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Claims Resolution Manager Jobs in Illinois (NOW HIRING)

The candidate must also understand that runoff claims management requires a different operating ... Drive runoff outcomes through disciplined claim strategy, accurate reserving, targeted resolution ...

Makes recommendations on claims processes and resolution strategies to management. * Analyzes claims activities; prepares and presents reports to management and other internal business partners and ...

Makes recommendations on claims processes and resolution strategies to management. * Analyzes claims activities; prepares and presents reports to management and other internal business partners and ...

Makes recommendations on claims processes and resolution strategies to management. * Analyzes claims activities; prepares and presents reports to management and other internal business partners and ...

Makes recommendations on claims processes and resolution strategies to management. * Analyzes claims activities; prepares and presents reports to management and other internal business partners and ...

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Claims Resolution Manager information

What is the difference between Claims Resolution Manager vs Claims Adjuster?

AspectClaims Resolution ManagerClaims Adjuster
CredentialsInsurance licenses, sometimes management certificationsInsurance licenses, specific to claims handling
Work EnvironmentSupervisory roles, team coordinationField or office-based, claims investigation
Employer & Industry UsageInsurance companies, claims departmentsInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding managerial roles in claimsDetails about claims handling and investigation

The Claims Resolution Manager oversees claims processes and manages teams, focusing on strategy and resolution. Claims Adjusters handle the investigation and evaluation of individual claims. While both roles require insurance licenses, the manager's role is more supervisory, whereas the adjuster is more hands-on with claims investigation.

Is claims processing a stressful job?

Claims resolution managers often handle complex cases and tight deadlines, which can contribute to workplace stress. The job requires strong organizational skills and attention to detail, but stress levels vary depending on workload and company support systems.

What does a claims resolution manager do?

A Claims Resolution Manager oversees the process of handling insurance claims from initiation to closure, ensuring that claims are resolved efficiently and fairly. They investigate claim details, coordinate with adjusters, clients, and third parties, and work to resolve disputes or issues that may arise during the claims process. Their goal is to ensure compliance with company policies and legal regulations while optimizing customer satisfaction and minimizing losses for the organization.

What are the key skills and qualifications needed to thrive as a claims resolution manager, and why are they important?

To thrive as a Claims Resolution Manager, you need a solid background in insurance claims processing, dispute resolution, and regulatory compliance, often supported by a bachelor's degree in business, finance, or a related field. Familiarity with claims management software, CRM tools, and relevant certifications such as AIC or CPCU is common. Strong analytical thinking, negotiation skills, and effective communication are crucial soft skills for managing complex cases and guiding teams. These abilities ensure efficient claims handling, customer satisfaction, and minimized financial risk for the organization.

How much do claims resolution managers make in the US?

Claims resolution managers in the US typically earn a median annual salary of around $70,000 to $90,000, depending on experience, location, and the size of the employer. Salaries can vary based on industry, certifications, and the complexity of claims handled.

What are the primary challenges a claims resolution manager faces when balancing client expectations with policy limitations?

Claims Resolution Managers often navigate the delicate balance between meeting client expectations and adhering to insurance policy terms. One common challenge is communicating complex policy details to clients who may be experiencing stress or frustration. Additionally, managers must ensure timely and fair claims processing while coordinating with adjusters, legal teams, and external vendors. Success in this role requires strong negotiation skills, empathy, and a thorough understanding of regulatory and company guidelines.
What are the most commonly searched types of Claims Resolution jobs in Illinois? The most popular types of Claims Resolution jobs in Illinois are:
What cities in Illinois are hiring for Claims Resolution Manager jobs? Cities in Illinois with the most Claims Resolution Manager job openings:

Senior Claims Account Manager

Brookfield

Chicago, IL

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago


Job description

Company

Argo Group

Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.


Job Description

Business Title(s): SeniorClaims Account Manager

Employment Type:Full-Time

FLSA Status:Exempt

Location:In-Office

Summary:

We are looking for a highly capableSeniorClaims Account Manager to join our teamand work from our Albany, Chicago, Los Angeles, New York City, Omaha, or Richmond office.We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability.This position reports into the VP of Program Claims who works from our San Antonio, TX office.This individual oversees a third-party claim administrator handling a discontinued workers' compensation program on Argo's behalf.

The successful candidate must bring deep workers' compensation claims expertise and the ability to immediately provide meaningful leadership, technical direction, and accountability to the TPA handling the workers' compensation runoff program. This includes strong command of compensability, medical management, litigation strategy, reserving, settlement evaluation, return-to-work considerations, regulatory compliance, and claims cost containment. The candidate must also understand that runoff claims management requires a different operating mindset than active business, with emphasis on disciplined reserving, targeted closure strategies, leakage control, recovery opportunities, expense management, data quality, and achieving optimal financial outcomes while maintaining appropriate claims handling standards.

This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.

Essential Responsibilities:

  • Drive runoff outcomes through disciplined claim strategy, accurate reserving, targeted resolution planning, litigation and medical management, cost containment, recovery pursuit, and timely closure where appropriate.
  • Provide technical direction on complex workers' compensation, professional liability, and casualty claims, including compensability, coverage, liability, damages, exposure evaluation, settlement strategy, and litigation posture.
  • Monitor TPA and internal claims performance against Claims Administration Agreements, claim handling guidelines, regulatory requirements, financial objectives, and runoff management goals.
  • Lead audits, claim reviews, large loss reviews, and stewardship discussions, ensuring findings are documented and followed by specific corrective action when needed.
  • Use claims data, dashboards, audit results, and claim review findings to identify trends, leakage, stagnant files, reserve concerns, process gaps, and opportunities to improve financial outcomes.
  • Hold TPAs and internal claim handlers accountable for timely investigation, supportable reserves, effective medical and litigation management, prompt authority requests, and meaningful action plans.
  • Maintain continuity and claim handling discipline during TPA adjuster transitions, staffing changes, file transfers, or runoff program changes.
  • Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.
  • Communicate regularly with actuarial, finance, legal, compliance, operations, TPAs, and senior claims leadership regarding program performance, adverse trends, reserve development, large losses, litigation activity, and runoff strategy.

Qualifications / Experience Required:

  • Strong business acumen and understanding of how runoff claims management affects carried reserves, loss development, expense management, operational risk, capital considerations, and portfolio value.
  • Deep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through:
    • Bachelor's Degreefrom an accredited university. At least seven years of workers' compensation claims experience required, including significant experience overseeing TPAs, complex indemnity claims, litigated matters, reserve reviews, settlement strategy, medical management, and regulatory compliance.
  • Advanced technical expertise related workers' compensation policies, claims resolution, and skills and knowledge of insurance and claims settlement principles, practices and procedures. Experience conducting claims audits TPA reviews, stewardship meetings, and performance assessments, with the ability to communicate findings and drive corrective action.
  • Strong communication, negotiation, presentation, and influencing skills, with the ability to lead through technical credibility and accountability rather than direct line management.
  • Advanced analytical and problem-solving skills, including the ability to use claims data, dashboards, audit results, and financial reporting to identify trends and improve outcomes.
  • Ability to partner effectively with finance, actuarial, legal, compliance, operations, IT, TPAs, brokers, and senior leadership.
  • Strong execution orientation, with the ability to create structure, drive action, and produce measurable improvements in claim handling and financial outcomes.
  • Ability to manage multiple priorities across legacy programs, emerging runoff portfolios, and cross-functional stakeholders.
  • Intellectual curiosity and sound judgment, including the ability to challenge conventional claim handling when a different approach may better support runoff objectives.
  • Ability to articulate the financial value of the role's work to Clearbrook and carrier-level senior executives, including Argo leadership and leadership of other acquired or managed insurance platforms.
  • Ability to regularly exercise discretion and independent judgment with respect to matters of significance.

The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.

  • Richmond metro area Pay Range: $137,500 - $167,000
  • Albany and Chicago metro area Pay Range: $151,000 - $181,250
  • Los Angeles and New York City metro area Pay Range: $165,000 - $198,000

About Working in Claims at Argo Group

  • Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
  • Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.
  • We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses.
  • Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
  • We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.

PLEASE NOTE:

Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.


If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.


Benefits and Compensation

We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.


Core Values

At Clearbrook our Core Values are Integrity, Collaboration, Pursuit of Excellence and Forward Thinking. These values reflect who we are today and who we apsire to be - guiding how we work, how we lead and how we succeed.