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This role is 100% remote but will require candidates to be onsite 1-2x a year at our Rosemont, IL Headquarters.Â
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Position Responsibilities:
- Oversee and strategize the investigation, evaluation, and resolution of claims to ensure timely, accurate outcomes
- Partner with the TPA and key stakeholders (HR, Risk Management, Legal, Operations, Safety, Corporate Nurses, Medical Providers, Excess Carriers) to ensure effective claim management, regulatory compliance, and timely care
- Provide financial oversight, including reserve management, settlement evaluation and authority, escalation to excess carriers, and development of settlement strategies (e.g., annuities, MSAs)
- Lead TPA oversight through claim reviews, audits, and claims examiner performance management to ensure adherence to service expectations, best practices, and customer experience
- Identify and resolve complex claim issues through cross-functional collaboration
- Evaluate and enhance return-to-work programs across locations
- Occasional travel as needed
- Other projects or duties as assigned
Required Education and Experience: Â
Bachelor's Degree with 6 plus years of related experience or High School Diploma/General Education Diploma with 9 plus years of specific experience
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Benefits
At the Reyes Family of Businesses, our Total Rewards Strategy prioritizes the holistic well-being of our employees. This position offers a comprehensive benefits package that includes Medical, Dental, Vision coverage, Paid Time Off, Retirement Benefits, and complimentary Health Screenings.
Equal Opportunity Employee & Physical Demands
Reyes Holdings and its businesses are equal opportunity employers. Company policy prohibits discrimination and harassment against any applicant or employee based on race, color, religion, sex, pregnancy or pregnancy-related medical conditions, marital status, sexual orientation, gender identity or expression, age, national origin, citizenship, disability, genetic information, military or veteran status, or any other basis protected by applicable law. In addition, the Company is committed to providing reasonable accommodation to applicants and employees in accordance with applicable law. Requests for accommodation should be directed to your point of contact in the Talent Acquisition or Human Resources departments.
Background Check and Drug Screening
Offers of employment are contingent upon successful completion of a background check and drug screening.
Pay Transparency
Our compensation philosophy embraces diverse factors for fair pay decisions, valuing skills, experience, and the needs of our business. Moreover, this role may have the opportunity to participate in a discretionary incentive program, subject to program rules.
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