- Humana (Springfield, IL)
- …on business needs. There is a 5% shift differential for weekend work. ** Preferred Qualifications** + Associate or bachelor's degree. + Previous inbound call ... of grievance and/or appeals experience. + Previous experience processing medical claims . **Additional Information** + **Workstyle:** remote, work from home or in… more
- Allied Universal (Champaign, IL)
- …composure and professionalism + Ability to work in a very independent environment ** PREFERRED QUALIFICATIONS (NICE TO HAVE):** + Associate 's Degree or higher, ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- HUB International (Chicago, IL)
- …experience and in-depth knowledge of insurance markets, policy provisions, claim processes, business environment, and risk mitigation, applies independent and ... responsible. These include non-routine coverage issues and questions, coordination with HUB Claim professionals on claim issues, renewal strategies for key… more
- Humana (Springfield, IL)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- Zurich NA (Chicago, IL)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and interpersonal skills to grow and develop relationships with preferred distribution partners in an assigned territory In this...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Highmark Health (Springfield, IL)
- …Client interaction ** Preferred ** + None **LICENSES or CERTIFICATIONS** **Required** + Associate of the Society of Actuaries (ASA) ** Preferred ** + Fellow of ... to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis,… more
- Humana (Springfield, IL)
- …** Preferred Qualifications** + Bachelor's Degree. + Understanding of claims systems, adjudication, submission processes, coding, and/or dispute resolution. + ... including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals). + Work with internal… more
- Health Care Service Corporation (Quincy, IL)
- …* Attention to detail and strong documentation skills. * Web and PC proficiency. Preferred Job Qualifications: * Associate degree in Health Science or Health ... members and providers for medical, behavioral health and prescription benefits and claims . Assisting members in assessing tools, health partner options, and setting… more
- Zurich NA (Chicago, IL)
- … Associate Degree and 8 or more years of experience in the Claims or Underwriting Support area Preferred Qualifications: + Bachelor's Degree + Multinational ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience… more
- Zurich NA (Chicago, IL)
- …School Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Associate Degree and 3 or more years of experience...and 8 or more years of experience in the Claims or Underwriting Support area OR Executive Underwriter Basic… more