- CVS Health (Springfield, IL)
- …advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The Customer ... + Anticipates customer needs. + Performs review of member claim history to ensure accurate tracking of benefit maximums...of others in the household during your scheduled working hours . You may need to obtain a higher speed… more
- CVS Health (Rantoul, IL)
- …meet with members face to face. Schedule is Monday-Friday, standard business hours , 8:00am-5:00pm CST. Coordinates all case management activities with members to ... including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility.… more
- Kelly Services (Chicago, IL)
- …Duration: 6+months on w2** **Pay Rate: $25.54/hr.** **Shift: 1** **st** **730AM-600PM (8 Hours )** **Job Summary** Often the first point of contact for customers, the ... Answering PFP calls and responding to policyholder inquires with claims , service and intake related issues + Provide detailed...team to increase APV revenue + Ability to handle claim intake for PFP + Consistently meets or exceeds… more
- Robert Half Accountemps (Chicago, IL)
- …about insurance products and policy statuses. * Respond to inquiries regarding claims services and intake-related issues with professionalism and empathy. * Perform ... the sales team to drive revenue growth. * Handle claim intake processes effectively and in accordance with company...customer interactions. * Adapt to various shifts within operational hours as required. Requirements * Fluency in both Spanish… more
- Intermountain Health (Springfield, IL)
- …service behavior standards + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB) + Translations + ... accounting procedures such as debits/credits, required + Experience with insurance claim appeals, required + Excellent computer skills (including Microsoft Office… more
- CVS Health (Springfield, IL)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School...+ High School Diploma or equivalent GED **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
- CVS Health (Springfield, IL)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical...**Education** + High School Diploma or GED. **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
- Zurich NA (Springfield, IL)
- …and most appropriate replacement/repair solution. + Work to have a timely resolution to claims by negotiating costs and labor hours associated. + Ensure customer ... various virtual positions to work a shift between the hours of 7am - 8pm Pacific Standard Time. With...evaluates, and concludes low exposure, low complexity, mechanical breakdown claims by following established protocols to ensure that … more
- Humana (Springfield, IL)
- …responsible for estimates of short term and long term reserves required for unpaid claim liability, active life reserves, and other actuarial items that ought to be ... Actuary, Valuation is responsible for estimates of reserves required for unpaid claim liability, including incurred but not reported (IBNR) reserves for all Humana… more
- CVS Health (Springfield, IL)
- …-Explains member's rights and responsibilities in accordance with contract. -Processes claim referrals, new claim handoffs, nurse reviews, complaints ... of healthcare experience **Education:** High School Diploma or equivalent **Anticipated Weekly Hours ** 40 **Anticipated Weekly Hours ** 40 **Time Type** Full time… more
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