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claims specialist (surety) Jobs in Chicago

claims specialist (surety)

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claims specialist

Allied Benefit Systems

<p></p><div><p><b>POSITION SUMMARY</b></p><p>
The Claims Specialist reviews, analyzes, and make determinations regarding payment, partial payment, or denial of medical, vision, and dental claims, based upon specific knowledge and application of the client&rsquo;s customized plan. Assist with specific tasks as needed and assigned by the Management Team and support of the Virtual Insurance Claim Team.
</p><p><b>ESSENTIAL FUNCTIONS
</b></p><ul><li>Read, analyze, understand, and ensure compliance with clients&rsquo; customized plans. (A plan may be hundreds of pages or more).</li><li>
Learn, adhere to, and apply all applicable privacy and security laws, including but not limited to HIPAA, HITECH and any regulations promulgated thereto.</li><li>
Request, review and analyze any physician notes, hospital records or police reports.</li><li>
Interview claimants, physicians, hospitals and other third parties for additional information.
</li><li>Consult with other professionals such as attorneys, nurses, physicians and auditors who can offer additional evaluation of a claim.</li><li>
Independently review, analyze, and make determinations of claims for: 1) reasonableness of cost; 2) unnecessary treatment by physicians and hospitals; and 3) fraud.</li><li>
Process claims in the QicLink System.</li><li>
Review, analyze and add applicable notes to the QicLink System.</li><li>
Document all information gathered in available systems as needed, including the QicLink System and alliedbenefit.com.
</li><li>Review billed procedure and diagnosis codes on claims for billing irregularities.</li><li>
Review and analyze specific procedure and diagnosis codes for medical necessity.</li><li>
Determine whether claimant&rsquo;s plan covers the claim submitted and how much money, if any, should be paid.</li><li>
Authorize payment, partial payment or denial of claim based upon individual investigation and analysis. (On a yearly basis, responsible for determining claims payments totaling millions of dollars on behalf of Allied&rsquo;s clients).</li><li>
Review Workflow Manager daily to document and release pended claims.
</li><li>Review Pended Claim Reports and close out pended claims for which no response has been received.
</li><li>Review Suspended Claim Reports and follow up on open issues.</li><li>
Process Adjustment Claims when necessary, due to corrected claims as well as applying refunds in the QL system.</li><li>
Assist and support other claims adjusters as needed and when requested.</li><li>
Attend continuing education classes as required, including but not limited to HIPAA training.</li><li>
Other duties as assigned.
</li></ul><p><b>EDUCATION</b></p><ul><li>
High School Diploma required, and College Preferred.</li><li>
Continuing education in all areas affecting group health and welfare plans is required.</li></ul><p><b>
EXPERIENCE AND SKILLS
</b></p><ul><li>Applicants must have a minimum of five (5) years of medical claims analysis and adjudication experience (including dental and vision claims analysis).
</li><li>Applicants must have strong analytical skills and knowledge of computer systems and CPT and ICD-10 coding terminology.
</li><li>Applicants must demonstrate the desire to assist the Team with exceeding all established goals.
</li><li>Prior experience in Adjustment Processing is preferred but not required.</li></ul><p><b>
POSITION COMPETENCIES</b></p><ul><li>
Job Knowledge</li></ul><ul><li>
Time Management</li><li>
Accountability</li><li>
Communication</li><li>
Initiative</li><li>
Customer Focus</li></ul><p><b>
PHYSICAL DEMANDS</b></p><ul><li>
This is a standard desk role that requires extended periods of 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 and 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>

Claims Specialist

CNA Insurance

<div><div>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.</div><div></div>
A Surety Claims role, and under technical direction, investigates and maintains commercial surety bond claims. Works within specific limits of authority on assignments of significant technical complexity matters. Utilizing claims policies and guidelines, reviews bond coverages, determines liability and compensability, secures documentation and information, and negotiates and settles claims.<div></div><div><b>
JOB DESCRIPTION:</b></div><div></div><div><b>
Essential Duties &amp; Responsibilities</b><br>
Performs a combination of duties in accordance with departmental guidelines:</div><ul><li><div>
Interprets commercial surety bond coverages and determines if coverages apply to claims submitted, escalating issues as needed.</div></li><li><div>
Sets activities, reserves and authorizes payments within scope of authority. Ensures issuance of disbursements while managing loss costs and expenses.</div></li><li><div>
Coordinates and performs investigations and evaluates claims and lawsuits through contact with principals, claimants, attorneys and state licensing boards. Seeks early resolution opportunities. Identifies files that have potential fraud and refers to SIU.</div></li><li><div>
Retains attorneys to represent the surety in lawsuits and provides guidelines for the attorneys to follow.</div></li><li><div>
Partners with attorneys to develop a focused strategy for timely and cost-effective resolutions of more complex claims, especially if in litigation.</div></li><li><div>
Utilizes problem-solving and negotiation skills to analyze and determine coverage under the bond.</div></li><li><div>
Prepares and presents reports for management, as necessary. May be responsible for special projects and presentations.</div></li><li><div>
Identifies claims with salvage recovery potential and assigns files to the subrogation/salvage team to recover paid losses and/or expenses.</div></li><li><div>
Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.</div></li><li><div>
May provide guidance and assistance to other claims staff and functional areas.</div></li><li><div>
Obtain and maintain required claims analyst state insurance licenses.</div></li><li><div>
Keeps current on state/territory regulations and issues as well as industry activity and trends.</div></li></ul><div></div><div><b>
Reporting Relationship</b><br>
Manager or Director</div><div></div><div><b>
Skills, Knowledge and Abilities</b></div><div>
1. Solid knowledge of claims and insurance industry theory and practices, surety knowledge a plus.<br>
2. Demonstrated technical expertise and product specific knowledge.<br>
3. Strong interpersonal, communication, negotiation and writing skills. Ability to present clear, well-written responses to claimants and principals. Ability to effectively interact with all levels of CNA's internal and external business partners.<br>
4. Ability to work independently, managing time and resources to accomplish multiple tasks and meet deadlines.<br>
5. Strong analytical and problem solving skills enabling viable alternative solutions.<br>
6. Ability to exercise independent judgement and make critical business decisions effectively assessing the merits of claims as well as evaluating claims based on a cost benefit analysis.<br>
7. Solid knowledge of Microsoft Office Suite as well as other business-related software.<br>
8. Ability to adapt to change and value diverse opinions and ideas.<br>
9. Ability to fully comprehend claim information; and to further articulate analyses of claims in internal reports.<br>
10. Ability to handle claims with a proactive long-term view of business goals and objectives.</div><div></div><div><b><br>
Education and Experience</b><br>
1. Bachelor's degree or equivalent experience. Professional designations preferred.</div><div>
2. Typically a minimum three to five years claims experience.</div><div></div><div>
#LI-KE1</div><div>
#LI-Hybrid</div><div></div><div><i>
I</i><i>n certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In </i><i>District of Columbia</i><i>,</i><i> </i><i>California, Colorado, Connecticut, </i><i>Illinois</i>, <i>Maryland</i><i>, </i><i>Massachusetts</i>,<i> New York and Washington,</i> <i>the national base pay range for this job level is</i><i> $54,000 to $103,000 </i><i>annually. Salary</i><i> determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees &ndash; and their family members &ndash; achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA&rsquo;s benefits, please visit </i><div><i>cnabenefits.com</i></div><i>.</i></div><div></div><div>
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact <div>leaveadministration@cna.com</div>.</div></div>

Claims Specialist (Surety)

Gallagher

<div><b>Introduction</b><br>
<div>
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it&rsquo;s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people&rsquo;s lives. It takes empathy, precision, and a strong sense of partnership&mdash;and that&rsquo;s exactly what you&rsquo;ll find here. We&rsquo;re a team of fast-paced fixers, empathetic experts, and outcomes drivers &mdash; people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you&rsquo;ll play a vital role in helping businesses and individuals move forward with confidence. Here, you&rsquo;ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you&rsquo;re here, you&rsquo;re part of something bigger. You&rsquo;re part of a team that shows up, stands together, and leads with purpose.
</div><br>
<b>Overview</b><div><b><br>
About the INVEST Program</b></div><div>
Are you a recent college graduate looking for a long-term, stable, innovative and exciting career that helps make a meaningful difference and supports people through challenges?</div><div></div><div><br>
The <b>Emerging Talent INVEST Program (ETIP) &ndash; Guardian Pathway</b> is a 6-month paid, fully remote, entry-level immersive learning experience, designed for recent college graduates to gain real-world exposure, personalized coaching and mentorship and a clear, long-term career path in one of U.S. best industries.</div><div></div><div><b><br>
Program Highlights</b></div><ul><li>
6-months, paid, fully remote learning track</li><li>
Virtual classroom, peer shadowing, simulations, case studies, and hands-on experience</li><li><i>
Fully remote</i><i> (candidates must physically reside in states specified although the role is remote)</i></li><li>
Interactive sessions, one-on-one mentorship, collaborative projects, exposure to wide variety of industries, clients, and knowledge material</li><li>
Fully paid licensing and advance education opportunities</li><li>
Career progression post-graduation into claims resolution manager roles and beyond</li></ul><div><b>
Key Details:</b></div><div>
Starting salary: $60,000 USD (states outside of California)</div><div>
Start date: August 2026</div><div>
PTO black out: Due to the structured nature of the training program we will likely not be able to support any PTO requests for the first 8 weeks of the program.</div><br>
<br>
<b>How you'll make an impact</b><div><b><br>
What will you do?</b></div><div>
Over the course of this 6-month program you will be partnered with a team of peers and experienced Training Specialists that will create a supportive learning environment designed to position you for successful program completion. You will alternate between self-study modules, virtual classroom-style learning, guided training modules, and hands-on application of the knowledge gained. Over the course of the program, you will progressively increase your hands-on experience to immerse yourself into the world of claims management and client service excellence under the mentorship of the program mentors and training leaders. The program is designed to offer consistent and repeated opportunities to develop, grow and practice your knowledge, advance your education via licensing studies, and help you gain confidence in the unique and highly specialized field of commercial claims handling for world&rsquo;s largest employers and insurance carriers.</div><div></div><div><b><br>
What can you expect?</b></div><ul><li><b>
Participate in Structured Learning:</b> Actively engage in the first phase of the INVEST Program, which includes instructor-led sessions, online modules, job shadowing, and mentorship focused on foundational insurance knowledge, claims operations, and state-specific workers&rsquo; compensation regulations.</li><li><b>
Shadow Claims Experts:</b> Observe experienced claims professionals and learn best practices in managing lost time (indemnity) workers&rsquo; compensation claims.</li><li><b>
Practice in a Simulated Environment (&quot;Sandbox&quot;):</b> Apply newly learned concepts in a controlled, simulated claims environment designed to mimic real-world scenarios. The sandbox allows colleagues to practice making decisions, inputting data, and managing mock claims without risk, helping build confidence before handling actual cases.</li><li><b>
Complete Program Milestones</b>: Achieve key learning objectives and performance checkpoints as you build technical knowledge and professional skills essential for a successful claims career.</li><li><b>
Collaborate and Network:</b> Engage with peers, mentors, and cross-functional teams to deepen understanding of the claims process and build professional relationships within the organization.</li><li><b>
Gradual Claim Ownership</b>: Begin handling new workers&rsquo; compensation claims starting in Week 3 of the program. Claim assignments will begin at an incremental, supportive pace, with inventory gradually increasing as confidence and competency develop.</li><li><b>
Support Claims Management</b>: Take ownership of an evolving portfolio of indemnity claims under close supervision. Begin applying program training to real-world scenarios, including benefit calculations, wage loss evaluations, and return-to-work considerations.</li><li><b>
Claims Analysis and Learning:</b> Continue developing skills in analyzing medical documentation, regulatory guidelines, state-specific regulations, and supplemental case materials to determine claim strategy, financial exposure and potential next steps.</li><li><b>
Stakeholder Communication:</b> Engage in professional communication and strategy development with clients; provide support and empathy to the injured employees; secure key details from medical providers and other key stakeholders to support collaborative, outcome-focused, and empathetic claims handling.</li><li><b>
Client Service Instructions &amp; Carrier Guidelines:</b><br>
Learn how to interpret and apply client service instructions and carrier guidelines to ensure claims are handled in compliance with expectations. This includes understanding unique requirements for documentation, communication, and jurisdictional standards across our diverse client base.</li><li><b>
Reserving Acumen:</b><br>
Build core skills in setting and adjusting reserves by analyzing claim details, medical data, and potential outcomes. You&rsquo;ll learn how accurate reserving supports financial stewardship and impacts overall claim strategy.</li></ul>
<br>
<b>About You</b><div><b><br>
Education:</b> Bachelor&rsquo;s degree or 4-year degree from an accredited institution preferred.</div><div><i>
Candidates possessing a Bachelor&rsquo;s degree will receive preferential treatment. Others with proven experience will be considered.</i></div><div></div><div><b><br>
Attributes:</b></div><ul><li>
Active listening skills</li><li>
Problem-solving mindset</li><li>
Adaptable to changes in procedures and technology</li><li>
Computer literacy, including strong familiarity with M365 products (e.g. Outlook, Word, and basic Excel and PPT)</li><li>
Strong verbal and written communication skills</li><li>
Strong time management and ability to multi-task</li><li>
Detail-oriented</li><li>
Curious, learning-focused mindset</li></ul><div></div><div><br>
#GBTopJob</div><div>
#remote</div><div>
#LI-MD3</div><div>
#INVEST</div><br>
<div></div>
<br>
<b>Compensation and benefits</b><p><br>
We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
</p><p>Below are the <b>minimum core benefits</b> you&rsquo;ll get, depending on your job level these benefits may improve:
</p><ul><li>Medical/dental/vision plans, which start from day one!</li><li>
Life and accident insurance</li><li>
401(K) and Roth options</li><li>
Tax-advantaged accounts (HSA, FSA)</li><li>
Educational expense reimbursement</li><li>
Paid parental leave</li></ul><div><b>
Other benefits include:</b></div><ul><li>
Digital mental health services (Talkspace)</li><li>
Flexible work hours (availability varies by office and job function)</li><li>
Training programs</li><li>
Gallagher Thrive program &ndash; elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing</li><li>
Charitable matching gift program</li><li>
And more...</li></ul><div><i>
**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.</i></div><div></div><div><b><br>
We value inclusion and diversity</b></div><p>
Click Here to review our U.S. Eligibility Requirements</p><p>
Inclusion and diversity (I&amp;D) is a core part of our business, and it&rsquo;s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
</p><p>Gallagher embraces our employees&rsquo; diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.</p><p>
Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as &ldquo;protected characteristics&rdquo;) by applicable federal, state, or local laws.
</p><p>Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.</p></div>

Workers Compensation Claims Trainee - Midwest

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><p><b>
A day in the life of a Field Property Adjuster, and what it takes to do the job!</b></p><p></p><p>
As a Field Property Adjuster, you will be dedicated to providing exceptional service to our policyholders. Your primary responsibility will involve traveling to our customers' homes to conduct on-site inspections, investigate coverage, prepare estimates, and settle claims promptly and efficiently. Additionally, you will handle virtual claims countrywide, leveraging various platforms and software such as Xactimate and ClaimsX Video Collaboration. Your expertise will be particularly focused on water losses, ensuring our customers receive the highest level of support and resolution for these specific claims.</p><p></p><p><b>
You'll wear a few hats that will require a level of experience:</b></p><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 claim. You lead with empathy, always.</p></li><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><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><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><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><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><p></p><p><b>
Preferred Qualifications:</b></p><ul><li><p>
2-3 years previous experience as outside adjuster is highly desired.</p></li><li><p>
Proficiency in using Xactimate and other relevant software for estimating preferred.</p></li><li><p>
Strong critical thinking and technical skills to assess damages accurately and expedite claims settlements.</p></li><li><p>
Excellent communication and interpersonal skills to provide exceptional customer service.</p></li><li><p>
Ability to travel to customers' homes and handle virtual claims countrywide effectively.</p></li><li><p>
Detail-oriented and organized, with a focus on delivering high-quality work.</p></li><li><p>
Residency within the posted location is mandatory for this role.</p></li></ul><p></p><p><b>
Required Qualifications:</b></p><ul><li><p>
Are willing and able to carry a 50-pound ladder and access up to a 6/12 pitch on either a one to two-story roof.</p></li><li><p>
Valid driver's license and willingness to travel as part of the job requirements.</p></li></ul><p><b>
You&rsquo;re provided with comprehensive training:</b></p><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><li><p>
Ongoing training opportunities for continuous improvement happen regularly on the job</p></li></ul><p><b>
** Please note, you will be required to attend 2-weeks of training that will take place in Dallas, TX **</b></p><p></p><p><b>
Notice of Licensing Requirement:</b></p><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><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><p></p><p><b>
Sign On Bonus:
</b></p><ul><li><p>You may be eligible for a $1000 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></li></ul><p>
**Current employees or candidates who have previously worked for Allstate, including its family of companies, are not eligible for this sign-on bonus.</p><p></p><p><b>
Company Car:</b></p><p></p><p>
Based on our Company Car Guidelines, this role may qualify for a company car. Our leadership team determines this based on annual work mileage for this location. You may be required to use your personal vehicle until these guidelines are met. We offer mileage reimbursements for personal vehicle usage during work.</p><p></p><p><b>
Allstate Benefits:</b></p><p></p><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><ul><li><p>
Competitive pay with needed support for continuous development and career advancement.</p></li><li><p>
Flexibility in scheduling and a time off policy that helps support your work/life balance.</p></li><li><p>
Initial and ongoing training to get you proficient in your new role.</p></li><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.</p></li></ul><p></p><p>
#LI-DL1</p></div><p></p><p><b>
Skills</b></p>
Active Listening, Communication, Critical Thinking, Customer Service, Empathy, Insurance Claims, Multitasking, Organizing, Working Independently, Xactimate<p></p><p><b>
Compensation</b></p>
Base compensation offered for this role is $70,000-$115,000 annually 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 - Field Estimating - Chicago, IL

<div><div><b>About Us</b></div><h3 class="jobSectionHeader"><b>
We&rsquo;re not like other insurance companies. From our specialty products to our business model, our culture to our results &mdash; we&rsquo;re </b><b>different. Different</b><b> is who we are, and how we work, interact, deliver and succeed </b><b>together. Creating</b><b> a different and better insurance experience doesn&rsquo;t just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us.</b></h3><div></div><h3 class="jobSectionHeader"><b>
RLI is a </b><div><b>Glassdoor Best Places to Work</b></div><b> </b><b>company with a strong, successful background. For decades, our financial track record has been stellar &mdash; a testament to our culture and validation of our reputation as an excellent underwriting company.</b></h3><div></div><div><b>
Position Purpose</b></div><h3 class="jobSectionHeader"><b>
Join RLI&rsquo;s Professional Services Group (PSG) as a Technical Claim Director, where you&rsquo;ll handle complex, multi-party professional liability matters involving architects, engineers, surveyors and other miscellaneous professionals. You&rsquo;ll be part of a collaborative team of examiners focused on resolving technically challenging claims with nuanced expert analysis, creative problem-solving and intensive contractual risk transfer analysis. This role offers the opportunity to take ownership of claims across a nationwide coverage area, requiring strategic thinking, detailed investigation, and discerning attorney management. We&rsquo;re looking for someone who can proactively manage a balanced caseload, share knowledge with the team, and uphold RLI&rsquo;s reputation for technical excellence and proactive claims handling.</b></h3><div></div><div><b>
Principal Duties &amp; Responsibilities</b></div><ul><li><h3 class="jobSectionHeader"><b>
Proactively and autonomously handle professional liability claims involving design and miscellaneous professional matters. Employee will handle both litigation and pre-litigation disputes to achieve optimum payout results by resolving claims fairly, expeditiously, and economically.</b></h3></li><li><h3 class="jobSectionHeader"><b>
Assess and analyze coverage issues on claims, and issue appropriate coverage letters and documentation.</b></h3></li><li><h3 class="jobSectionHeader"><b>
Complete timely investigation of claims and post appropriate reserves.</b></h3></li><li><h3 class="jobSectionHeader"><b>
Pursue risk transfer opportunities, including dealing with contractual indemnity and additional insured issues.</b></h3></li><li><h3 class="jobSectionHeader"><b>
Handle claims in accordance with RLI's Best Practices.</b></h3></li><li><h3 class="jobSectionHeader"><b>
Resolve claims in timely manner to an effective outcome.</b></h3></li><li><h3 class="jobSectionHeader"><b>
Travel to and attend mediations and/or settlement conferences as warranted.</b></h3></li></ul><div></div><div><b>
Education &amp; Experience</b></div><div></div><h3 class="jobSectionHeader"><b>
Typically requires a bachelor&rsquo;s degree in business administration, insurance, or a related field and 10+ years of relevant legal or insurance related experience </b><b><i>or </i></b><b>Juris Doctorate with relevant insurance defense litigation experience.</b></h3><div></div><div><b>
Knowledge, Skills, &amp; Competencies</b></div><ul><li><h3 class="jobSectionHeader"><b>
Meaningful experience handling claims under professional liability policies. The ideal candidate will have superior working knowledge of case law, statutes, and procedures impacting the handling and value of claims.</b></h3></li><li><h3 class="jobSectionHeader"><b>
Proactive investigation, risk transfer, claim handling, attorney management, and claims resolution are essential.</b></h3></li><li><h3 class="jobSectionHeader"><b>
Superior writing and communication skills to work effectively with insureds, claimants, underwriters, and upper management.</b></h3></li></ul><div></div><div><b>
Compensation Overview</b></div><h3 class="jobSectionHeader"><b>
The base salary range for the position is listed below. Please note that the base salary is only one component of our robust total rewards package at RLI. The salary offered will take into account a number of factors including, but not limited to, geographic location, experience, scope &amp; responsibilities of the role, </b><b>qualifications/credentials,</b><b> talent availability &amp; specialization, as well as business needs. The below range may be modified in the future.</b></h3><div></div><h2 class="jobSectionHeader"><b>
Base Pay Range</b></h2>
$136,618.00 - $199,120.00<div></div><div><b>
Total Rewards</b></div><h3 class="jobSectionHeader"><b>
At RLI, we're all owners. We hire the best and the brightest employees and allow them to share in the company's success through our Total Rewards. With the Employee Stock Ownership plan at its core, the Total Rewards program includes all compensation, benefits and perks that come with being an RLI employee.</b></h3><div></div><h2 class="jobSectionHeader"><b>
Financial Incentives</b></h2><ul><li><h3 class="jobSectionHeader"><b>
Annual bonus plans</b></h3></li><li><h3 class="jobSectionHeader"><b>
Employee stock ownership plan (ESOP)</b></h3></li><li><h3 class="jobSectionHeader"><b>
401(k) &mdash; automatic 3% company contribution</b></h3></li><li><h3 class="jobSectionHeader"><b>
Annual 401k and ESOP profit-sharing contributions (Up to 15% of eligible earnings)</b></h3></li></ul><div></div><h2 class="jobSectionHeader"><b>
Work &amp; Life</b></h2><ul><li><h3 class="jobSectionHeader"><b>
Paid time off (PTO) and holidays</b></h3></li><li><h3 class="jobSectionHeader"><b>
Paid volunteer time off (VTO) to support our communities</b></h3></li><li><h3 class="jobSectionHeader"><b>
Parental and family care leave</b></h3></li><li><h3 class="jobSectionHeader"><b>
Flexible &amp; hybrid work arrangements</b></h3></li><li><h3 class="jobSectionHeader"><b>
Fitness center discounts and free virtual fitness platform</b></h3></li><li><h3 class="jobSectionHeader"><b>
Employee assistance program</b></h3></li></ul><div></div><h2 class="jobSectionHeader"><b>
Health &amp; Wellness</b></h2><ul><li><h3 class="jobSectionHeader"><b>
Comprehensive medical, dental and vision benefits</b></h3></li><li><h3 class="jobSectionHeader"><b>
Flexible spending and health savings accounts</b></h3></li><li><h3 class="jobSectionHeader"><b>
2x base salary for group life and AD&amp;D insurance</b></h3></li><li><h3 class="jobSectionHeader"><b>
Voluntary life, critical illness, &amp; accident insurance for purchase</b></h3></li><li><h3 class="jobSectionHeader"><b>
Short-term and long-term disability benefits</b></h3></li></ul><div></div><div><b>
Personal &amp; Professional Growth</b></div><h3 class="jobSectionHeader"><b>
RLI encourages its employees to pursue professional development work in insurance and job-related areas. We make a commitment to employees to provide educational opportunities that help them enhance their skills and further their career advancement. RLI fosters a true learning culture and encourages professional growth through insurance courses, in-house training and other educational programs. RLI covers the cost for most programs and employees typically earn a bonus upon successful completion of approved courses and certifications. Our personal and professional growth benefits include:</b></h3><ul><li><h3 class="jobSectionHeader"><b>
Training &amp; certification opportunities</b></h3></li><li><h3 class="jobSectionHeader"><b>
Tuition reimbursement</b></h3></li><li><h3 class="jobSectionHeader"><b>
Education bonuses</b></h3></li></ul><div></div><div><b>
Diversity &amp; Inclusion</b></div><h3 class="jobSectionHeader"><b>
Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers. We actively support, and participate in, initiatives led by the American Property Casualty Insurance Association that aim to increase diversity in the insurance industry. Cultivating an exceptional and diverse workforce to deliver excellent customer service reinforces our culture and is a key to achieving superior business results.</b></h3><div></div><h3 class="jobSectionHeader"><b>
RLI is an equal opportunity employer and does not discriminate in hiring or employment on the basis of race, color, religion, national origin, citizenship, gender, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law.</b></h3></div>

Technical Claim Director-Design and Miscellaneous Professional Liability (hybrid)

Arch Capital

<div><div>With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.</div><div></div><h2 class="jobSectionHeader"><b>
Position Summary</b></h2><div>
Our Healthcare Claims Division is seeking a Vice President (VP) to lead and oversee the healthcare professional liability claims team. This team manages complex claims for hospitals, miscellaneous healthcare facilities and other healthcare providers. The role will require collaboration with underwriters, brokers, and program stakeholders. The VP will ensure efficient claims handling, compliance with regulatory requirements, and strategic leadership to support organizational goals.</div><h2 class="jobSectionHeader"><b>
Responsibilities</b></h2><ul><li>Develop and maintain strong relationships with healthcare program partners, including providing regular reports, identifying trends, and advising on regulatory and legal developments impacting insured healthcare professionals.</li><li>Identify and evaluate coverage issues, review coverage position letters, retain coverage counsel, and review legal opinions as needed.</li><li>Develop and implement claims strategies that align with organizational goals and support efficient resolution of complex healthcare liability matters.</li><li>Establish team goals, KPIs, and accountability frameworks to ensure operational excellence.</li><li>Provide coaching, performance management, and development for claims managers and examiners.</li><li>Collaborate with underwriting, risk management, defense counsel, and brokers to communicate claims developments and outcomes.</li></ul><div>
Assess liability and damages, review investigative materials, and determine appropriate reserves for each claim.-</div><ul><li>Review pleadings, expert reports, medical records, and other relevant case documentation.</li><li>Prepare and present written and oral reports to senior leadership summarizing claim evaluations, recommendations, and reserve analyses.</li><li>Negotiate resolutions of claims, including settlement discussions and mediation.</li><li>Maintain accurate claim diaries, timely reserve postings, and prompt responses to internal and external inquiries.</li><li>Travel as needed to attend internal meetings and events, mediations, hearings, and other claim‑related proceedings.</li></ul><div></div><h2 class="jobSectionHeader"><b>
Experience &amp; Required Skills</b></h2><ul><li>Exceptional communication, analytical, negotiation, and interpersonal skills to effectively collaborate across teams.</li><li>Strong leadership skills with experience driving change and improving operational efficiency.</li><li>Proven ability to manage and mentor high-performing teams.</li><li>Strong organizational and time‑management abilities.</li><li>Demonstrated experience leading complex healthcare or medical malpractice claims.</li><li>Ability to work independently and in a collaborative team environment.</li><li>Proficiency in Microsoft Excel, PowerPoint, and Word.</li><li>Willingness to travel up to 10% as required.</li></ul><h2 class="jobSectionHeader"><b>
Education</b></h2><ul><li>Bachelor&rsquo;s degree required; Juris Doctorate preferred</li><li>Seven to 10 (7-10) of leadership and management required</li><li>Minimum 10 years of experience in healthcare professional liability, medical malpractice claims, or related field.</li><li>Active adjuster licensing in applicable states or ability to obtain licensure within designated time frame.</li><li>Hybrid in office 3 days a week</li></ul><div></div><div>
#LI-SW1</div><div>
#LI-HYBRID</div><div></div><div>
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.</div><div></div><div>
$166,900 - $250,000/year</div><div></div><ul><li><div><br>
Total individual compensation (base salary, short &amp; long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope &amp; responsibilities of the role, qualifications, talent availability &amp; specialization as well as business needs. The above pay range may be modified in the future.</div></li><li><div>
Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&amp;D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click <div>here</div> to learn more on available benefits.</div></li></ul><div></div><div><br>
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn&rsquo;t the right fit but you&rsquo;re interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our <div>talent community</div> to share your preferences directly with Arch&rsquo;s Talent Acquisition team.</div><div></div>
14400 Arch Insurance Group Inc.</div>

VP, Claims, Healthcare

<div><div>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.</div><div></div>
&ldquo;Drive Your Career Forward in a Fast-Paced, Impactful Environment<br>
<br>
As a recognized senior technical expert, you&rsquo;ll lead resolution strategies, engage directly with insureds and counsel, and influence outcomes on a national scale. If you're energized by challenge, driven by results, and ready to elevate your career in a role that demands and rewards excellence, this is your next move!<br>
<br>
This individual contributor role offers a unique opportunity to work alongside senior leadership and operate within the highest levels of authority to manage the most complex, high-stakes Specialty claims. You&rsquo;ll take ownership of high-severity D&amp;O and E&amp;O matters involving public companies and financial institutions and navigate intricate legal and regulatory landscapes with precision and confidence.<br>
<br>
You know where you want your career to go&mdash;and at CNA, we have the leadership, resources, and momentum to help you get there. We foster a dynamic culture where your expertise is valued, your voice is heard, and your contributions make a real difference. Here, you're not just part of a team&mdash;you&rsquo;re part of a mission to deliver excellence in claims handling and client service.&rdquo;<div></div><div><b>
JOB DESCRIPTION:</b></div><div></div><div><b>
Essential Duties &amp; Responsibilities:</b></div><div><i>
Performs a combination of duties in accordance with departmental guidelines:</i></div><ul><li>
Manages an inventory of the most complex Public D&amp;O and Financial Institutions E&amp;O claims, which are generally multi-year and have very significant loss exposure, by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations, investigations, and resolution strategies which may include pursuit of risk transfer, extensive negotiations and complex litigation management.</li><li>
Ensures exceptional customer service by driving continuous improvements for all aspects of the claim/account, providing professional and timely claims services, and achieving quality and cycle time standards.</li><li>
Verifies coverage, sets and manages timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel as needed, estimating potential claim valuation, and following company's claim handling protocols.</li><li>
Leads all activities involved with a focused investigation to determine compensability, liability and covered damages by gathering pertinent information, documenting statements from customers/ claimants, and working with experts, or other parties, as necessary to verify the facts of the claim.</li><li>
Drives the resolution of claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.</li><li>
Establishes and manages significant claim budgets by identifying, selecting and actively managing appropriate resources, delivering high quality services, and coordinating all efforts leading to timely resolution of the claim/accounts.</li><li>
Discovers and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making appropriate referrals to appropriate Claim, Recovery or SIU resources for further investigation.</li><li>
Achieves quality standards by effectively managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.</li><li>
Prepares and presents high profile, complex information to senior leadership, customers, counsel, and others by effectively identifying high profile matters, developing executive loss summaries, coordinating and communicating resolution strategies and sharing relevant current events and case law.</li><li>
Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on insurance laws, regulations or trends for the specialized line of business, and may represent company in industry trade groups or other important events.</li><li>
Mentors, guides, develops and delivers training to less experienced Claim Professionals and may assist with special projects as needed.</li></ul><div>
May perform additional duties as assigned.</div><div></div><div><b>
Reporting Relationship</b></div><ul><li>
Typically Director or above</li></ul><div></div><div><b>
Skills, Knowledge &amp; Abilities</b></div><ul><li>
Expert knowledge of specialty insurance industry, products, policy language, coverage, and claim practices.</li><li>
Excellent verbal and written communication skills with the ability to develop collaborative working relationships, articulate very complex claim facts, analysis and recommendations in a concise manner to senior management, as well as with external business partners and customers.</li><li>
Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.</li><li>
Extensive experience in leading complex negotiations, as well as developing and implementing resolution strategies.</li><li>
Strong work ethic, with demonstrated time management, organizational skills, and an ability to work independently in a fast-paced environment.</li><li>
Ability to drive results by taking a proactive long-term view of business goals and objectives.</li><li>
Extensive experience interpreting D&amp;O and E&amp;O insurance policies and coverage.</li><li>
Ability to partner with internal resources, oversee/manage outside counsel, and collaborate with other carriers.</li><li>
Ability to lead multiple and shifting priorities in a fast-paced and challenging environment.</li><li>
Knowledge of Microsoft Office Suite and ability to learn business-related software.</li><li>
Demonstrated ability to value diverse opinions and ideas.</li></ul><div></div><div><b>
Education &amp; Experience:</b></div><ul><li>
Bachelor's degree, Master's degree or equivalent experience. JD preferred.
</li><li>Typically a minimum ten years of relevant experience.</li><li>
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.</li><li>
Advanced negotiation experience</li><li>
Professional designations are highly encouraged (e.g. CPCU)</li></ul><div></div><div>
#LI-CP1</div><div>
#LI-Hybrid</div><div></div><div><i>
I</i><i>n certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In </i><i>District of Columbia</i><i>,</i><i> </i><i>California, Colorado, Connecticut, </i><i>Illinois</i>, <i>Maryland</i><i>, </i><i>Massachusetts</i>,<i> New York and Washington,</i> <i>the national base pay range for this job level is</i><i> $97,000 to $189,000 </i><i>annually. Salary</i><i> determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees &ndash; and their family members &ndash; achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA&rsquo;s benefits, please visit </i><div><i>cnabenefits.com</i></div><i>.</i></div><div></div><div>
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact <div>leaveadministration@cna.com</div>.</div></div>

Complex Claims Consulting Director - Financial Lines D&O/E&O

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