- Travelers Insurance Company (Chicago, IL)
- …claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate ... **What Will You Do?** + Handles 1st party property claims of moderate severity and complexity as assigned. +...in accordance with the Knowledge Guides. + Maintains diary system , capturing all required data and documents claim… more
- Travelers Insurance Company (Downers Grove, IL)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim ... records and damages documentation. + Keeps effective diary management system to ensure that all claims are...and control legal expenses Assures appropriate resolution. + Maintains claim files, have an effective diary system ,… more
- The Hartford (Naperville, IL)
- …and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and ... execute file strategies including investigation, valuation, disposition and settlement of assigned claims , in a manner consistent with corporate claim settlement… more
- CVS Health (IL)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- Highmark Health (Springfield, IL)
- …and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, ... to assess the accuracy of client reports submitted to the organization, efficiency of claim operations, and adequacy of systems and procedures. + Approves … more
- Cognizant (Springfield, IL)
- ** Claims Process Executive (remote)** **JOB PURPOSE:** Claim Processors will review claim submissions, verify information, adjudicate the claim as per ... regarding claims issues and research, ensuring accurate and complete claim information, contacting insured or other involved parties for additional or missing… more
- The Hartford (Naperville, IL)
- …, ensuring all claim handling meets quality and compliance standards. Manage Claim Files: + Handle assigned claims in a manner consistent with corporate ... and timely reserves. + Manage all aspects of assigned claims , which includes initial claim contact, reserve...adapt to change and to learn and utilize multiple systems to manage claims + Computer literacy… more
- Travelers Insurance Company (Downers Grove, IL)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... with or under the supervision of experienced counsel. + Learn and understand Claim customer's expectations and key department business goals and assists them in… more
- Lincoln Financial (Springfield, IL)
- …and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... to Claims management & teams regarding products, claims processes, regulations, and applicable systems for...& obtaining a wide range of complex information. Apply claim policies & procedures and engages intervention of internal/external… more
- Cognizant (Springfield, IL)
- …Plan Document. **Role Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it with the corresponding UB, ... business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical**...and criteria has been met. + Responsible for reviewing claim and line item edits and warning messages for… more
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