Job Description
Description
We are looking for an experienced Sr. Claims Specialist to support insurance follow-up operations in Hinsdale, Illinois. This Long-term Contract position is ideal for someone who is detail oriented and can independently manage complex claim activity, assess supporting evidence, and make sound decisions in fast-paced environments. The role blends traditional claims investigation with the use of AI-enabled tools to strengthen fraud analysis, claim evaluation, and documentation quality.
Responsibilities:
• Oversee an active caseload of claims, maintaining consistent review and follow-up to move files efficiently through investigation and resolution.
• Examine claim records, supporting documents, statements, images, and prior file history to identify key facts, inconsistencies, and potential exposure.
• Determine appropriate claim outcomes by applying policy guidance and evidence, including approvals, denials, or referral for legal ...
We are looking for an experienced Sr. Claims Specialist to support insurance follow-up operations in Hinsdale, Illinois. This Long-term Contract position is ideal for someone who is detail oriented and can independently manage complex claim activity, assess supporting evidence, and make sound decisions in fast-paced environments. The role blends traditional claims investigation with the use of AI-enabled tools to strengthen fraud analysis, claim evaluation, and documentation quality.
Responsibilities:
• Oversee an active caseload of claims, maintaining consistent review and follow-up to move files efficiently through investigation and resolution.
• Examine claim records, supporting documents, statements, images, and prior file history to identify key facts, inconsistencies, and potential exposure.
• Determine appropriate claim outcomes by applying policy guidance and evidence, including approvals, denials, or referral for legal ...