• 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 (10/24/25)
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  • Payment Integrity Clinician

    Highmark Health (Springfield, IL)
    ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job requires the ability to identify issues related to professional and facility provider ... claims data including determining appropriateness of code submission, analysis of the claim rejection and the proper action to complete the retrospective claim more
    Highmark Health (11/14/25)
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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 (11/26/25)
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  • ADA Accommodation Coordinator

    Sedgwick (Chicago, IL)
    …under ADA, state, and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims or makes a recommendation ... Drive Eden Prairie, MN 55344 **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures pursuant… more
    Sedgwick (10/24/25)
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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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  • Marine Team Lead

    Sedgwick (Springfield, IL)
    …**:** To supervise the activities of the adjuster department; to assign caseload of claims to adjusters and to ensure customer satisfaction of claims services ... + Develops standards, programs, processes, and initiatives to assure quality claim files and results. + Resolves complaints and problems which have… more
    Sedgwick (11/25/25)
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  • Drawback Consultant

    Expeditors (Bensenville, IL)
    …collecting and analyzing necessary import and export data, filing accurate and timely claims , acting as primary liaison between customer and CBP and ensuring the ... Analyze, format and verify all data to process accurate and complete drawback claims and maintenance of those documents Maintain clear and complete notes of any… more
    Expeditors (11/25/25)
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  • DRG Coding Auditor

    Elevance Health (Chicago, IL)
    …AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company , for all lines of ... and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside...a number of legitimate, non-discriminatory factors set by the Company . The Company is fully committed to… more
    Elevance Health (10/25/25)
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  • Adjuster Regional Marine

    Sedgwick (Springfield, IL)
    …& Insurance Adjuster Regional Marine **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... and non-complex National Accounts. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. +… more
    Sedgwick (11/25/25)
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  • Total Loss Settlement Supervisor

    Snapsheet (Chicago, IL)
    …reading for more detail. Responsibilities : + Oversee the full lifecycle of claims , including claim creation, assignment, and SOP adherence. + Drive adjuster ... Job Title: Total Loss Settlement Supervisor Company : Snapsheet Job Location: Remote Job Type: Full-time...Type: Full-time About Snapsheet : Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and… more
    Snapsheet (11/13/25)
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