Illinois Licensed Medical Claims Representative

Job Summary

Managing an inventory of claims, the full-time Illinois Licensed Medical Claims Representative will evaluate compensability and liability, conduct claim investigations, and negotiate settlements while working remotely.

Key responsibilities

• Evaluates claims to determine compensability and liability
• Conducts investigations to confirm coverage and assess damages
• Negotiates claim settlements and authorizes payments within authority limits

Required qualifications

• Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
• Minimum of 5 years of experience in property and casualty claims handling
• Progress toward a professional designation, such as Associate in Claims (AIC), preferred
• Strong knowledge of insurance policies, coverage, and claims handling procedures
• Ability to organize and prioritize caseloads for timely resolution of claims