- Humana (Springfield, IL)
- …CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion ... data connecting financial outcomes with operational results, particularly in Medicaid claims and premiums. + Deliver project-based and ad-hoc reporting for Medicaid… more
- Sysco (Lincoln, IL)
- …product complaints with potential for food safety issues and to support the Claims Process with Sysco's 3rd party claims administrator. Frequently interacts with ... Operations to collect data for Sysco's legal team during claims issues to ensure relevant purchase and sales records...School or GED Equivalent Required. In lieu of an associate or bachelor's Degree, a combination of education and… more
- Zurich NA (Schaumburg, IL)
- …insurance industry, claims , and the insurance legal and regulatory environment preferred + Strong problem solving skills + Ability to collaborate across work ... and resolve issues by working with corporate law, Technical Claims and other, as necessary. + Prepare, attend and...or Medical Surgical Facility or Operating Room areaOR + Associate Degree and 4 or more years of experience… more
- Humana (Springfield, IL)
- …**Required Qualifications** + Bachelors Degree + Minimum of 3 years of medical claims auditing experience (interpreting if claims initially paid correctly in the ... Payment Integrity (formally known as Financial Recovery) experience + CAS claims knowledge + Prior vendor relationship experience/knowledge + Intermediate knowledge… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …and external regulations. This position reports directly to the Associate Director, CNS Scientific Communications. **Job Description** **Key Responsibilities ... **Core Content Development** + Under the guidance of the Associate Director, Medical Communications, draft and maintain high-priority, foundational scientific… more
- Zurich NA (Springfield, IL)
- …Qualifications** * Bachelors Degree and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR * High School Diploma or ... and 9 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR *...area OR * Zurich Certified Insurance Apprentice, including an Associate Degree and 7 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 in...and 8 or more years of experience in the Claims or Unde rwriting Support areaAND + Knowledge of Microsoft… more
- Humana (Springfield, IL)
- …certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and HCPCS + ... + Ability to work independently under general instructions and with a team ** Preferred Qualifications** + BS in healthcare or business-related field + Knowledge of… more
- Humana (Springfield, IL)
- …encompasses critical functions including care coordination, quality measurement, billing, claims processing, and customer service, each essential to delivering a ... operational knowledge of core functional areas (care coordination, quality, billing, claims , and customer service). + Collaborate with each Insurance Operations… more
- Zurich NA (Schaumburg, IL)
- …School Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Associate Degree and 5 or more years of experience...and 12 or more years of experience in the Claims or Underwriting Support area + Knowledge of Casualty… more