- Highmark Health (Springfield, IL)
- …and other related software. + Strong analytical and communication skills Preferred + Associate 's Degree + 3 years with claims processing and data management ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Walmart (Joliet, IL)
- …assigned area of work Creates action plans to address audit findings Validates claim records work with workers compensation case managers for investigation of ... claims Asset Protection Security Possesses knowledge of Asset protection...and eligibility, see One.Walmart (https://bit.ly/3iOOb1J) . The annual salary range for this position is $65,500.00-$98,000.00 Additional… more
- Walmart (Taylorville, IL)
- …mentoring of associates assigning duties settingclear expectations providing associate recognition communicating expectations consistently and effectively ensuring ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Zurich NA (Springfield, 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 areaAND + Experience with Microsoft… more
- Zurich NA (Chicago, IL)
- …School Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Associate Degree and 1 or more years of experience in...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s of… more
- GE HealthCare (Chicago, IL)
- …This position is responsible for managing insurance program operations, claims oversight, and compliance activities. Operating with autonomy within established ... accuracy, and operational excellence. This position will be reporting to the Associate Director, Global Risk Management & Insurance and work closely with the… more
- Zurich NA (Chicago, IL)
- …challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing ... needs in mind, the ZNA hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …creating event-driven architectures + AWS Certified Solution Architect - Associate or higher **Bonus Qualifications/Experience** + AWS Certified Solutions Architect ... range shown represents a typical pay range or starting salary for candidates hired to perform the work. Other...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Elevance Health (Chicago, IL)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Zurich NA (Springfield, 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 Preferred Qualifications: + Bachelors… more
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