- Sedgwick (Chicago, IL)
- …to move the call forward, and issue resolution by phone, written correspondence and/or claims system . + Facilitates claim resolution and handles escalated ... exposure claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Makes independent claim determinations, based on the information received, to approve complex … more
- USAA (Chicago, IL)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... Special Investigations Unit for handling, if applicable. + Maintains accurate and current claim file documentation throughout the claims process for complex … more
- Sedgwick (Chicago, IL)
- … claim status through phone calls, written correspondence, and system updates.** **Engages with healthcare providers to establish expectations for return-to-work ... consistent and transparent communication with claimants and clients throughout the claims process via phone, written updates, and system documentation.**… more
- Rush University Medical Center (Chicago, IL)
- …Cook County local rules and litigation procedure is required. + Experience with a RMIS system and/or claims management systems is strongly desired. + Clear ... LITIGATION AND CLAIMS MANAGEMENT + Assists in maintaining all litigation and claims data in the Risk Management Information System (RIMS). + Daily… more
- Sedgwick (Chicago, IL)
- …payment information and claims status by phone, written correspondence and/or claims system . + Communicates with the claimants' providers to set expectations ... aspects of claims process by phone, written correspondence and/or claims system . + Coordinates investigative efforts ensuring appropriateness; provides… more
- Highmark Health (Springfield, IL)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user inquiries/issues, and enhancements to the system… more
- Sedgwick (Elgin, IL)
- … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... . + Contacts the customer by telephone, written correspondence and/or the appropriate system regarding documentation required to process a claim , required time… more
- Sedgwick (Chicago, IL)
- …professionally with claimants regarding required documentation, timelines, payment details, and claim status via phone, written correspondence, and system ... ability to present information effectively. + Proficient in Microsoft Office and claims management systems . + Demonstrated analytical, interpretive, and critical… more
- Carle Health (Champaign, IL)
- …and maintenance of the Epic modules and applications related to Revenue Cycle, the Claims Manager System , and other systems , interfaces, and processes ... Analyst position implements, modifies, tests and administers modules and systems related to revenue cycle system applications....modules and systems related to revenue cycle system applications. Serves as a liaison between vendors, IT… more
- Prime Therapeutics (Springfield, IL)
- …+ 5 years of functional system requirements analysis experience + Experience in Prime claims systems + Must be eligible to work in the United States without ... to elicit, define, and document the requirements for changes to Prime's claims systems . **Responsibilities** + Ensure understanding of business requirements and… more
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