- Location
- Rosemont, IL, US
- Workplace
- Remote, Onsite
- Type
- Full-time
- Department
- Human Resources
- Seniority
- Manager
- Education
- Bachelor
- Closing date
- Today
- Source
- iCIMS
Description
Responsibilities
This role is remote but will require candidates to be onsite 1-2x a month at our Rosemont, IL Headquarters.
Position Responsibilities:
- Oversee and strategize the investigation, evaluation, and resolution of claims to ensure timely, accurate outcomes
- Partner with the TPA and key stakeholders (HR, Risk Management, Legal, Operations, Safety, Corporate Nurses, Medical Providers, Excess Carriers) to ensure effective claim management, regulatory compliance, and timely care
- Provide financial oversight, including reserve management, settlement evaluation and authority, escalation to excess carriers, and development of settlement strategies (e.g., annuities, MSAs)
- Lead TPA oversight through claim reviews, audits, and claims examiner performance management to ensure adherence to service expectations, best practices, and customer experience
- Identify and resolve complex claim issues through cross-functional collaboration
- Evaluate and enhance return-to-work programs across locations
- Occasional travel as needed
- Other projects or duties as assigned
Qualifications
Required Education and Experience:
Bachelor's Degree with 6 plus years of related experience or High School Diploma/General Education Diploma with 9 plus years of specific experience