- Cushman & Wakefield (Chicago, IL)
- …and ensure that tenants and vendors comply with insurance requirements and coordinate all claims as required * Periodically inspect the facility, systems, rooms, ... and carried out in a manner consistent with C&W policies and client directives. Ensure all contracts are reviewed on a regular basis and are bid out as required and… more
- CVS Health (Springfield, IL)
- …with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and ... more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary**...in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required… more
- Humana (Springfield, IL)
- …your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic, ... + Facilitate workshops and working sessions to resolve issues and map current- state and future- state processes + Analyze workflows, identify inefficiencies, and… more
- CVS Health (Springfield, IL)
- …with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and ... more convenient and more compassionate. And we do it all with heart, each and every day. **Job Summary**...advocate for themselves. The TOC team will review prior claims to address potential impact on current case management… more
- Humana (Springfield, IL)
- …practices **Preferred Qualifications** + Knowledge of Medicaid regulations, programs, and state plan benefits + Experience with capitation rate development from ... either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's… more
- CVS Health (Springfield, IL)
- …with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and ... more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary**...Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves… more
- Humana (Springfield, IL)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... + MD or DO degree + A current and unrestricted license in at least one state and willing to obtain license, as required, for various states in region of assignment +… more
- Humana (Springfield, IL)
- …on beneficiary needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care, wait lists, ... ASD diagnoses. + Provide professional and courteous service to all callers and work to resolve any complaint or...Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Legrand NA (Chicago, IL)
- …position reports to the Customer Service Supervisor. Roles & Responsibilities * Ensure all orders are processed accurately * Ensure all customer requests for ... customer within the agreed upon lead-time. * Ensure that all customer databases are accurate and stable at ...policies and procedures. * Ensure promptly resolution of any claims by adhering, as much as possible, to the… more
- Humana (Springfield, IL)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted… more