- CVS Health (Springfield, IL)
- …Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance ... level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine...to the team that may result in adjustment to claims . + May provide job shadowing to lesser experience… more
- Cognizant (Springfield, IL)
- **Healthcare Accounts Receivables - Claims Denials (remote)** Cognizant is one of the world's leading professional services companies, we help our clients modernize ... **Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. + **Accounts Receivables** : AR follow up...office **These will help you stand out** + **Examine Claims ** : Analyze denied and underpaid claims … more
- The Walsh Group (Chicago, IL)
- …issues, including but not limited to subcontractor default, bond and mechanic lien claims , project claims , and contract compliance. + Provide advice and counsel ... including but not limited to subcontractor default, bond and mechanic lien claims , owner claims , contract compliance and development of claims as needed. +… more
- R1 RCM (Chicago, IL)
- …As our Denials & AR Analyst I, you will help R1 clients by analyzing claims information so that they can resolve complex accounts. Every day, you will conduct root ... Prior Denials or AR experience in Hospital or Physician claims and experience working in a production-based environment is...Analyst I:** + You will be investigating and analyzing claims to identify denial reasons and create appeal letters… more
- Zurich NA (Chicago, IL)
- …will work collaboratively across business units including but limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
- Travelers Insurance Company (Chicago, IL)
- …Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to ... As a valued member of our team, you will provide legal advice to our claims and underwriting colleagues as well as other business units and participate in BSI claim… more
- Zurich NA (Chicago, IL)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 8 or more years of experience in the Claims or Underwriting Support area OR AVP, E&S Primary… more
- Elevance Health (Chicago, IL)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- CDM Smith (Chicago, IL)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...documentation to determine the validity and value of disaster-related claims . This may involve reviewing income statements, balance sheets,… more
- Robert Half Finance & Accounting (Chicago, IL)
- …contributions + Auto liability including actuarial coordination and review of claims administration and reserve setting + Workers' compensation including actuarial ... coordination and review of claims administration and reserve setting + Product liability including...+ Product liability including actuarial coordination and review of claims administration and reserve setting + General liability including… more