- Cognizant (Springfield, IL)
- …you will make an impact by managing and resolving physician claim denials through advanced problem-solving, including identifying root causes and implementing ... **In this role, you will perform:** + **Resolution of Claim Denials** : Perform advanced work related to resolving...+ **Education** : HS Diploma. Associate or bachelor's degree preferred . + **Technical Skills** : Proficiency in Excel, payer… more
- Walgreens (Deerfield, IL)
- …support, direction, and documentation to assist in prioritization and managing potential claims and provide a cost effective outcome by focusing on the customer ... and collaborates with internal stakeholders in managing the intake of claims /liability inquiries about services including sending information of high exposure… more
- Sedgwick (Elgin, IL)
- …and/or the claims system regarding documentation required to process a claim , required time frames and claim status. + Communicates clearly and ... Service Center Associate **PRIMARY PURPOSE** **:** To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as… more
- CDM Smith (Chicago, IL)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- JBS USA (Beardstown, IL)
- …Health Services staff, the HR staff and the TPA to avoid errors and/or delays in claims submission/payment + Lead monthly claim reviews of all open cases with a ... focus on return to work and claim closure/resolution + Communicate loss experience and data analysis...+ Assist with continuous quality improvement of Workers' Compensation claims submission policies, procedures, processes and programs. + Consult… more
- Sedgwick (Chicago, IL)
- …MN 55344 **PRIMARY PURPOSE** : To provide disability case management and claim determinations based on complex medical documentation and the applicable disability ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinating investigative efforts, thoroughly reviewing contested claims… more
- AIG (Chicago, IL)
- …coverage, loss, or other issues + Support departmental initiatives focusing on improved claim processes, claims results and financial results + Lead training and ... play your part in that transformation. You'll work with some of the best claims and underwriting minds in the industry addressing challenging claims and… more
- Sedgwick (Chicago, IL)
- …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability plan; to make… more
- Elevance Health (Chicago, IL)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... Clinical Validation Audit setting or hospital coding or quality assurance environment preferred . + Broad knowledge of medical claims billing/payment systems… more
- Sedgwick (Moline, IL)
- …and calculates adequate future rates. + Strong organizational skills + Litigation claims handling experience + CPCU/AIC preferred if possible **ADDITIONAL ... Adjuster- Remote Opportunity (NY License Required) **PRIMARY PURPOSE:** To investigate claims against insurance or other companies for personal, casualty, or… more