquo;ll live into Allstate&rsquo;s Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Property claim. You lead with empathy, always.</p></li></ul></div><div><ul><li><p>
The Investigator &ndash; you&rsquo;ll confidently and independently investigate property claims by performing detailed reviews of damage and interpreting policies to determine coverage.</p></li></ul></div><div><ul><li><p>
The Effective Communicator &ndash; you&rsquo;ll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You&rsquo;ll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress.</p></li></ul></div><div><ul><li><p>
The Negotiator &ndash; You will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations.</p></li></ul></div><div><ul><li><p>
The Problem Solver &ndash;you&rsquo;ll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.</p></li></ul></div><div><ul><li><p>
The Recorder &ndash; you&rsquo;ll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You&rsquo;ll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim.</p></li></ul></div><p></p><div><p><b><br>
Schedule:</b></p></div><div><ul><li><p>
Monday &ndash; Friday; 8 am - 5 pm with rotational Saturday duty.</p></li><li><p>
In Office: Monday, Wednesday &amp; Friday.</p></li><li><p>
Remote: Tuesday &amp; Thursday.</p></li><li><p>
Office Address: 3100 Sanders Road, Northbrook, IL.</p></li><li><p>
This role involves taking care of customers in their times of need. As a result, you must be willing to work some weekends and extended hours if necessary.</p></li></ul></div><p></p><div><p><b><br>
Preferred</b><b> </b><b>Qualifications:</b></p></div><div><ul><li><p>
1+ years of previous customer service experience required.</p></li></ul></div></div><div><div><ul><li><p>
Previous industry experience is highly desired.</p></li></ul></div><div><ul><li><p>
Proficiency in using Xactimate and other relevant software for virtual assessments is preferred.</p></li></ul></div><div><ul><li><p>
Ability to assess property damages and accurately determine claim coverage.</p></li></ul></div><div><ul><li><p>
Excellent negotiation and communication skills to interact with customers and stakeholders remotely.</p></li></ul></div><div><ul><li><p>
Ability to work independently and manage time efficiently in a virtual work environment.</p></li></ul></div><div><ul><li><p>
Detail-oriented and organized, with a focus on delivering high-quality and efficient claim resolutions.</p></li></ul></div><div><ul><li><p>
Residency within the posted location is mandatory for this role.</p></li></ul></div><p></p><div><p><b><br>
You&rsquo;re</b><b> </b><b>provided with comprehensive training:</b></p></div><div><ul><li><p>
The training program is designed to help you build a claims foundation and understand the systems and processes in your day-to-day work.</p></li></ul></div><div><ul><li><p>
Ongoing training opportunities for continuous improvement happen regularly on the job.</p></li></ul></div><p></p><div><p><b><br>
Notice of Licensing Requirement:</b></p></div><div><ul><li><p>
As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license which includes passing an additional background check with the Department of Labor. If applicable, you will be required to secure license(s) within 60 days of hire.</p></li></ul></div><div><ul><li><p>
If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed.</p></li></ul></div><p></p><div><p><b><br>
Sign On Bonus:</b></p></div><div><p>
You may be eligible for a $1,000 Licensing Sign on Bonus if you have the applicable active licenses needed for this role. This could include Home Resident Property &amp; Casualty License, Designated Home State (DHS) Florida or Texas License, and/or applicable Appraiser License.</p></div><p></p><div><ul><li><br>
<b>Current employees or candidates who have previously worked for Allstate, including its family of companies, are not eligible for this sign-on bonus.</b></li></ul></div></div><p></p><div><div><p><b><br>
Allstate Benefits:</b></p></div><div><ul><li><p>
Being a part of Allstate means you receive a benefits package from Day 1 of employment. This includes time off, healthcare, retirement, and more. That is why as an Allstater, you&rsquo;ll enjoy a Total Rewards package that includes:</p></li></ul></div><div><ul><li><p>
Competitive pay with needed support for continuous development and career advancement.</p></li></ul></div><div><ul><li><p>
Flexibility in scheduling and a time off policy that helps support your work/life balance.</p></li></ul></div><div><ul><li><p>
Initial and ongoing training to get you proficient in your new role.</p></li></ul></div><div><ul><li><p>
Comprehensive benefits like a 401K/pension, education reimbursement, and programs to help you balance work with the rest of your life. Visit: www.allstategoodlife.com to learn more. #Li-TW1</p></li></ul></div></div><p></p><p><b>
Skills</b></p>
Communication, Critical Thinking, Customer Service, Empathy, Time Management, Working Independently<p></p><p><b>
Compensation</b></p>
Compensation offered for this role is 20.77 - 32.67 per hour and is based on experience and qualifications.<p></p><p>
The candidate(s) offered this position will be required to submit to a background investigation.</p><p></p><p><b>
Joining our team isn&rsquo;t just a job &mdash; it&rsquo;s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger &ndash; a winning team making a meaningful impact.</b></p><p></p><p>
Allstate generally does not sponsor individuals for employment-based visas for this position.</p><p></p><p>
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.</p><p></p><p>
For jobs in San Francisco, please click &ldquo;here&rdquo; for information regarding the San Francisco Fair Chance Ordinance.</p><p><br>
For jobs in Los Angeles, please click &ldquo;here&rdquo; for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.</p><p></p><p>
To view the &ldquo;EEO Know Your Rights&rdquo; poster click &ldquo;here&rdquo;. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.</p><p></p><p>
To view the FMLA poster, click &ldquo;here&rdquo;. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.</p><p></p><p>
It is the Company&rsquo;s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee&rsquo;s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.</p></div>

Property Adjuster - Inside - Chicago, IL

Allied Benefit Systems

<div><p><b>POSITION SUMMARY:
</b></p><p>The Stop Loss Claim Specialist is responsible for preparing and filing medical stop loss claims for reimbursement with stop loss carriers for individual stop loss (specific) coverage. Additional duties include following up with the various carriers to ensure reimbursements are received in time and in full. Further responsibilities include the appeals of denied and reduced claim reimbursements, along with retaining the appropriate documentation needed to support the reimbursement request.</p><p>
</p><p></p><p><b>ESSENTIAL FUNCTIONS:
</b></p><ul><li>Compile and submit claim reports and the necessary documentation to file a stop loss claim.</li><li>
Frequently monitor the status of claims assigned and follow up with stop loss carriers.</li><li>
Strong ability to answer questions and requests from stop loss carriers for additional information promptly and with thorough information in support of claim reimbursement.</li><li>
Communicate with other internal departments to resolve claim issues.</li><li>
Prepare both the initial, subsequent, and year end claim filings upon reconciliation of the claim activity.</li><li>
Ability to manage time to file advanced funding, high dollar and renewal claim submissions per contract stipulations and department metrics.</li><li>
Appeal the denials or reduction of reimbursements by the stop loss carrier.</li><li>
Understand stop loss policy provisions, as well as group plan documentation in support of claim reimbursements.</li><li>
Ability to adapt to new concepts and systems.</li><li>
Other duties as assigned.</li></ul><p>
</p><p><b>EDUCATION:</b></p><ul><li><i>
High School diploma or equivalent required.
</i></li><li><i>Some college or equivalent work experience preferred.</i></li></ul><p>
</p><p><b>EXPERIENCE AND SKILLS:</b></p><ul><li><i>
1-2 years of claims experience in a self-funded environment</i></li><li>
Have a thorough knowledge of Stop Loss terminologies, concepts, and catastrophic claim handling</li><li>
Ability to interpret Stop Loss contracts and Client summary Plan Descriptions (SPD).</li><li><i>
Stop loss filing experience preferred</i></li><li>
Accounting or Finance background a plus.</li></ul><ul><li><i>
Proficient with Microsoft Office Suite, specifically with Microsoft Excel.</i></li><li><i>
Strong analytical and problem-solving skills.</i></li><li><i>
Excellent verbal and written communication skills.</i></li><li><i>
Demonstrated elevated level of organizational skills and superior attention to detail.</i></li><li><i>
Excellent time management skills with a proven ability to meet deadlines.</i></li><li>
Demonstrated ability in developing and maintaining positive relationships with team members, internal departments, various brokers, reinsurance carriers, and clients.</li></ul><p>
</p><p></p><p><b>COMPETENCIES:</b></p><ul><li>
Communication</li><li>
Customer Focus</li><li>
Accountability</li><li>
Functional/Technical Job Skills</li></ul><p>
</p><p><b>PHYSICAL DEMANDS:</b></p><ul><li>
This is an office environment requiring extended sitting and computer work.</li></ul><p><b>
WORK ENVIRONMENT:
</b></p><ul><li>Remote</li></ul><p>
</p><p>Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.</p><p>
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.</p><p>
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life &amp; Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.</p><p>
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.</p></div>

Stop Loss Claims Specialist I-Specific

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