case manager

casualty claims senior specialist Jobs in Chicago United States

casualty claims senior specialist

casualty claims specialist Jobs in Chicago United States

casualty claims specialist

claims advocacy associate – chicago – college program 2026 Jobs in Chicago United States

complex claims consultant, medical malpractice Jobs in Chicago United States

complex claims consultant medical malpractice

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>
CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers.<br>
<br>
In this Medical Malpractice focused Complex Claims Consultant position, you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction including matters involving nurses, therapists, counselors or other healthcare provider or facility insureds. Recognized as a technical expert in the interpretation of complex or unusual policy coverages, you will work with autonomy and broad authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions.<br>
<br>
This role collaborates with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. You will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. You will utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims.<br>
<br>
This position enjoys a flexible, hybrid work schedule and can work from one of the listed CNA office locations.<div></div><div>
JOB DESCRIPTION:</div><div></div><div>
Essential Duties &amp; Responsibilities</div><div><i>
Performs a combination of duties in accordance with departmental guidelines:</i></div><ul><li>
Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.</li><li>
Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.</li><li>
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.</li><li>
Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.</li><li>
Resolves 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 claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.</li><li>
Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.</li><li>
Achieves quality standards by appropriately 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>
Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.</li><li>
Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.</li><li>
Mentors, guides, develops and delivers training to less experienced Claim Professionals.</li></ul><div></div><div><i>
May perform additional duties as assigned.</i></div><div></div><div>
Reporting Relationship</div><div>
Typically Director or above<br>
<br>
Skills, Knowledge &amp; Abilities</div><ul><li>
Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.</li><li>
Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.</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>
Strong work ethic, with demonstrated time management and organizational skills.</li><li>
Ability to work in a fast-paced environment at high levels of productivity.</li><li>
Demonstrated ability to negotiate complex settlements.</li><li>
Experience interpreting complex commercial insurance policies and coverage.</li><li>
Ability to manage 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>
Education &amp; Experience</div><ul><li>
Bachelor's Degree or equivalent experience. JD a plus.</li><li>
Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.</li><li>
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.</li><li>
Prior negotiation experience.</li><li>
Professional designations preferred (e.g. CPCU).</li></ul><div></div><div>
#LI-KP1</div><div>
#LI-Hybrid</div><div></div><div>
In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $116,000 to $165,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.</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> $72,000 to $141,000 </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 Consultant, Medical Malpractice

University of Illinois

<div><div><div><div><p><b>Director/Senior Director of Claims - Hybrid</b></p>
<div><b>
University Counsel-UIC</b><br>
<ul><li>Hybrid</li></ul>
Posting Category:</div><p><b><br>
Sponsorship for Work authorization is not available for this position.</b></p><p>
The Director of Claims administers a comprehensive claims management program for the University of Illinois Chicago. This includes managing a claims office consisting of claims managers, claims analysts and support staff. The office investigates and evaluates incidents for the University and its Self-Insurance Program, establishes claim reserves, negotiates settlements and assists in the defense of lawsuits against the University and its personnel. The vast majority of claims and litigation arise out of medical malpractice issues, some of which may result in significant multi-million dollar claims, and also includes healthcare professionals' licensing issues and general public liability matters.<br>
</p><p><b>DUTIES AND RESPONSIBILITIES<br>
</b><br>
</p><ul><li>Plan, organize and administer a comprehensive claims management program for professional medical liability and general liability matters at UI Health and the University of Illinois Chicago (including operations in Peoria, Rockford and other locations), and initiate and participate in the procurement of outside counsel services. (30%)
</li><li>Identify, supervise and assist outside attorneys representing the University and physicians and other University employees named as defendants and/or respondents in discovery in the management of litigation, including trials and settlements. Act as lead negotiator or delegate authority as appropriate in the resolution of litigated cases or patient claims. (30%)
</li><li>Work directly with physicians, nurses, other health care professionals, and university officers, administrators and employees to investigate professional and public liability claims and respond to third party subpoenas. Advise the medical staff, hospital employees, and other university employees on the proper handling of occurrences. (20%)
</li><li>Keep University Counsel and Campus Legal Counsel informed of matters which may pose significant risk to/interest for The Board of Trustees, President, Chancellor or other senior administrators. Provide detailed information related to significant matters for reports to The Board of Trustees, including trial outcomes. (5%)
</li><li>In coordination with the University Counsel and other attorneys in the OUC, prepare reports analyzing and outlining factual matters, expert witness opinions, legal fees and other risk/cost factors, including appropriate recommendations for utilization by the Medical Malpractice Action Group. (5%)
</li><li>Recommend new or revised policies, procedures or practices related to the identification, evaluation and defense of professional and general liability claims against the University, including evaluation of claims for the purpose of reserving funds under the Self-Insurance program. (5%)
</li><li>Other relevant duties and responsibilities as assigned. (5%)</li></ul><br>
<b>QUALIFICATIONS</b><br>
<ul><li>Bachelor's degree in a related field.
</li><li>Demonstrated experience with medical malpractice and general liability claims.</li></ul><p>
Senior Director:
</p><ul><li>Bachelor's degree in a related field.
</li><li>At least 6 years of demonstrated experience with medical malpractice and general liability claims.</li></ul><br>
<p>Preferred:
</p><ul><li>Master's degree in a related field.
</li><li>Demonstrated excellence in managing medical and dental malpractice and general liability claims and litigation and supervising a claims management office.</li></ul><br>
<b>
KNOWLEDGE AND EXPERIENCE</b><br>
<ul><li>Demonstrated leadership abilities, including a history of working with attorneys.
</li><li>Demonstrated teamwork abilities, including accessibility, communication, guidance and support to clients, staff and other key stakeholders.
</li><li>Excellent verbal and written communications skills to effectively interact with physicians, health care providers, departmental officials/staff and external attorneys.
</li><li>Demonstrated ability to assess risk, forecast, and provide advice in prudently defending and managing claims and litigation.
</li><li>Experience with insurance issues, including the determination of coverage, excess insurance reporting requirements and collaboration with excess carriers on high exposure cases.
</li><li>Ability to successfully prioritize, delegate and manage a high-volume of work.</li></ul><br>
<b>
APPOINTMENT INFORMATION</b><br>
This is a Full Time academic professional position. The expected start date is as soon as possible. Sponsorship for Work Authorization is not available for this position. System Office jobs such as this one are not eligible for the Referral Program.<br>
<br>
The budgeted salary range for the position is $185,000.00 - 225,000.00. Salary is competitive and commensurate with qualifications and experience, while also considering internal equity.
<br>
<br>
Benefits eligible positions include a comprehensive benefits package which offers: Health, Dental, Vision, Life, Disability &amp; AD&amp;D insurance; a defined benefit pension plan; paid leaves such as Vacation, Holiday and Sick; tuition waivers for employees and dependents. Click for a complete list of Employee Benefits.
<br>
<br>
<b>APPLICATION PROCEDURES &amp; DEADLINE INFORMATION</b>
<br>
For full consideration, please click <b>APPLY NOW</b> on this page to submit an application, references and cover letter through our job board by 6 pm on 3/15/2026. For further information about this specific position, please contact Bree Smith at cbsmith@uillinois.edu.<p></p>
<p>
System Human Resource Services<br>
(217) 333-2600<br>
erhr@uillinois.edu</p><div></div>
<p>
The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.</p><p>
Applicants with disabilities are encouraged to apply and may request a reasonable accommodation under the Americans with Disabilities Act (2008) to complete the application and/or interview process. Requests may be submitted through the reasonable accommodations portal, or by contacting the System Human Resource Services, Diversity, Equity, and Inclusion at 217-333-2600, or by emailing ADAaccessibility@uillinois.edu.</p><div></div><p><b>
Requisition ID: </b>9000930<br>
<b>Job Category: </b>Academic Professional
<br>
<b>Campus Location: </b>Chicago</p><p>
#LI-BS1</p></div></div></div></div><div></div>

Director/Senior Director of Claims - Hybrid

CCMSI

<div>Overview:
<div><b>
Position Title</b>: Multi Line Claim Consultant</div><div><b>
Location</b>: Hybrid <i>(</i><i>Chicago-area candidates preferred. Hybrid is preferred but 100% remote is available with the right qualifications and experience in states where CCMSI is authorized to hire. Pay transparency requirements are met for applicable jurisdictions.)</i></div><div><b>
Hours</b>: Monday - Friday, 8:00 AM to 4:30 PM</div><div><b>
Salary Range</b>: $65,000-$80,000</div><div></div><div><b><br>
Build Your Career With Purpose at CCMSI</b></div><div></div><div><br>
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.</div><div></div><div><br>
We don&rsquo;t just process claims&mdash;we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work&reg;, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.</div><div></div><div><b><br>
Job Summary</b></div><div></div><div><br>
The <b>Multi-Line Claim Consultant</b> is responsible for the full investigation, evaluation, and resolution of assigned <b>first- and third-party liability claims</b>, including <b>attorney-represented matters and claims with potential litigation exposure</b>. This role requires sound <b>coverage analysis</b>, professional judgment, and consistent application of corporate claim handling standards.</div><div></div><div><br>
The position is accountable for delivering high-quality claim outcomes that meet client expectations, regulatory requirements, and CCMSI performance standards. This role may also serve as an advanced training position for future progression into more senior claim roles.</div><div></div><div><b><br>
This is a true adjusting role.</b> It is not an HR, consulting, or administrative position. The Representative is accountable for end-to-end claim handling, decision-making, and results.</div><br>
<div></div>
Responsibilities:
<div>
When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person&rsquo;s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.</div><ul><li><div>
Investigate and adjust multi-line liability claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.</div></li><li>
Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing liability claims. Negotiate any disputed bills for resolution.</li><li>
Authorize and make payment of liability claims utilizing a claim payment program in accordance with industry standards and within settlement authority.</li><li>
Negotiate settlements with claimants and attorneys in accordance with client's authorization.</li><li>
Assist in selection and supervision of defense attorneys.</li><li>
Assess and monitor subrogation claims for resolution.</li><li>
Prepare reports detailing claims, payments and reserves.</li><li>
Provide reports and monitor files, as required by excess insurers.</li><li>
Compliance with Service Commitments as established by team.</li><li>
Delivery of quality claim service to clients.</li></ul><br>
<div></div>
Qualifications:
<div>
What You'll Bring</div><div></div><div><b><br>
Required</b></div><ul><li><b>
5 - 10 years of general and auto liability claim handling experience</b></li><li><b>
Litigation experience</b></li><li><b>
Experience drafting coverage letters</b><br>
</li><li>
Strong analytical, negotiation, and decision-making skills</li><li>
Ability to manage workload independently in a fast-paced, multi-jurisdiction environment</li><li>
Excellent written and verbal communication skills</li><li>
Strong organizational skills with consistent attention to detail</li><li>
Reliable, predictable attendance during core client service hours</li></ul><div>
Nice to Have</div><ul><li><b>
Experience with public entity claims is preferred</b></li><li><b>
Bilingual (Spanish) proficiency</b> &mdash; This role may involve communicating with claimants, municipal employees, or vendors where Spanish-language skills are beneficial but not required.</li></ul><div></div><div><b><br>
Why You&rsquo;ll Love Working Here</b></div><div></div><ul><li><b><br>
4 weeks</b> (Paid time off that accrues throughout the year in accordance with company policy) <b>+ 10 paid holidays in your first year</b></li><li><b>
Comprehensive benefits</b>: Medical, Dental, Vision, Life, and Disability Insurance</li><li><b>
Retirement plans</b>: 401(k) and Employee Stock Ownership Plan (ESOP)</li><li><b>
Career growth</b>: Internal training and advancement opportunities</li><li><b>
Culture</b>: A supportive, team-based work environment</li></ul><div><b>
How We Measure Success</b></div><div></div><div><br>
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:</div><div></div><ul><li><b><br>
Quality claim handling</b> &ndash; thorough investigations, strong documentation, well-supported decisions<br>
<ul><li><b>Compliance &amp; audit performance</b> &ndash; adherence to jurisdictional and client standards</li><li><b>Timeliness &amp; accuracy</b> &ndash; purposeful file movement and dependable execution</li><li><b>Client partnership</b> &ndash; proactive communication and strong follow-through</li><li><b>Professional judgment</b> &ndash; owning outcomes and solving problems with integrity</li><li><b>Cultural alignment</b> &ndash; believing every claim represents a real person and acting accordingly</li></ul></li></ul><div><b><i>
This is where we shine, and we hire adjusters who want to shine with us.</i></b></div><div></div><div><b><br>
Compensation &amp; Compliance</b></div><div>
The posted salary reflects CCMSI&rsquo;s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.</div><div><b>
Visa Sponsorship:</b> CCMSI does not provide visa sponsorship for this position.<br>
<b>ADA Accommodations:</b> CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.<br>
<b>Equal Opportunity Employer:</b> CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.</div><div></div><div><b><br>
Our Core Values</b></div><div></div><div><br>
At CCMSI, we believe in doing what&rsquo;s right&mdash;for our clients, our coworkers, and ourselves. We look for team members who:</div><div></div><ul><li><b><br>
Lead with transparency </b>We build trust by being open and listening intently in every interaction.</li><li><b>
Perform with integrity </b>We choose the right path, even when it is hard.</li><li><b>
Chase excellence </b>We set the bar high and measure our success. What gets measured gets done.</li><li><b>
Own the outcome </b>Every employee is an owner, treating every claim, every decision, and every result as our own.</li><li><b>
Win together </b>Our greatest victories come when our clients succeed.</li></ul><div></div><div><b><br>
We don&rsquo;t just work together&mdash;we grow together. If that sounds like your kind of workplace, we&rsquo;d love to meet you.</b></div><div></div><div><br>
#CCMSICareers #ClaimsAdjuster #HybridWork #RemoteWork #InsuranceJobs #CCMSICareers #MultiLineClaims #HiringNow #AdjustersLicense #CareerGrowth #WorkFromHome #JoinOurTeam #IND123 #LI-Hybrid</div></div>

Multi-Line Claim Consultant

HDI Global Insurance Company

<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

Sedgwick

<div><p>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there&rsquo;s no limit to what you can achieve.
</p><p></p><p>Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
</p><p>Certified as a Great Place to Work&reg;
</p><p>Fortune Best Workplaces in Financial Services &amp; Insurance
</p><p></p>Disability Rep. Senior
<p></p><p><b>Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near a Center of Excellence:
</b></p><p></p><p><b>Preferred Location:
</b></p><p><b>Chicago, IL : </b>175 W. Jackson Blvd. 12th Fl. Chicago IL 60604
</p><p></p><p><b>Other Locations:
</b></p><p><b>Dubuque, IA </b>: 4141 Westmark Drive, Dubuque, IA 52002
</p><p><b>Cedar Rapids, IA </b>: 333 1st Street SE Ste. 200 Cedar Rapids IA 52401
</p><p><b>Coralville, IA: </b>3273 Ridgeway Drive Coralville IA 52241
</p><p><b>Dublin, OH </b>: 5500 Glendon Court Dublin OH 43016
</p><p><b>New Albany, OH </b>: 7795 Walton Parkway New Albany, OH 43054
</p><p><b>Indianapolis, IN: </b>8909 Purdue Road Suite 501 Indianapolis, IN 46268
</p><p><b>Irving, TX </b>: 2201 W. Royal Lane Suite 125 Irving, TX 75063
</p><p><b>Memphis, TN : </b>8125 Sedgwick Way, Memphis TN 38125
</p><p><b>Southfield, MI </b>: 300 Galleria Officentre Southfield MI 48034
</p><p><b>Orlando, FL : </b>12650 Ingenuity Dr Orlando FL 32826
</p><p><b>Eden Prairie, MN </b>: 11000 Prairie Lakes Drive Eden Prairie, MN 55344
</p><p><b>West Hills, CA </b>: 8521 Fallbrook Ave West Hills, CA 91304
</p><p><b>PRIMARY PURPOSE </b>: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors.
</p><p></p><p><b>ESSENTIAL FUNCTIONS and RESPONSIBILITIES
</b></p><ul><li>Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
</li><li>Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan.
</li><li>Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines.
</li><li>Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed.
</li><li>Determines benefits due pursuant to a disability plan, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.
</li><li>Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and/or claims system.
</li><li>Communicates with the claimants&rsquo; providers to set expectations regarding return to work.
</li><li>Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions.
</li><li>Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system.
</li><li>Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims.
</li><li>Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.
</li><li>Negotiates return to work with or without job accommodations via the claimant&rsquo;s physician and employer.
</li><li>Refers cases to team lead and clinical case management for additional review when appropriate.
</li><li>Maintains professional client relationships and provides excellent customer service.
</li><li>Meets the organization&rsquo;s quality program(s) minimum requirements.
</li></ul><p></p><p><b>ADDITIONAL FUNCTIONS and RESPONSIBILITIES
</b></p><ul><li>Performs other duties as assigned.
</li></ul><p></p><p><b>QUALIFICATIONS
</b></p><p></p><p><b>Education &amp; Licensing
</b><br>
High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations.
</p><p></p><p><b>Experience
</b><br>
Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience preferred.
</p><p></p><p><b>Skills &amp; Knowledge
</b></p><ul><li>Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
</li><li>Knowledge of state and federal FMLA regulations
</li><li>Working knowledge of medical terminology and duration management
</li><li>Excellent oral and written communication, including presentation skills
</li><li>Proficient computer skills including working knowledge of Microsoft Office
</li><li>Analytical, interpretive, and critical thinking skills
</li><li>Ability to manage ambiguity
</li><li>Strong organizational and multitasking skills
</li><li>Ability to work in a team environment
</li><li>Ability to meet or exceed performance competencies as required by program
</li><li>Effective decision-making and negotiation skills
</li><li>Ability to exercise judgement autonomously within established procedures
</li></ul><p></p><p><b>WORK ENVIRONMENT
</b><br>
When applicable and appropriate, consideration will be given to reasonable accommodations.
</p><p></p><p><b>Mental </b><b>: </b>Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
</p><p></p><p><b>Physical </b><b>: </b>Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required.
</p><p></p><p><b>Auditory/Visual </b><b>: </b>Hearing, vision and talking
</p><p></p><p>The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
</p><p></p><p><i>As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $23.00-$25.00 hourly. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
</i></p><p></p><p>Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
</p><p></p><h2 class="jobSectionHeader"><b>If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.</b></h2></div>

Disability Rep. Senior

<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

Ricondo & Associates, Inc.

<div>
 We are seeking a Consultant to join Ricondo&rsquo;s team of talented aviation consultants in one of our offices located in Chicago, Denver, Dallas, Seattle, Miami, or Orlando. Ricondo team members are passionate about working alongside airport management to solve the complex issues facing the aviation industry today. Our firm provides strategic planning services to airports across the United States and around the world, including operational and physical planning, master planning, environmental reviews, and business advisory services.
 <br/>
 <br/>
 As a Consultant, you will work both independently and in collaboration with our diverse team of aviation professionals. You will also have the opportunity to expand your knowledge and expertise by participating in diverse aviation projects. No two airports are the same and no two projects are alike, so if you are a problem solver and lifelong learner, join our team and grow with us!
 <br/>
 <br/>
 The Aviation Consultant will be responsible for performing entry-level professional planning research, development, and implementation of aviation projects and studies. The ideal candidate will have a familiarity with the aviation industry or a desire to learn and grow in the aviation industry.
 <br/>
 <br/>
 <strong>
  Core Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Conduct field surveys, investigations, and collect data in support of airport planning studies.
  </li>
  <li>
   Consults with fellow employees and senior staff concerning the compilation, interpretation, and presentation of research data for airport planning studies.
  </li>
  <li>
   Prepares draft sections of reports and deliverables based on verbal and written input from others as well as individual efforts.
  </li>
  <li>
   Assists in developing, formatting, publishing, and distributing tables, charts, manuals, and maps that deal with existing and proposed airport planning studies.
  </li>
  <li>
   Provides advice, technical assistance, and written recommendations on airport planning studies.
  </li>
  <li>
   Develops and maintains electronic data sets, files, runs, and troubleshoots existing programs.
  </li>
  <li>
   Responds to requests for data and information from internal staff and external clients, organizations, various agencies, and the public.
  </li>
  <li>
   Performs related work as required.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Requirements
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor&rsquo;s degree in a field that provides a solid foundation for aviation consulting, such as Civil Engineering, Architecture, Planning, Aviation Management, Mathematics, Statistics, Finance, or Economics
  </li>
  <li>
   0-3 years of increasingly responsible experience in airport planning or related field
  </li>
  <li>
   Possesses a familiarity with the aviation industry or a desire to learn and grow in the aviation industry
  </li>
  <li>
   Familiarity with FAA Advisory Circulars, Engineering Briefs, and other industry planning/design guidance documents
  </li>
  <li>
   Excellent analytical skills
  </li>
  <li>
   Excellent verbal, interpersonal, and written communications skills
  </li>
  <li>
   Proficiency in Microsoft Office applications (Word, Excel, and PowerPoint)
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Additional Preferred Technical Skills
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Master&rsquo;s degree in a field that provides a strong foundation for aviation consulting, such as Engineering, Architecture, Planning, Aviation Management, Mathematics, Statistics, Business Administration, Finance, or Economics
  </li>
  <li>
   Working knowledge of best practices, methods, and principles utilized in strategic planning, infrastructure and facilities planning, and operational research for airports
  </li>
  <li>
   Ability to apply principles of management, business, marketing, and administration in supporting large and complex airport planning projects
  </li>
  <li>
   Knowledge and experience with analytical techniques and related tools including statistical, spreadsheet, database, simulation, spatial/graphical analysis applications (AutoCAD, REVIT, GIS, 3DS Max, etc.), or modelling tools such as VISSIM, SketchUp, and/or AviPlan.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Soft Skills
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Self-motivated: initiative to identify creative and technically sound solutions, and ability to work well with staff both in-person and remotely in other locations.
  </li>
  <li>
   Detail-oriented: in analytic and technical writing assignments, the ability to communicate technical information to nontechnical audiences and to edit for consistency and grammar.
  </li>
  <li>
   Proactive and effective communicator: excellent verbal and interpersonal communication skills to coordinate with teams and clients.
  </li>
  <li>
   Highly organized: plan and prioritize work assignments and demonstrate ability to manage concurrent assignments with different teams.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Competitive Benefits Package
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Employee Stock Ownership Plan (ESOP)
  </li>
  <li>
   401(k) retirement savings plan with employer match depending on company performance
  </li>
  <li>
   100% Employer-paid medical, dental, and vision insurance coverage
  </li>
  <li>
   Generous paid time-off program for sick leave and vacation time
  </li>
  <li>
   Company-paid holidays
  </li>
  <li>
   Tuition reimbursement program
  </li>
  <li>
   Professional certification, licensure, and association membership funding
  </li>
  <li>
   Professional conferences and seminars
  </li>
  <li>
   On-demand access to training
  </li>
  <li>
   Internal workshops and webinars
  </li>
  <li>
   Short- and long-term disability insurance coverage
  </li>
  <li>
   Life insurance (survivor benefits)
  </li>
  <li>
   Team member referral bonus program
  </li>
  <li>
   Flexible spend accounts (medical and dependent care)
   <br/>
   <br/>
  </li>
 </ul>
 The base pay range for this role is $55,631 to $83,447. The base salary range/hourly rate established for a job offer is dependent on job-related, non-discriminatory factors such as experience, education, and skills.
 <br/>
 <br/>
 <strong>
  Our Team
  <br/>
  <br/>
 </strong>
 Ricondo has served the aviation industry for over 30 years. Our team of nearly 160 consultants represent the brightest and most well-respected professionals in aviation today, working together to meet our clients&rsquo; needs with ideas, expertise, and transformative solutions. Advance your career with our talented team and help shape the built airport environment. We strive to be a responsible business&mdash;one that adheres to high legal, moral, and ethical professional standards. Our pride is our people, as evidenced by our extremely competitive benefits. We are committed to equality and diversity, cross-disciplinary training, and staff development. We emphasize quality and accountability in a respectful, collaborative, and congenial environment.
 <br/>
 <br/>
 <em>
  Ricondo is an equal opportunity employer.
 </em>
</div>


Consultant

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