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Insurance Claims Processing Jobs in Illinois (NOW HIRING)

Big I Illinois

Property Claims Adjuster

Skokie, IL · On-site

$55K - $65K/yr

Explain the claims process to insureds in an effective and detailed manner * Facilitate discussions between claims adjusters and insured's and monitor all claim activity and follow up with all ...

Keplr Vision

Medical Billing Specialist

Bloomington, IL · On-site

$17.50 - $22.50/hr

This position requires working with insurance companies, creating and submitting insurance claims, processing insurance claims, and any necessary follow-up work for rejected claims. Additional ...

DuPage Eye Surgery Center

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Claim Specialist/Coder

Wheaton, IL · On-site

$24 - $26/hr

The ideal candidate will possess a comprehensive understanding of medical coding, billing, and claims processing, ensuring accurate and efficient submission of insurance claims and processing claim ...

DuPage Eye Surgery Center

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Claim Specialist/Coder

Wheaton, IL · On-site

$24 - $26/hr

The ideal candidate will possess a comprehensive understanding of medical coding, billing, and claims processing, ensuring accurate and efficient submission of insurance claims and processing claim ...

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Insurance Claims Processing information

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires strong attention to detail, communication skills, and the ability to handle difficult or emotional situations with claimants. However, workload and stress levels can vary depending on the employer and specific job environment.

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license, which is often required. Gaining entry-level positions or internships in insurance companies can also help build industry knowledge and skills like communication and attention to detail, increasing your chances of starting a claims adjusting career.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.
What are popular job titles related to Insurance Claims Processing jobs in Illinois? For Insurance Claims Processing jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Illinois look for? The top searched job categories for Insurance Claims Processing jobs in Illinois are:
What cities in Illinois are hiring for Insurance Claims Processing jobs? Cities in Illinois with the most Insurance Claims Processing job openings:
Insurance Claims Processing jobs near you
Claims Specialist I, Auto BI

Claims Specialist I, Auto BI

Zurich Insurance Group

Schaumburg, IL • On-site

Other

Re-posted 24 days ago

Job description

At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. While the model provides a high level of flexibility and autonomy, occasional circumstances requiring in-office attendance should be expected. The candidate selected for this opportunity should be able to report into one of the following North American Claims offices: Atlanta, GA; Schaumburg, IL; Addison, TX; or Omaha, NE.

Zurich North America is seeking a motivated individual to advance their claims career as part of our Commercial Auto team.

As an Auto Claims Specialist, you will work alongside a diverse group of experienced claims professionals, enhancing your development while honing technical expertise in auto policy interpretation and coverage analysis. In this role, you will manage non-litigated claims related to auto physical damage, bodily injury, and third-party property damage within multi-party commercial claims of low to moderate exposure and complexity. You will operate within defined authority limits and established protocols, ensuring claims are handled efficiently and effectively while delivering exceptional customer service.

Key Responsibilities:

  • Collaborate with internal and external stakeholders, including customers, vendors, suppliers, and brokers, to provide a quality claims experience.
  • Apply knowledge of established protocols and industry best practices to resolve claims effectively.
  • Deliver customer-centric service while managing claims within defined authority limits.
  • Develop expertise in coverage analysis and auto policy interpretation.

Work Location:

This position follows a hybrid work schedule and requires the selected candidate to be based at one of the following office locations: Atlanta, GA; Schaumburg, IL; Addison, TX; or Omaha, NE.

Basic Qualifications:

  • Bachelor's Degree with 2+ years of experience in Claims Handling or Insurance
    OR
  • Completion of the Zurich Claims Training Program with 2+ years of experience in Claims or Insurance
    OR
  • Zurich Certified Insurance Apprentice (including an Associate Degree) with 2+ years of experience in Claims Handling or Insurance
    OR
  • High School Diploma (or equivalent) with 4+ years of experience in Claims Handling or Insurance
  • Prior experience in auto claims handling, insurance claims, or a related customer service field. Understanding of auto insurance policies, coverage, and state regulations.Prior experience in auto claims handling, insurance claims, or a related customer service field. Understanding of auto insurance policies, coverage, and state regulations.
  • Ability to obtain and maintain required adjuster licenses
  • Proficiency in Microsoft Office
  • Knowledge of insurance regulations, markets, and products

Preferred Qualifications:

  • Experience in Commercial Auto Claims, including handling:
    • Third-party auto property damage claims
    • Auto physical damage claims
    • Bodily injury claims
  • Active adjuster license
  • Experience collaborating across teams and developing strong relationships
  • Strong knowledge of the claims adjustment process, including scope/exposure assessment
  • Familiarity with vendor management and litigation strategies
  • Proficiency in financial and actuarial/reserving concepts
  • Strong negotiation skills, including alternative approaches to resolution
  • Excellent organizational and time management skills
  • Customer service experience with a focus on delivering quality interactions
  • Analytical, critical thinking, and problem-solving abilities
  • Strong verbal and written communication skills

Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $49,500.00 - $81,000.00, with short-term incentive bonus eligibility set at 10%.

We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.]

 

Why Zurich?

At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500.

Join us for a brighter future-for yourself and our customers.

Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.

Zurich complies with 18 U.S. Code 1033.

 

Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.

Location(s): AM - Addison, AM - Atlanta, AM - Omaha, AM - Schaumburg
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No 
Linkedin Recruiter Tag: #LI-JM1 #LI-ASSOCIATE #LI-ASSOCIATE 

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