- CVS Health (Chicago, IL)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... a month. + Support the process of setting large claim accruals for each monthly financial close based on...well as provider discounts to apply to billed large claims . + Ad-hoc valuation actuarial projects including and not… more
- Humana (Springfield, IL)
- …community and help us put health first** Design and maintain Medicaid claims analytics dataset using Databricks. Conduct in-depth analysis of healthcare claims ... Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. Maintain dashboards to communicate key trends to stakeholders. The… more
- ALDI (Naperville, IL)
- …improve our processes while growing your career. Are you an experienced Workers' Compensation claims professional looking to make an impact? Join our team at ALDI as ... Analyst I. We are searching for a candidate with Workers' Compensation claim handling experience, strategic problem-solving skills, and the ability to communicate… more
- 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 ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Highmark Health (Springfield, IL)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for the strategic implementation of new or transitioned accounts while ... (ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements… 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...to do so. Where it's a priority that the company takes good care of you and your family.… more
- CVS Health (IL)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... Explains member's rights and responsibilities in accordance with contract. Processes claim referrals, new claim handoffs, nurse reviews, complaints… more
- Invenergy (Chicago, IL)
- …Project Management, Asset Management, Finance, Legal and other teams to ensure the Company has appropriately structured insurance programs + Support a wide range of ... claim related activities - claim notice intake,...bonus program(s) which are designed to reward individual and company performance. Your recruiter can share more about bonus… more
- Sedgwick (Springfield, IL)
- …and organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Celebrate your career ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues… more
- Aldridge (Libertyville, IL)
- …orders, and other related agreements. You will help manage and strategize construction claims and litigation and be responsible for overseeing claims and legal ... as required. + Draft and advise as to proper claim strategy and contract execution. + Provide advice to...across the organization. + Manage labor and employee relations claims as needed. + Manage outside counsel on litigation… more
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