- CVS Health (Springfield, IL)
- …care planning and resolution of member issues. + Handles reviews of prior claims to address potential impact on current case management and eligibility. + Creates ... case management processes follow organization and regulatory requirements. + Implements systems to maximize member engagement, discern health status and needs, and… more
- TYLin (Chicago, IL)
- …and complexity. Together, we enhance conventional designs with smarter, more resilient systems . We provide people with better mobility. We steward precious resources ... Management:** + Participate in project performance reviews and reviews of risk and claims (w/Legal). + Assist with and oversee management of risks, and legal and… more
- CVS Health (Northbrook, IL)
- …complex analytic datasets to support Data Model refreshes by accessing various sources/ systems . You will contribute to the maintenance and refreshment of the ... of experience with SAS programming. + 3+ years of experience with healthcare claims data analysis. + 3+ years of experience with extract-transform-load (ETL) data… more
- TEKsystems (Rockford, IL)
- …compensation claims . Your responsibilities will include: + Navigating external systems to pull referral data and manually uploading completed cases. + ... Coordinating with independent physician contractors to process cases efficiently. + Reviewing and organizing medical documentation for accuracy and compliance. + Ensuring patient confidentiality by verifying and cleaning sensitive information. + Submitting… more
- WTW (Chicago, IL)
- …industries. Working knowledge of insurance functions especially product development, pricing, claims , underwriting and actuarial a plus. + Ability to work ... Willingness to travel frequently and meet prospects in person + Experience with CRM systems and required hygiene This position will remain posted for a minimum of… more
- Acosta Group (Quincy, IL)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting any employment related injury to ... a company provided computer and mobile device applications and internal systems . Proficient skills with MS Office Suite programs. _Certificates, Licenses,… more
- CVS Health (Springfield, IL)
- …and confidence. + **Own the Process:** Use advanced underwriting tools and systems to produce accurate, timely deliverables that align with strategic goals. + ... **Drive Strategy:** Collaborate with sales, claims , and customer service teams to develop tailored underwriting strategies based on market trends and business… more
- ServiceNow, Inc. (Chicago, IL)
- …of the Fortune 500(R). Our intelligent cloud-based platform seamlessly connects people, systems , and processes to empower organizations to find smarter, faster, and ... and field service operations + Asset tracking, service windows, and warranty claims + Airline, shipping, or logistics call center transformation + Strong… more
- Ankura (Chicago, IL)
- …compliance, operations, audit, clinical coding, data analytics, financial, valuation, and systems professionals to support payer executives and their counsel with ... of financial exposure through analytic and statistical methods; prescription drug claims submission and payment; pharmacy benefit administration; Medicare Part D… more
- Saia, Inc (Bloomington, IL)
- …combinations over long distances to deliver freight in a safe, claims -free, and cost-efficient manner. **Major Tasks and Responsibilities** Drives tractor trailers ... terminal staff. + Experience using electronic logging devices or other driver technology systems . **Benefits** At Saia, your success is our success! That's why we… more