Claims Examiner- Specialty Claims

4 days ago


Oak Brook, Illinois, United States USLI Full time $65,000 - $115,000 per year

Your Role: You'll play a critical role in evaluating coverage, liability, and damages for each unique claim. You'll collaborate across teams and with external stakeholders to effectively investigate, negotiate, and resolve claims.

Key Responsibilities:

  • Coverage review: Confirm coverage by reviewing the first notice of loss and policy details; prepare disclaimers and reservation of rights letters as necessary
  • Thorough investigation: Conduct detailed investigations into claims, including liability and damages assessment, witness interviews, scene inspections, and evidence collection
  • Independent adjusters: Retain and provide directions to independent adjusters while managing all aspects of the investigation process
  • Liability analysis: Apply statutory and case law to evaluate liability exposure and ensure joint tortfeasors contribute their fair share
  • Reserve maintenance: Maintain accurate reserves reflecting liability and damages as claims develop
  • File management: Proactively manage claim files, negotiate settlements directly with claimants or attorneys, oversee defense counsel, and ensure effective litigation management
  • Reporting: Prepare comprehensive reserve authority requests, reinsurance reports, serious loss reports, and coverage position letters
  • Cross-team collaboration: Provide updates and collaborate with underwriting, compliance, and actuarial teams to maintain healthy products

What You'll Bring:

  • Problem-solving skills: Analytical and creative problem-solving capabilities with a focus on liability and damage evaluation
  • Communication: Strong oral and written communication skills to effectively interact with all stakeholders
  • Negotiation expertise: Assertive decision-making with effective negotiation and conflict management skills
  • Organization: Strong organizational and time management skills to manage multiple priorities efficiently
  • Technical knowledge: Familiarity with insurance coverage, negligence law, and claim evaluation processes

Qualifications:

  • 2+ years of relevant experience for Associate Claims Examiner
  • 7+ years of relevant experience for Claims Examiner
  • Previous experience as an examiner, adjuster, paralegal, attorney, or in other transferable roles
  • Excess liability experience: Experience with excess liability claims is preferred
  • Jurisdiction Knowledge: Multi-jurisdictional knowledge, advanced degrees, and/or JD are a plus

Passion and drive can be just as important as experience. If you're excited about this opportunity, we'd love to hear from you

Position affords 5 days per month to work remotely.

Salary Range: Associate Claims Examiner: $65K - $95K; Claims Examiner: $85K - $115K

What We Offer: One of the advantages of working at USLI is the competitive salary and benefits program we offer full-time and eligible part-time employees. Benefits include performance-based triannual bonuses, medical benefits paid at 100% for full-time employees and 80% for eligible part-time employees, a profit-sharing program, free lunch every day while onsite, and more than 450 annual personal and professional development courses. Explore more company benefits.

Why USLI? At USLI, we are committed to fostering a vibrant and inclusive community that celebrates the rich diversity of all ethnicities, nationalities, abilities, genders, gender identities, sexual orientations, ages, religions, socioeconomic backgrounds, and life experiences. We understand the importance of continuous learning, self-reflection, acknowledging our biases, and expanding our perspectives beyond our own. We actively encourage open dialogue on diversity, equity, inclusion, and belonging to support a workplace where every individual feels valued, respected, and empowered to contribute at their fullest potential. Join us in building a diverse and inclusive environment where our shared values drive us toward excellence.

Pay: $65, $115,000.00 per year

Benefits:

  • Dental insurance
  • Health insurance
  • Professional development assistance
  • Referral program
  • Vision insurance

Work Location: In person



  • Oak Brook, Illinois, United States Warrior Insurance Network Full time $41,600 - $75,000 per year

    Are you unhappy at your present job?Are you going nowhere in your current position?Is it time for a change?Are you an experienced Auto Liability Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities?If you answered YES to the above, it's time to talk to Warrior...


  • Oak Brook, Illinois, United States Jorie AI Full time $110,400 - $129,600 per year

    OverviewWe are seeking a detail-oriented and experienced VA Community Care Network (CCN) Claims Specialist to support high-volume claims processing and follow-up within the U.S. market. This role focuses exclusively on tasks performed within the VA CCN portal, including claims submission, status checks, payment resolution, and accounts-receivable...

  • Legal Claims Assistant

    23 hours ago


    Oak Brook, Illinois, United States Heniff Transportation Systems Full time $45,000 - $55,000 per year

    It's fun to work in a company where people truly BELIEVE in what they're doingWe're committed to bringing passion and customer focus to the business.The Legal / Claims Assistant – is responsible for performing administrative tasks that support the claims and legal departments. Additionally, to organize and track administrative and legal functions...


  • Oak Brook, Illinois, United States Inspira Financial Full time

    Choose your next journey with Inspira Financial and join a culture that empowers and where you can innovate. You will be celebrated, you will be challenged, and you can aspire to inspire. You are more than a colleague here; you are part of a COMMUNITY that goes ABOVE and BEYOND professionally and personally to make a difference. We believe in finding the...

  • Medical/Dental Biller

    23 hours ago


    Oak Park, Illinois, United States Pcc Community Wellness Center Full time $60,000 - $80,000 per year

    Job Details Corporate - OAK PARK, IL Lake Street Family Health Center - OAK PARK, IL $ $21.00 Hourly Medical/Dental Biller Job Summary: Responsible for performing revenue cycle functions for all medical and/or dental claims for PCC Community Wellness Center, to ensure accurate, timely claim follow up for aged accounts. The Medical Biller works...

  • Security Officer

    3 days ago


    Oak Brook, Illinois, United States Allied Universal Full time $17,400 per year

    Overview Allied Universal, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you will be part of a team that contributes to a culture that positively impacts the communities and customers we serve. Job Description As...


  • Oak Brook, Illinois, United States Goldstone Partners, Inc. Full time $170,000 - $200,000

    Company Description At Streamline Healthcare Solutions, we strive to build lasting and trusting relationships with our clients, and our employees set the bar. Our mission is to build innovative technology solutions that empower people who improve behavioral health and quality of life of those in need. We are a high-growth technology company that delivers...


  • Oak Brook, Illinois, United States Allied Universal Full time $107,680 per year

    Security Professional - Mall Welcome DeskOverviewAllied Universal, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you will be part of a team that contributes to a culture that positively impacts the communities...


  • Oak Lawn, Illinois, United States storm restoration services inc Full time

    Job DescriptionRoofing Sales Representative – Storm Damage Experts (Vehicle Provided + up to $100K+)Storm Restoration Services Inc. – Oak Lawn, IL (servicing the entire Chicagoland area)Are you ready to earn up to $100,000+ a year helping homeowners restore their homes after hail and wind storms?Storm Restoration Services Inc. is one of the most trusted...


  • Oak Lawn, Illinois, United States Advocate Aurora Health Full time $45,000 - $65,000 per year

    Coordination of the Referral ProcessCollects all referrals from medical staff daily and obtains any necessary approvals from attendings.Works in all aspects of the referral process, including processing referrals for patients based on primary care physician orders and follow up specialists service recommended.Generates necessary correspondence or calls to...