- 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 system experience **Education** + High...+ High School Diploma or equivalent GED **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
- TORKLAW (Chicago, IL)
- …Damage Claim Resolution: Navigate the complexities of property damage claims , ensuring just and timely resolutions. + Lien Negotiation: Engage in strategic ... 401(k) with 4% fully vested safe-harbor company match + Regular firm events (happy hours , team building, holiday party, etc) + Laptops are replaced every 3 years.… more
- Nestle (Schaumburg, IL)
- …of the Return to Work program. + Conducts workers' compensation claim investigations. + Develops and maintains close communication with insurance carriers, ... combination of education and experience. + Ability to work overtime, irregular hours or rotating shifts. + Proficiency in Microsoft Applications. + Solid… more
- Intermountain Health (Springfield, IL)
- …Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position ... charge edits. + Audits and evaluates system automation by comparing the charge/ claim data to the clinical record. Leverages other system functionalities to expediate… more
- CVS Health (Springfield, IL)
- …that may compromise the integrity of the organization's operations and claims processes. **Core Responsibilities** + **Investigative Leadership** : Conducts thorough ... billing and coding practices, verifying document authenticity, and identifying false claims or improper billing. + **Data-Driven Analysis** : Utilizes advanced data… more
- Sedgwick (Springfield, IL)
- …marine vessels to assess monitor and report on the condition and submit claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Manages a team of surveyors and ... + Investigates various aspects of marine transport operations and claims . + Ensures compliance with various standards or specifications....pounds + Be able to drive up to 4 hours per day. + Must have continual use of… more
- Sedgwick (Chicago, IL)
- …**ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Set appointments same day, inspect within 24 hours and write estimate car side + Depending on location - appraiser is ... with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...May sit or stand seven (7) to ten (10) hours per day + The employee is occasionally required… more
- Humana (Springfield, IL)
- …data mining, detects anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and our financial recovery. ... provider contract payments in our payer systems, and by ensuring correct claims payment. Begins to influence department's strategy. Makes decisions on moderately… more
- Sedgwick (Springfield, IL)
- …damage resulting from collisions or motor failures. + Receives and reviews new claims and maintains data integrity in the claims system. **ADDITIONAL FUNCTIONS ... 100 pounds + Ability to drive up to 4 hours per day + Ability to work in wet...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
Recent Jobs
-
Physical Health & Wellness Screening Specialist
- Wounded Warrior Project (San Antonio, TX)
-
Executive Assistant/Office Coordinator
- ASM Global (Norwalk, CT)