- 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
- CVS Health (Northbrook, IL)
- …Financial Analyst, Adjustment Reporting and Research position focuses on claim adjustment reporting; and responsibilities include the management and maintenance ... serve a vital purpose in provide context of our claim adjustment process to not only internal but also...newly defined process. With respect to analytical research, this Claims Analyst would work with service requesters to understand… more
- Sedgwick (Springfield, IL)
- …Executive General Adjuster - Midwest Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... including handling accounting-based losses (business interruption and stock). + Examines claim form and other records to determine insurance coverage. + Interviews,… more
- Allied Universal (Champaign, IL)
- … claim . **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- Sedgwick (Naperville, IL)
- …General Adjuster - Midwest Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- CVS Health (Springfield, IL)
- …related to Network contracts and agreements. + Research identified issues; submit claim adjustment requests and determine the root cause of disputes. + Serve ... and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth research to… more
- CVS Health (Springfield, IL)
- …And we do it all with heart, each and every day. **Position Summary** Claim Audit Quality Analyst is responsible for ensuring the accuracy and quality of ... claim audits across multiple areas within Meritain. This role...within Meritain. This role demands a deep understanding of claims , plan documents, eligibility, coverages, and the unique requirements… more
- CVS Health (Springfield, IL)
- …effective solutions for our patients by billing Home Infusion and DME claims and invoices to governmental and commercial insurance companies for reimbursement for ... our patients' insurance claims . In this role, you will ensure timely and...role, you will ensure timely and accurate review and claim submission on all patient accounts subject to medical… more
- Sedgwick (Springfield, IL)
- …Saturday 6am until Monday 6am each week. If you can work these hours ; please apply!** **PRIMARY PURPOSE** **:** Triages incoming catastrophic injury referral calls ... Field Case Manager assignment and facilitates initial onsite hospital visit for the claim . + Maintains communication with the customer, Client Service Director, and … more
- CVS Health (Springfield, IL)
- …) **Operations Team** and is responsible for processing PBM vendor invoices and claims . The **PBM Invoice Processor** is assigned a set of groups to maintain ... are not limited to):** + Imports and monitors PBM claim data and invoice files. + Reconciles and balances claims data and invoices in the claims processing… more