- CVS Health (Rantoul, IL)
- …including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. - Utilizes case management processes in compliance with regulatory… more
- Walmart (Joliet, IL)
- …assigned area of work Creates action plans to address audit findings Validates claim records work with workers compensation case managers for investigation of ... claims Asset Protection Security Possesses knowledge of Asset protection...assessments (for example, Academy trainings, Open Door trainings, etc.). ** Preferred Qualifications ** _Outlined below are the optional … more
- Intermountain Health (Springfield, IL)
- …Essential Functions* Oversees the day-to-day revenue cycle functions including claims processing, denials, payments,customer service, and follow up on accounts. ... incorrect or outstanding claimsand/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution,as needed. Resolves… more
- Snapsheet (Chicago, IL)
- …skills and high energy + Quick to learn new enterprise software products Preferred Qualifications: + Insurance industry or claims experience + Experience selling ... Location: Remote Job Type: Full-Time About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative claims… more
- Humana (Springfield, IL)
- …** Preferred Qualifications** + Bachelor's Degree. + Understanding of claims systems, adjudication, submission processes, coding, and/or dispute resolution. + ... including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals). + Work with internal… more
- Prime Healthcare (Aurora, IL)
- …sector, and/or in house position involving employer defense of workers' compensation claims . Preferred qualifications: 1. While five (5) years of experience ... hospital operators dealing with alleged workplace injuries, workers' compensation claims or subpoenas, and workplace safety training, policies, plans,...is required, preferred qualification would be seven (7) to ten (10)… more
- Kelly Services (Chicago, IL)
- …information + Answering PFP calls and responding to policyholder inquires with claims , service and intake related issues + Provide detailed information about ... team to increase APV revenue + Ability to handle claim intake for PFP + Consistently meets or exceeds...way + Bilingual skills (verbal, written, read) in Spanish preferred **Education and Experience** + 2 - 3 years'… more
- CVS Health (Springfield, IL)
- …+ Working knowledge of problem solving and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School ... measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost… more
- World Insurance Associates, LLC. (Westmont, IL)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... all applications, policies, endorsements and audits for accuracy + Complete loss/ claim analysis and summaries + Coordinate expiration list with department manager… more
- 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 ... the member. + Anticipates customer needs. + Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. +… more