• Med D Financial Operations Analyst, Claims…

    CVS Health (Northbrook, IL)
    …do it all with heart, each and every day. The MED D Financial Analyst, Claims Adjustment role performs claims reverse and reprocessing (R&R) to address benefit ... members, clients, and pharmacies. This activity touches millions of claims a year and has wide organizational impacts. This...benefits knowledge. - Medicare Part D - PBM or claim adjudication knowledge. - Proficiency in IBM AS400. -… more
    CVS Health (07/25/25)
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  • Manager, Billbacks and Trace Claims

    Cardinal Health (Springfield, IL)
    …office. Candidates must be able to work within EST or CST business hours ._ **_What Sales Operations Management contributes to Cardinal Health_** The Manager of ... growth. This role supports trace sales and associated billback claims , which is a component of the **Channel Parter...component of the **Channel Parter Group (CPG) Trace & Claims Operations Team.** This team is an integral piece… more
    Cardinal Health (07/24/25)
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  • Risk Management Professional

    Humana (Springfield, IL)
    …pre-payment, high dollar claims to assess payment accuracy and identify potential claim payment risks. The Claims Risk Management Professional is expected to ... conducting focused claim studies, and performing duplicate claim detection through the DHA Duplicate Claims ...for training or meetings may be required. **Scheduled Weekly Hours ** 40 **Pay Range** The compensation range below reflects… more
    Humana (07/30/25)
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  • Operations Accounting-OPS - Coordinator II

    CVS Health (Springfield, IL)
    … * Follow validation instructions provided by our constituents to properly review ACAS claims for overpayment * Utilize GPS for claim review * Utilize SCM ... This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and...claims systems * Familiarity with e.Policies **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
    CVS Health (07/22/25)
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  • Service Center Associate

    Sedgwick (Elgin, IL)
    …and/or the claims system regarding documentation required to process a claim , required time frames and claim status. + Communicates clearly and ... Service Center Associate **PRIMARY PURPOSE** **:** To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as… more
    Sedgwick (06/29/25)
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  • Field Adjuster Sr. | Property | Remote | Chicago

    Sedgwick (Springfield, IL)
    …PURPOSE OF THE ROLE** + To investigate and adjust property and casualty claims , both residential and commercial, with little to no supervision. **ARE YOU AN ... role will be responsible for investigating and adjusting property and casualty claims , both residential and commercial, with little to no supervision. **ESSENTIAL… more
    Sedgwick (07/27/25)
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  • Short Term Disability Analyst

    The Hartford (Naperville, IL)
    …helping people? Then you belong here. We currently have an excellent claims professional career opportunity available. Join our Short-Term Disability and Absence ... Disability Team. The Short-Term Absence Management Disability Analyst quickly investigates claims to determine if the insured person qualifies for short-term /… more
    The Hartford (08/02/25)
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  • Data Center Technical Services Admin

    Patten CAT (Addison, IL)
    Working Hours /Days M-F 7:00am - 3:00pm Overview Altorfer Power Systems is looking to fill the position of Data Center Technical Services Admin. The primary function ... of this role is to manage the warranty claims process for assigned data center customer accounts for...warranty requirements and procedures are followed. + Ensure accurate claim documentation and timely submission. + Interpret technical repair… more
    Patten CAT (07/17/25)
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  • Commercial General Liability Adjuster- Remote…

    Sedgwick (Moline, IL)
    …Adjuster- Remote Opportunity (NY License Required) **PRIMARY PURPOSE:** To investigate claims against insurance or other companies for personal, casualty, or ... including handling accounting-based losses (business interruption and stock) + Examines claim form and other records to determine insurance coverage. + Interviews,… more
    Sedgwick (06/29/25)
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  • Regional General Adjuster - Midwest Region

    Sedgwick (Moline, IL)
    …General Adjuster - Midwest Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address most ... and non-complex National Accounts. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. +… more
    Sedgwick (06/29/25)
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