Top Tech Jobs & Startup Jobs in Chicago, IL

Leads stop loss claims data coordination for primary clients, identifies claimants, prepares claim-entry data, builds dashboards, presents insights to leadership, and drives continuous improvement initiatives. Requires at least three years of claims data analysis or operations experience, specific stop loss claims expertise, and a bachelor’s degree in Business or Analytics or comparable experience.

Manage complex casualty and environmental liability claims, including coverage, liability, damage investigations, evaluations, coverage determinations, reserve management, litigation strategy, budgeting, counsel coordination, and resolution planning. Draft written positions, communicate with insureds and stakeholders, and represent the company in management meetings, mediations, and trials. The role is fully remote and requires strong analytical, writing, organizational, and relationship-building skills.

Manages financial analytics and product delivery for pharmacy benefit clients, including RFPs, procurement projects, renewals, market checks, PBM contract reviews, financial modeling, reporting, and presentations. Analyzes pharmacy spend, utilization, trends, and cost drivers using proprietary tools and Excel. Leads peer reviews, manages project timelines, improves processes, and mentors and trains financial analysts and new employees.

Audit aggregate stop loss claims, validate contract eligibility and exceptions, review enrollment and attachment-point calculations, verify funding, and prepare client audit reports and exhibits. The role also responds to TPA appeals, supports process improvements, and works independently while maintaining strong analytical, organizational, communication, and detail-oriented standards.

Provides Level 2 support for SaaS and custom insurance applications through phone, chat, email, and in-person channels. Troubleshoots access issues and data errors, supports application conversions and implementations, assists with software upgrade testing, follows security and access standards, and escalates complex issues. Requires strong customer service, application troubleshooting, communication, and problem-solving skills. The role is hybrid or remote with approximately 5% travel.