• Workforce Absence Team Lead

    Sedgwick (Chicago, IL)
    …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
    Sedgwick (10/07/25)
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  • Adjudication Specialist

    Polaris Pharmacy Services, LLC (Des Plaines, IL)
    …to prevent fraud and ensure compliance with policy terms. + Resolve Rejected Claims : + Calculate benefit payments and approve claim settlements based on ... SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and maximum payer reimbursement. They prioritize… more
    Polaris Pharmacy Services, LLC (09/10/25)
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  • Senior Consultant Performance Analytics

    The Hartford (Naperville, IL)
    …We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... the future. Sr. Performance Analytics Consultant, Auto & Property Claims Performance Analytics, The Hartford Reporting to the Director...labor and material costs, impact of storm intensity on claim severity, etc.) . Work as a thought-partner to… more
    The Hartford (09/28/25)
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  • Sr Disability Representative

    Sedgwick (Chicago, IL)
    …IL 60604 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
    Sedgwick (10/01/25)
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  • Disability Representative Sr.

    Sedgwick (Chicago, IL)
    …system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support ... : **At Sedgwick,** **caring counts** **. We're a global leader in claims management, and we're looking for experienced, compassionate professionals to join us… more
    Sedgwick (10/01/25)
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  • VP & Medical Director

    Travelers Insurance Company (Springfield, IL)
    …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment… more
    Travelers Insurance Company (07/25/25)
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  • *In-Office* Customer Service Associate

    Sedgwick (Elgin, IL)
    … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... as needed. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Assigns new claims to the appropriate claims handler. +...the appropriate system regarding documentation required to process a claim , required time frames, and claim status.… more
    Sedgwick (10/03/25)
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  • FEMA Disaster Management Accountant

    CDM Smith (Chicago, IL)
    …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
    CDM Smith (08/01/25)
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  • Pharmacy Coordinator

    Highmark Health (Springfield, IL)
    …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... ** Company :** Highmark Inc. **Job Description :** **JOB...and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES**… more
    Highmark Health (09/09/25)
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  • Disability Representative

    Sedgwick (Chicago, IL)
    …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability plan; to make… more
    Sedgwick (09/28/25)
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