- Walgreens (Evanston, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Centene Corporation (Springfield, IL)
- …+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform ... care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations. Project management… more
- The Clorox Company (Willowbrook, IL)
- …within the organization across new product innovation, formulation and claims improvements, optimization, cost savings, and sustainability. This position will ... of implemented innovative technical solutions. + Proficiency in navigating IP and claims . + Critical thinking to adapt to formulation and manufacturing challenges… more
- Progress Rail Services Corp. (Lagrange, IL)
- …and/or field service team with summaries of findings as they relate to warranty claims ; * Monitors and audits reports to assure accuracy; * Act as warranty analyst ... * Perform Special assignments as required; * Approve/administer warranty claims problems/disputes as needed; * Investigate/ resolve warranty request… more
- DATAMAXIS (IL)
- …solutions using SAP BusinessObjects and SQL. This role supports Medicaid/CHIP claims and other healthcare data systems, ensuring accurate reporting and data ... Responsibilities: * Design, develop, and maintain BusinessObjects reports using Medicaid/CHIP claims and subsystem data. * Write, optimize, and maintain complex SQL… more
- UNUM (Springfield, IL)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to… more
- Zurich NA (Springfield, IL)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 12 or more years of experience in the Claims or Underwriting Support area Preferred Qualifications: + Bachelors degree and 8 or… more
- Norstella (Springfield, IL)
- …to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You ... field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic or industry setting. +… more
- Sedgwick (Springfield, IL)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Prime Therapeutics (Springfield, IL)
- …Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims data + ... Maintains appropriate documentation and provides reports as needed, including documenting all pricing decisions + Participates in development of methodologies, models, reports and strategies to support objectives of the position + Other duties as assigned… more