Claims Representative

• Support coordination of communication among clients, claim examiners, insurance carriers, and captive managers
• Respond promptly to inquiries from clients and internal teams
• Provide guidance on reporting guidelines and procedures
• Provide overall support to the TPA Services team
• Process and track claims, verify information, report according to client instructions, and maintain data integrity
• Handle escrow funding, Medicare and NPDB reporting, credentialing and loss runs, defense counsel invoice reviews, and internal claims procedure support
• Support Claims Examiners and internal teams by executing client strategies, processing requested changes, and documenting updates accurately
• Build strong client relationships through clear communication, insurance knowledge, cross-functional collaboration, and effective workload management
• Communicate timely, complete information with Claims team members to support effective service execution

Claims Representative jobs in Illinois

Claims Service Representative – TPA