Top Tech Jobs & Startup Jobs in Chicago, IL

Evaluates and manages intermediate to complex Michigan PIP claims, including coverage analysis, investigations, medical documentation review, claim valuation, payments, negotiations, subrogation, attorney involvement, and MCCA claims. Maintains accurate claim records, ensures regulatory compliance, collaborates with insureds and providers, and refers cases to specialized departments. The role requires knowledge of Michigan no-fault laws, claims regulations, medical terminology, and effective decision-making and communication skills.

Manage the annual corporate and operational audit plan, including risk assessments, control testing, audit execution, workpaper review, findings, recommendations, and management presentations. Supervise and develop professional auditors, coordinate with external auditors, oversee special projects, monitor regulatory and control effectiveness, manage budgets and timelines, and improve internal audit methodologies across a multi-state organization.

Manage complex Michigan Personal Injury Protection claims from assignment through resolution. Responsibilities include coverage analysis, investigation, evidence gathering, damage evaluation, policy and legal review, settlement negotiation, payment approval, sub-claim creation, referrals, documentation, and claim closure. The role handles intermediate claims involving injuries and attendant care, coordinates with insureds, medical providers, attorneys, and insurance carriers, and may require travel, inspections, licensing, and occasional overnight stays.

Manage homeowners insurance claims from assignment through closure. Responsibilities include contacting insureds, investigating losses, analyzing coverage and exclusions, reviewing damage estimates, evaluating financial values, negotiating settlements, approving payments, identifying subrogation and recovery opportunities, documenting claim files, and referring complex matters. The role requires applying insurance policies, state laws, construction knowledge, and claim-handling standards while delivering effective customer service. The position is remote, with occasional travel and potential inspections or repair-facility visits.

Manage Michigan PIP claims end-to-end: investigate facts, perform coverage analysis, evaluate damages and limits, negotiate settlements, approve payments, refer to other units, document files, and handle MCCA and attorney-represented claims.