• Grievances and Appeals Representative

    Humana (Springfield, IL)
    …There is a 5% shift differential for weekend work. **Preferred Qualifications** + Associate or bachelor's degree. + Previous inbound call center or related customer ... of grievance and/or appeals experience. + Previous experience processing medical claims . **Additional Information** + **Workstyle:** remote, work from home or in… more
    Humana (12/11/25)
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  • Health Advocate Concierge, Customer Service

    Health Care Service Corporation (Quincy, IL)
    …members and providers for medical, behavioral health and prescription benefits and claims . Assisting members in assessing tools, health partner options, and setting ... medical, behavioral or a pharmacist. Required Job Qualifications: * Associate with 2 years OR, a Bachelor's with 1...* Web and PC proficiency. Preferred Job Qualifications: * Associate degree in Health Science or Health Studies or… more
    Health Care Service Corporation (12/10/25)
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  • (USA) Exterior Services Technician, DOT Operator…

    Walmart (Salem, IL)
    …price comparisons of parts equipment and travelrelated expenditures Submits warranty claims Completes and submits forms for example expense vouchers weekly summaries ... Individual: Demonstrates and encourages respect for others drives a positive associate and customermember experience for all embraces differences in people cultures… more
    Walmart (12/06/25)
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  • Retail Supervisor Full Time

    Acosta Group (Marion, IL)
    …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting any employment related injury to ... possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ Associate Degree and/or Technical Diploma or one to two year's… more
    Acosta Group (12/01/25)
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  • (USA) Senior Technician, Refrigeration/HVAC

    Walmart (Flora, IL)
    …Facilities requesting replacement HVACR equipment for facilities submitting warranty claims reviewing journals and invoices conducting price comparisons of ... Individual: Demonstrates and encourages respect for others drives a positive associate and customermember experience for all embraces differences in people cultures… more
    Walmart (11/27/25)
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  • Code Edit Disputes Medical Coder

    Humana (Springfield, IL)
    …team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical ... offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development &… more
    Humana (11/14/25)
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  • Spvr - HIM Coding IP - CFH

    Carle Health (Champaign, IL)
    …of individual patient health information for data retrieval, analysis, and claims processing. Assures revenue integrity and quality of coding through supervision ... Coder (CPC) - American Academy of Professional Coders (AAPC), Education: Associate 's Degree: Related Field; Associate 's Degree: Healthcare, Work Experience:… more
    Carle Health (10/22/25)
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  • Appeals Nurse

    Humana (Springfield, IL)
    …+ 3 years of clinical RN Experience + Appeals nursing experience + Claims experience + Proficient with Microsoft Office products including Word, Excel and Outlook ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (12/11/25)
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  • Stars Technology Business Intelligence Lead…

    Humana (Springfield, IL)
    …leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with **CMS Stars ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (12/11/25)
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  • Senior Investigator, Special Investigations Unit…

    CVS Health (Springfield, IL)
    …healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates ... provide assistance on a timely basis. **Education** - Bachelor's degree and/or an Associate 's degree with three additional years working in health care fraud, waste,… more
    CVS Health (12/11/25)
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