Reyes Holdings
Rosemont, IL
This role is 100% remote but will require candidates to be onsite 1-2x a year at our Rosemont, IL Headquarters.
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...