- Sedgwick (Chicago, IL)
- …payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- CVS Health (Springfield, IL)
- …to assist customers in understanding components of the Aetna products including claims , accumulators, usage and balances, and cost sharing. + Answers questions and ... while avoiding over-committing. + Other activities may include providing claim status information, benefit coverage interpretations, and explaining plan eligibility.… more
- Philadelphia Insurance Companies (Chicago, IL)
- …staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work ... control technical support to Tokio Marine departments such as underwriting, claims and coordination. Coordinate loss control activities on select accounts ensuring… more
- Zurich NA (Schaumburg, IL)
- …of claim operations and outcomes. + Maintaining and improving existing claims dashboards and automating reporting. + Creating claim staffing models and ... currently seeking an intellectually curious Finance Analytics Specialist to join the Claims Finance team, located at our North American headquarters in Schaumburg,… more
- Sedgwick (Springfield, IL)
- …demands, wages and benefits, and availability. + Thoroughly reviews contested claims . + Assists as needed with submission of accommodation recommendations to ... case suggesting changes in rehabilitation plans. + Documents contacts in claim notes; prepares reports and/or forms documenting the results of research/negotiations… more
- Sedgwick (Springfield, IL)
- …Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with ... or client directed documentation, notification or reporting; documents client contact in claim notes as per Sedgwick CMS standards; and assists case management staff… more
- Cardinal Health (Springfield, IL)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... cycle time frame + Calling insurance companies regarding any discrepancy in payment if necessary + Reviewing insurance payments for accuracy and completeness **_Qualifications_** + HS, GED, bachelor's degree in business related field preferred, or equivalent… more
- BrightSpring Health Services (Bensenville, IL)
- …milligrams) + May resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current knowledge of Medicaid ... claim regulations and processes + May produce reports and keep management informed of unpaid claims and claims pending follow-up + Provides excellent customer… more
- Reynolds & Reynolds (Warrenville, IL)
- …inbound calls from AGWS Customers to assist with questions related to maintenance claims . You will assist customers by walking them through and helping them ... understand their contract in relation to their maintenance claim requests. Responsibilities will include, but are not limited to:- Reviewing automotive contracts and… more
- CDM Smith (Joliet, IL)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those...Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI… more