Claims Quality Review Sr Consltant
$72k - $141kCNA Insurance
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. You have a clear vision for where your career can go – and at CNA, we’re committed to helping you get there. We foster a culture where people know they matter, feel connected to meaningful work, and are supported in using their talents to their fullest potential. Technical expert for assigned line of business, reports to Claim Quality Review Director and works closely with the Claim Quality Technical Lead. Responsible for reviewing and evaluating Claim files for the assigned line of business to determine whether the desired behaviors that result in quality Claim outcomes are present. Calibrates completed reviews with Claim Quality Technical Lead to identify best practice and opportunity areas. Role may include those on a 12–24 month rotational assignment, offering a development opportunity for Claim professionals to gain clear insight on quality and behaviors that impact results. This position offers a flexible, hybrid work schedule, requiring 2 days in a CNA office per week. Essential Duties & Responsibilities Completes technical file reviews for assigned line of business; gathers and interprets data, evaluating both technical and operational behaviors associated with functional roles. Works with the Claim Quality Review Director and the Claim Quality Technical Lead for assigned line of business to aggregate and analyze results from quality and manager reviews to identify trending of best practice and opportunity areas for assigned line of business and across the Claim organization. Periodically serves as support for the Claim Quality Technical Lead in the assigned line of business. Participates in Compliance related reviews, as necessary. Reviews Claim customer survey results to identify trends, best practices and improvement opportunities for assigned line of business. Stays current on industry trends and developments. May perform additional duties as assigned. Reporting Relationship Typically Director or above Skills, Knowledge & Abilities A solid understanding of the insurance industry, its practices and operations. Technical knowledge in assigned line of business. Advanced analytical and problem solving skills with ability to manage and prioritize multiple projects. Strong project management skills. Excellent communication, presentation and interpersonal skills with the ability to work effectively with internal business partners. Ability to influence others in accepting ideas that will lead to increased business results. Strong computer skills including Microsoft Office Suite and other business related software systems. Education & Experience Bachelor's degree or its equivalent. Applicable professional designations preferred. Typically a minimum of eight years of related work experience in the insurance industry with strong line of business technical expertise. In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA’s benefits, please visit cnabenefits.com. CNA utilizes AI-enabled technology during the recruiting process. For more information, please visit our careers page. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact View email address on click.appcast.io #J-18808-Ljbffr CNA Insurance
- CNA Insurance in Downers Grove, IL is seeking a Technical Expert for the Claim Quality team to review and evaluate claim files for the assigned line of business, ensuring quality outcomes and adherence to best practices. The role partners with the Claim Quality Review...QualitySeniorClaimsWork at officeFlexible hours
$160k - $190k
..., submittals, and shop drawing processes.Review, negotiate, and execute subcontractor agreements... ...on internal systems and procedures.Quality Assurance & SafetyCoordinate with the... ...progress reports, change order logs, and claims documentationThis list of duties and responsibilities...QualitySeniorClaimsContract workFor subcontractor$24.93 - $31.17 per hour
...This role will collaborate with the RCM supervisor, RCM Sr. Mgr./Mgr. to review the quality, efficiency, and productivity of our vendor partners. The... ...analyst experience Physical Therapy RCM experience Lead Claim, Denial, and/or process auditing teams Knowledge Skills...QualitySeniorClaimsHourly payWork at office$78.7k - $118.1k
...Analysis. Job Posting Title: Sr Financial Analyst, Inventory &... ...impacting our mission to make high quality, affordable food for our... ...Unit supply and demand planning reviews to ensure that business updates... .... If you receive an email claiming to be from us, always verify the...QualitySeniorClaimsFull timeWork at officeImmediate startShift work- ...submittals, and shop drawing processes. ~Review, negotiate, and execute subcontractor... ...training on internal systems and procedures. Quality Assurance & Safety ~Coordinate with the... ...progress reports, change order logs, and claims documentation Qualifications ~...QualitySeniorClaimsContract workFor subcontractor
- ...directly with patent attorneys and agents to draft and review patent applications, ensuring technical accuracy of claims and descriptions Interface with cross-... ...project management, manufacturing, procurement, and quality, during all phases of new product development and...QualitySeniorClaims
$85k - $100k
...conducting ongoing independent audits and reviews of BCS assets to ensure workplace... ...reporting obligations, administrative standards, claims administration, and policyholder service... ...projects, meeting established timelines and quality standards. Collaboration – work with...QualitySeniorClaimsFull timeWork at office- ...Problem Solving: Help solve cost, timing, quality, and launch-readiness challenges. Career... ...Participate in cross-functional program reviews and collaborate with stakeholders to solve... ...we are today, few companies can lay claim to a history like International. Based in...QualitySeniorClaimsPermanent employmentH1bWorldwideVisa sponsorship
- ...LPN/LVN license in good standing. Bachelor's Degree OR 4 years in health care experience. 5 years utilization management, appeals, claims and mainframe system experience. Experience in health operations.Experience with internal/external customer relations.Knowledge of...QualityClaimsRemote workShift workWeekend work
$97k - $189k
...oversee top quartile managed care medical bill review, provider network, cost containment... ...achievement of medical savings, service quality, operational efficiency, compliance, and... ...including medical bill review. Partners with Claims, Finance, Legal, Compliance, Procurement,...QualityClaimsContract workWork experience placementWork at office- ...development, deployment, and iterationWrite high quality, maintainable, and testable code using... ...other engineers through code reviews, technical guidance, and knowledge sharingMinimum... ...we are today, few companies can lay claim to a history like International. Based in...QualitySeniorClaimsPermanent employmentH1bVisa sponsorship
- ...LPN/LVN license in good standing. Bachelor's Degree OR 4 years in health care experience. 5 years utilization management, appeals, claims and mainframe system experience. Experience in health operations. Experience with internal/external customer relations. Knowledge of...QualityClaimsRemote workShift workWeekend work
- ...standards, regulatory requirements, and company quality processes.Mentor junior engineers and... ...“In-Use” compliance emissions testing.Reviews and analyzes results for accuracy for submittal... ...we are today, few companies can lay claim to a history like International. Based in...QualitySeniorClaimsPermanent employmentH1bVisa sponsorship
- ...wellness. We are committed to providing a high quality, competitive employee benefit program... ...needs. Our benefits package is regularly reviewed and modified to offer those benefits most... ...in the agency management system. File claims on behalf of clients and follow up as...QualitySeniorClaimsPermanent employmentWork at officeLocal areaMonday to Friday
$62.4k - $127.2k
Consultant Claims - CH08CE Sr Representative Claims - CH08BE We’re determined to make a difference and are proud to be an insurance company... ...monitor expenses paid too these vendors to ensure service quality. Reviews and analyzes claim reports to identify and address trends....QualitySeniorClaimsTemporary workWork at officeRemote work3 days per week- ...Senior Commercial Auto & General Liability Claims Adjuster with experience with handling... ...possess the following skill set. Provides quality investigation and analysis to adjust claims... ..., evaluate liability and damages, review and analyze documents and legal pleadings...QualitySeniorClaimsFor contractorsFor subcontractorWork at officeLocal areaFlexible hoursNight shift3 days per week
- ...including Engineering, Sales, Marketing, Purchasing, Logistics, Quality, and Manufacturing to ensure smooth product launches, inventory... ...and brand presence.Lead issue resolution, including quality claims and logistics challenges, using structured methodologies like 8...QualitySeniorClaimsWork at officeRemote workWork from homeWorldwide
$80k - $115k
...finding, and execution, including document reviews, data analysis, interviews, workshops,... ...improvement opportunities Develops high-quality client work products, including reports,... ...related to commercial insurance programs Claims trend analysis, loss run review, and program...QualitySeniorClaimsContract workWork experience placementWork at office$150k - $200k
...accountability for scope, budget, schedule, quality, and safety, and you report project... ...Jurisdiction (AHJ), and can walk into an executive review with numbers that hold up. You will own... ...leadership on notices, backcharges, claims exposure, and, where warranted, contractor...QualitySeniorClaimsPermanent employmentContract workFor contractorsCasual workWork at officeLocal areaRelocationNight shift$132.3k - $198.5k
...directly impacting our mission to make high quality, affordable food for our customers,... ...engineering and plant leadership to develop and review business case screening scopes, schedules... ...requests. If you receive an email claiming to be from us, always verify the sender's...QualitySeniorClaimsFull timeImmediate startShift work- CNA Insurance in Downers Grove, IL seeks an experienced claims professional to manage highly complex commercial claims. This individual... ...coverage, investigate, and resolve claims while delivering quality service. You will coordinate with customers, insureds, and partners...QualitySeniorClaims
- CNA Insurance is seeking a Complex Claims Director in Illinois to lead a team handling high exposure mass tort and environmental claims... ..., coach staff, and drive performance while maintaining quality and customer service standards. Responsibilities include strategy...QualitySeniorClaims
- ...individual contributor to manage highly complex commercial auto/GL claims with exposure. This role requires coordinating all aspects of... ...reserves, discovery, and settlements, with a focus on quality service. Hybrid schedule: 2 days in the CNA office weekly. Requires...QualitySeniorClaimsWork at office
$100k - $110k
...foundation of our core values, is to improve the quality of life for our employees and customers... ...roofing sales experience in the property claims space (insurance claims) Minimum 5... ...Perform monthly quota and performance reviews for the Sales Team Proposing and executing...QualityClaimsFull timeContract work- CNA in Downers Grove, IL is seeking an experienced claims professional to manage highly complex commercial auto/general liability claims... ...with attorneys and internal stakeholders, and delivering high-quality customer service. This hybrid position offers two days in the...QualitySeniorClaimsWork at office
$147.61k - $274.13k
...team of patent professionals with a strong track record of high-quality patent asset used successfully in licensing and litigations... ...Evaluating filed patent applications on a regular basis Reviewing claim charts and collaborating with others to ascertain the claim scope...QualitySeniorClaims$116.88k - $148.13k
...Management, Risk Management Programs, Policy renewals, Reinsurance, Claims and TPA.Broker Integration with Carriers, Agents, and... ...fluidly. Earns client’s respect.Client Delivery: Delivers high-quality client outputs on time, more or less independently: Seeks advice...QualitySeniorClaimsFull timeTemporary workWork experience placement- ...and manage outside counsel to ensure high-quality legal support aligned with business... ...legal strategy.Commercial ContractingDraft, review, and negotiate commercial agreements, including... ...of AI-driven efficiencies.Litigation & Claims ManagementManage commercial disputes,...QualitySeniorClaimsFull timeContract workWorldwideRelocation
$65 - $70 per hour
...Build and maintain vendor and broker relationships to ensure high-quality service. Monitor market trends and recommend enhancements to... ...Manage benefits administration, including eligibility, billing, and claims resolution. Deliver benefits education campaigns to increase...QualitySeniorClaimsContract workFlexible hours$47k - $78k
...authority limits, to manage commercial claims with low to moderate complexity and exposures... ...claims according to company protocols, quality and customer service standards. Position... ...timely and adequate reserves by reviewing and interpreting policy language, estimating...QualityClaimsWork experience placementWork at officeLocal area
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