ap specialist

area installation specialist- south chicago/indiana Jobs in Chicago

asset protection specialist Jobs in Chicago

asset protection specialist

behavioral health specialist - employee wellness Jobs in Chicago

casualty claims senior specialist Jobs in Chicago

casualty claims senior specialist

insurance claims specialist

Allied Benefit Systems

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

Stop Loss Claims Specialist I-Specific

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

<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

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

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

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

Colorful Minds ABA

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

Remote ABA Billing Specialist

Explore 376+ Insurance claims specialist in Chicago this March. Find roles across top companies and apply now to boost your career.