- Sedgwick (Moline, IL)
- …content inventories and assist in the research of personal property claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates residential and commercial ... + Reviews and processes replacement receipts. + Applies limitations and/or exclusions on claims based on coverage afforded by the policy. + Tracks time and logs… 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 ... contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims … more
- Prime Therapeutics (Springfield, IL)
- …with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness & ... accuracy of Prime's financial pricing programs against adjudicated claims to identify trends and draw insights to provide pricing recommendations + Apply… more
- Sedgwick (Naperville, IL)
- …Bachelor's degree or equivalent from an accredited college or university preferred . Six (6) years of related experience or equivalent combination of ... education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In depth… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... 8-10 years data related experience within the pharmaceutical industry Preferred + Masters in Computer Science, MIS, Information Management...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Prime Therapeutics (Springfield, IL)
- …presentations + Proficiency in Microsoft Word, Excel, Project, PowerPoint, and Visio ** Preferred Qualifications** + Rx Claims system proficiency + Previous PBM ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to… more
- Sedgwick (Springfield, IL)
- …**Education & Licensing** Bachelor's degree from an accredited college or university preferred . Professional designation or equivalency such as AIC, CPCU or ARM ... preferred . **Experience** Ten (10) years experience in project management...to research technical issues + In-depth technical knowledge of claims management, managed care or call center operations +… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …US Medical Affairs experience in addition to Global Medical Affairs experience ( preferred ) and knowledge of applicable US regulations. + Relevant experience in ... within Medical Affairs, Regulatory Affairs, or Clinical Development is preferred . + Minimum of 7+ years of relevant experience...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Transdev (Lombard, IL)
- …Responsibilities: + Primary support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department to support valuation of ... significant estimates related to insured claims + Create and maintain pricing model related to insured claims and insurance premiums + Works with assigned… more
- AbbVie (Mettawa, IL)
- …applies technical programming skills and experience to analyze clinical, survey and claims databases. Role supports the department as a technical subject matter ... research etc.), PhD in statistics or closely related discipline preferred + Minimum of 5-10 years of experience in...SQL, R, Python) and experience in observational study analysis ( claims , survey, clinical and EMR analysis) required. + Ability… more