- Humana (Springfield, IL)
- …for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its ... benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave),… more
- The Hartford (Naperville, IL)
- …theirs, too. Join our team as we help shape the future. The Claims Team Leader will manage and direct claim investigation, compensability determination, ... Oversee the completion and execution of the investigation, disposition and settlement of claims , in compliance with corporate claim standards and procedures, and… more
- Invenergy (Chicago, IL)
- … notice intake, evaluation, and reporting, oversee claim handling, support claim investigations, complex claims and coverage determination and disputes, ... claims across all lines of coverage in internal claim management systems. + Oversee regular claim ...Management, Finance, Legal and other teams to ensure the Company has appropriately structured insurance programs + Provide support… more
- Sedgwick (Springfield, IL)
- …liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify ... pursuant to the claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim action with claimant and client.… more
- Sedgwick (Chicago, IL)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- USAA (Chicago, IL)
- …for settlement amounts outside of authority limits. + Maintains accurate and current claim file with critical documentation throughout the claims process for ... investigate, evaluate, negotiate and settle the highest complexity property insurance claims presented by or against our members. You will confirm/analyze coverage,… more
- Sedgwick (Chicago, IL)
- …Sr **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Sedgwick (Springfield, IL)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client… more
- Sedgwick (Chicago, IL)
- …system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support ... **_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now,… more
- GE Aerospace (Loves Park, IL)
- …In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology. ... and plan + Perform desk and/or field audits of reinsured claims , policies or administrative processes, documenting findings and recommendations using established… more