Current jobs related to Claims Service Specialist - Itasca - Captive Resources

  • Claims - Sr WC Adjuster

    1 month ago

    Itasca, United States The Hanover Insurance Group Full time

    For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, ESG initiatives and IDE journey. Our Workers Compensation Claims team is currently seeking a Senior Adjuster with a focus on eastern seaboard jurisdictions...

  • Subrogation Specialist

    3 weeks ago

    Itasca, United States Armstrong Receivable Management Full time

    Job DescriptionJob DescriptionARMStrong Receivable Management is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the...

  • UM Collection Specialist

    4 weeks ago

    Itasca, United States Armstrong Receivable Management Full time

    Job DescriptionJob DescriptionARMStrong Receivable Management is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the...

  • UM Collection Specialist

    1 month ago

    Itasca, United States Armstrong Receivable Management Full time

    Job DescriptionJob DescriptionARMStrong Receivable Management is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the...

  • Field Service Equipment Specialist

    4 weeks ago

    Itasca, Illinois, United States Jobot Full time

    Join Our Team as a Field Service Equipment SpecialistAre you ready to take your career to the next level? We are seeking a dedicated and skilled Field Service Equipment Specialist to become a vital part of our innovative team. Our company is a leader in the manufacturing sector, committed to excellence and continuous improvement.Compensation:$32 - $37 per...

  • Customer Service Representative

    3 days ago

    Itasca, United States BGSF Full time

    Responsible for providing superior customer service parts support to existing marine and industrial engine distributors while maximizing the sale of required parts. The position requires the individual demonstrate the ability support distributor sales efforts via the telephone and internet while consistently improving the quality and performance of assigned...

  • Customer Service Ambassador

    2 weeks ago

    Itasca, Illinois, United States Graybar Full time

    About the RoleWe are seeking a highly skilled and customer-focused individual to join our team as a Customer Service Representative. As a key contact and liaison for our customers, you will play a critical role in ensuring their total satisfaction.Key ResponsibilitiesCustomer Interaction: You will interact with customers on an ongoing basis, entering orders,...

  • Human Resources Specialist

    4 weeks ago

    Itasca, United States National Safety Council Full time $60,000 - $64,000

    Job DescriptionJob DescriptionSave lives, from the workplace to anyplace.The National Safety Council is America’s leading nonprofit safety advocate.  We focus on eliminating the leading causes of preventable injuries and deaths.  Through leadership, research, education, and advocacy, NSC focuses on areas where most unintentional injuries and deaths...

  • Customer Service Ambassador

    2 weeks ago

    Itasca, Illinois, United States Graybar Full time

    About the RoleWe are seeking a highly skilled and customer-focused individual to join our team as a Customer Service Representative. As a key contact and liaison for our customers, you will play a critical role in ensuring their total satisfaction.Key ResponsibilitiesCustomer Interaction: You will interact with customers on an ongoing basis, entering orders,...

  • Human Resources

    3 weeks ago

    Itasca, United States National Safety Council Full time

    Job DescriptionJob DescriptionSave lives, from the workplace to anyplace.The National Safety Council is America’s leading nonprofit safety advocate.  We focus on eliminating the leading causes of preventable injuries and deaths.  Through leadership, research, education, and advocacy, NSC focuses on areas where most unintentional injuries and deaths...

  • Human Resources Specialist

    3 weeks ago

    Itasca, Illinois, United States National Safety Council Full time

    Job SummaryWe are seeking a highly skilled and experienced Human Resources Specialist to join our team at the National Safety Council. The successful candidate will be responsible for providing support to the HR department, focusing on payroll processing, benefits administration, and talent acquisition efforts.Key ResponsibilitiesPayroll Processing:Prepare...

  • Human Resources Specialist

    3 weeks ago

    Itasca, Illinois, United States National Safety Council Full time

    Job SummaryWe are seeking a highly skilled and experienced Human Resources Specialist to join our team at the National Safety Council. The successful candidate will be responsible for providing support to the HR department, focusing on payroll processing, benefits administration, and talent acquisition efforts.Key ResponsibilitiesPayroll Processing:Prepare...

  • Customer Service Representative

    2 weeks ago

    Itasca, United States Graybar Full time

    Make a difference. As a Customer Service Representative, you will serve as a key contact and liaison for customers to ensure their total satisfaction. You will interact with customers on an ongoing basis, entering orders, handling requests and providing support needed in a timely, professional and courteous manner. In this role you will: Ensure every...

  • Customer Service Representative

    2 weeks ago

    Itasca, United States Graybar Full time

    Make a difference. As a Customer Service Representative, you will serve as a key contact and liaison for customers to ensure their total satisfaction. You will interact with customers on an ongoing basis, entering orders, handling requests and providing support needed in a timely, professional and courteous manner. In this role you will: Ensure every...

  • Purchasing Specialist

    2 months ago

    Itasca, United States LaSalle Network Full time

    LaSalle Network has partnered with a leading manufacturing company in the metals space dedicated to delivering high-quality products and services, located in the northwest suburbs of Chicago. Their team is growing, and they are looking to bring on a Purchasing Specialist who is highly motivated and detail-oriented! This is an excellent opportunity for...

  • Parts Specialist

    2 weeks ago

    Itasca, Illinois, United States Equipment Depot Full time

    Job SummaryWe are seeking a highly skilled Parts Specialist to join our team at Equipment Depot. As a key member of our inventory management team, you will be responsible for ensuring that our customers receive the right parts at the right time.Key ResponsibilitiesIdentify Customer Needs: Work closely with customers to understand their specific needs and...

  • Purchasing Specialist

    1 day ago

    Itasca, Illinois, United States LaSalle Network Full time

    Purchasing Specialist Job DescriptionLaSalle Network is partnering with a leading manufacturing company in the metals space to fill a Purchasing Specialist role. This is an excellent opportunity for a detail-oriented individual with experience in purchasing within the manufacturing industry.Key Responsibilities:Manage the procurement process of goods and...

  • Technical Support Specialist

    2 weeks ago

    Itasca, Illinois, United States Bruker Full time

    Job SummaryBruker is seeking a highly skilled Technical Support Specialist to join our team. As a Technical Support Specialist, you will be responsible for providing technical support and troubleshooting for our customers, analyzing and resolving complex equipment problems, and collaborating with internal departments to ensure seamless customer service.Key...

  • Operations Specialist

    1 month ago

    Itasca, United States Itasca Bank & Trust Co Full time

    Itasca Bank & Trust Co. is an independently owned, local community bank with locations in Itasca and Roselle. Itasca Bank values its staff. Our most important assets are the people – customers and employees. For over 75 years the Bank has been a responsible citizen and community leader because it respects the values of its past when making decisions that...

  • Plumbing Repair Specialist

    4 days ago

    Itasca, Illinois, United States ARS-Rescue Rooter Full time

    Job OpportunityWe are seeking a skilled Plumbing Repair Specialist to join our team at ARS-Rescue Rooter in Itasca, IL.About the RoleThis is a full-time position that requires a strong work ethic, excellent communication skills, and the ability to work independently. As a Plumbing Repair Specialist, you will be responsible for selling products within an...

Claims Service Specialist

3 months ago

Itasca, United States Captive Resources Full time

The Claims Service Specialist will support the Claims Services Managers (CSM's) to help ensure member claim service satisfaction and provide claims service management ensuring proper communication and follow through

ESSENTIAL EDUCATION AND EXPERIENCE:

Bachelor's Degree or equivalency in a related discipline and at least five (5) years of experience in workers' compensation claims handling (California experience a plus) and claims customer service. Must have direct client service experience in commercial claims either through face-to-face or telephonic experience.

SKILLS/COMPETENCIES REQUIREMENTS:

  • Strong customer service orientation
  • Organization, planning, and prioritization expertise with strong skills in multi-tasking and follow-up
  • Works well independently and in a team environment
  • Excellent written and verbal communication skills
  • Comfortable in a client facing role
  • Strong analytical, problem solving, judgment, and communication skills
  • Willingness and ability to travel domestically at a minimal amount as required
ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Act as a liaison between the member, broker and the claims administrator on claim and customer service matters.
  • Regularly engage with clients to address questions and opportunities and ensure a transparent and supportive communication channel throughout the claims process.
  • Proactively identify potential issues within claims, working diligently to resolve concerns and prevent escalations.
  • Collaborate with internal and external teams to define and address member needs.
  • Maintain accurate and organized records of activities, outlining ongoing client communication, history of escalations and opportunities. Prepare detailed reports for review and analysis.
  • Coordinate member / broker calls to ensure all claim and captive related questions and concerns are addressed.
  • Closely collaborate with the Claims Services Manager (CSM) and Captive Executive, when necessary to ensure a cohesive response and prioritization of the issue at hand.
  • Actively meet with CSM to provide various updates and deliver a coordinated support of member's needs.
  • Complete periodic claim audits to monitor service levels and compile and review results with CSM.
APPROACH AND DELIVERABLES:
  • Candidate will contact all members in the captive with open claims twice per quarter or as designated by the CSM. More frequent contact may be required per member needs.
  • Maintain record of interaction that documents the "health" of each member.
  • Report out to CSM and CE on monthly basis on any significant claims or claims of interest
  • Meet with the CSM monthly to deliver updates and review more significant matters.
  • Prioritize members via a traffic light methodology and collaborate with the CSM in prioritizing member needs. For those members identified with significant concerns over claims handling, more frequent contacts are necessary.
  • Identify those members with broker claims liasons/examiners and proactively reach out to those contacts periodically to determine if concerns with individual claims. Trends, areas of concern or increasing numbers of issues, should be escalated to CSM.
  • Escalate complex claims matters and highly critical member calls to the CSM.
  • Review claims for flagged members to identify opportunities in customer service and claims handling.
  • Review new claims and open claims that meet criteria to audit claims files for quality and timely handling and ensure progress. Record results for reporting.
  • Reviewing monthly LHA on new claims to identify any significant claims or frequency concerns. Advise CSM and followup with member, if needed.
  • Identify claims with no activity for a period or that are at a point needing to be closed, and following up with the TPA.
  • As required, include the TPA's claim team/account management in review and resolution of significant claim issues.
  • Position will be responsible for logging their work progress, member interactions, specific claim issues and task followup in a TBD system.
  • Foster positive relationships with adjusters, supervisors and their account manager. Work cohesively and positively with broker claims contacts.


PRIORITIES: Proactive claims service management ensuring proper communication and follow through, as well as supporting the CSM as needed to help ensure member claim service satisfaction.