Job Description
This role is 100% remote but will require candidates to be onsite 1-2x a year 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
+ Ev...
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
+ Ev...
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