- CVS Health (Springfield, IL)
- …and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all ... identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working… more
- Sedgwick (Naperville, IL)
- …General Adjuster - Midwest Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- CVS Health (Chicago, IL)
- …Should you accept a position in this program, we will take your preferred office location into consideration and will attempt to accommodate it. Your final ... and share results of analysis with management. + Reserve Analysis: Analyze claim data and monitor reserve levels for appropriateness and demonstrate an understanding… more
- The Walsh Group (Chicago, IL)
- …teams on contract administration including dispute resolution and mitigation, claim preparation, and subcontractor and supplier management. + Provide counsel ... not limited to subcontractor default, bond and mechanic lien claims , project claims , and contract compliance. +...to a state bar + Construction and transactional experience preferred + Highly developed written and oral communication skills… more
- CVS Health (Springfield, IL)
- …to assist customers in understanding components of the Aetna products including claims , accumulators, usage and balances, and cost sharing. + Answers questions and ... while avoiding over-committing. + Other activities may include providing claim status information, benefit coverage interpretations, and explaining plan eligibility.… more
- Sedgwick (Chicago, IL)
- …payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Walgreens (Peoria, IL)
- …all required documentation for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment ... Review price modify logs and ensure there are corresponding SDL (submit direct link) claims . + Review, research and resolve all third party chargebacks in a timely… more
- Invenergy (Chicago, IL)
- …Company has appropriately structured insurance programs + Support a wide range of claim related activities - claim notice intake, evaluation, and reporting, ... oversee claim handling, support claim investigations, claim payment collections and payment...for employer visa sponsorship now or in the future. Preferred Qualifications: + Bachelor's degree in insurance, risk management… more
- Sedgwick (Springfield, IL)
- …Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with ... or client directed documentation, notification or reporting; documents client contact in claim notes as per Sedgwick CMS standards; and assists case management staff… more
- Sedgwick (Springfield, IL)
- …support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues ... recovery. + Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes client… more