• Bilingual Case Manager

    TORKLAW (Chicago, IL)
    …Damage Claim Resolution: Navigate the complexities of property damage claims , ensuring just and timely resolutions. + Lien Negotiation: Engage in strategic ... optimal outcomes. + Deadline Tracking: Implement and maintain a robust tracking system , ensuring no milestones or deadlines are missed. + Medical Treatment… more
    TORKLAW (09/12/25)
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  • PBM Auditor

    HUB International (Chicago, IL)
    …Microsoft Excel (advanced functions) and SQL. + Familiarity with PBM platforms and claims adjudication systems . + Strong understanding of pharmacy billing and ... of Pharmacy Benefit Managers (PBMs) to ensure contractual compliance, accurate claims processing, and proper financial management. This role involves in-depth data… more
    HUB International (08/28/25)
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  • Insurance & Fulfillment Expert!!

    Actalent (Bolingbrook, IL)
    …Responsibilities + Process new patient registrations and refill orders using automated systems . + Ensure accurate data entry of patient demographics and prescription ... details. + Resolve third-party insurance rejects by gathering information and resubmitting claims . + Operate automated machinery to sort, count, label, pack, and… more
    Actalent (10/08/25)
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  • Negotiator Analyst (Level I)

    CVS Health (IL)
    …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... **What you will do** + Learn to navigate the systems , and create networking, for this role + Develop...Qualifications** + 3-5 years of experience in a medical claim background with demonstrated ability and strong understanding of… more
    CVS Health (10/04/25)
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  • Senior AI Engineer - On-site or Hybrid Opportunity…

    GuideOne Insurance (Chicago, IL)
    …(EML/MSG), audio, video, and structured/unstructured text from content management systems . + Apply OCR (Optical Character Recognition) and speech-to-text models ... AI pipelines that classify, extract, and validate key entities (eg, policy numbers, claim dates, insured parties) from documents. + Integrate LLMs via Bedrock or… more
    GuideOne Insurance (09/28/25)
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  • Legal Assistant

    Robert Half Legal (Chicago, IL)
    …* Compile and prepare special reports for insurance carriers to support claims . * Request and manage itemized bills and medical records from healthcare ... or similar role. * Proficiency with case management software and e-filing systems . * Strong organizational skills with the ability to manage multiple priorities… more
    Robert Half Legal (09/16/25)
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  • Bilingual Spanish/English-Customer…

    Robert Half Accountemps (Chicago, IL)
    …about insurance products and policy statuses. * Respond to inquiries regarding claims services and intake-related issues with professionalism and empathy. * Perform ... Facilitate transfers to the sales team to drive revenue growth. * Handle claim intake processes effectively and in accordance with company standards. * Consistently… more
    Robert Half Accountemps (09/05/25)
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  • Insurance AR Collections Specialist

    Spectrum Billing Solutions (Skokie, IL)
    …insurance denials + File appeals on denied or underpaid claims + Check claim status on appropriate payor systems and contact insurances as needed + Send ... Medical Records and other documentation to payors as requested + Follow up with patients and payors for payments + Negotiate out-of-network reimbursement rates with insurances + Review of Accounts Receivable Aging reports + Meet daily, monthly, and quarterly… more
    Spectrum Billing Solutions (09/01/25)
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  • Senior Consultant/Workstream Onsite lead

    Deloitte (Chicago, IL)
    …Order to Cash solutions, troubleshoot issues, and implement timely resolutions for system reliability. Work closely with other SAP functional teams to ensure ... in SAP ECC projects, proposing and implementing enhancements to optimize system performance. Communicate regularly with Engagement Managers (Directors), project team… more
    Deloitte (09/10/25)
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  • Sr Analyst, Performance Suite Analytics

    Evolent (Springfield, IL)
    …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process… more
    Evolent (09/22/25)
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