- CH Robinson (Rolling Meadows, IL)
- …role, you will be responsible for the general, operational, financial, and administrative management of all cargo and legal liability claims worldwide. You will ... provide leadership to a team of Claims Representatives by maintaining your own workload of ...GED Equivalent + Minimum of 3 years supervisory or management experience + Minimum of 4 years Transit or… more
- Humana (Springfield, IL)
- … submissions, recoupments, reconsiderations, authorizations, referrals, medical record management , Availity, Quality resources, and member resources. + Communicate ... (Physician and LTSS) who are responsible for day-to-day, front-line relationship management for network providers in Humana. This role supports provider onboarding,… more
- CVS Health (Springfield, IL)
- …to litigated claims . + Strong attention to detail and project management skills. + Experience overseeing and answering written discovery. + Ability to work ... **Position Summary** As a Product Liability Litigation Adjuster, Risk Management , you will be responsible for managing lawsuits and...activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through… more
- CVS Health (Springfield, IL)
- …with heart, each and every day. **Position Summary** As a Care Management Associate you will be supporting comprehensive coordination of medical services including ... clinical staff Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other...+ May assist in the research and resolution of claims payment issues - Supports the administration of the… more
- Zurich NA (Schaumburg, IL)
- Document Management System (DMS) Subject Matter Expert (SME) - IBM FileNet 122364 Zurich North America is looking for a Document Management System (DMS) Subject ... areaAND + 7 or more years of software product management or product development experience. + 5 or more...JIRA or similar tooling + P&C - Commercial Insurance, Claims , or Underwriting system experience desired + Strong verbal… more
- Zurich NA (Springfield, IL)
- …investigates, evaluates, and concludes low exposure, low complexity, mechanical breakdown claims by following established protocols to ensure that claims ... handled in the most efficient, effective way while delivering a customer-centric claims service. Determines causes of failures and reviews specific contract language… more
- Burns & McDonnell (Chicago, IL)
- …downstream contract administration including request for information (RFI's), submittals, change management , contract closeout, and claims mitigation. + Other ... scope and fee development, staffing plan development, project oversight, quality management , and financial performance responsibilities. A major emphasis will be… more
- Highmark Health (Springfield, IL)
- …met. Individual contributor roles as needed. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but not limited to: involved in hiring ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the… more
- Molina Healthcare (Chicago, IL)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Prime Healthcare (Aurora, IL)
- …for hospital operators dealing with alleged workplace injuries, workers' compensation claims or subpoenas, and workplace safety training, policies, plans, and ... must take a lead role in managing and reducing claims against Prime's hospitals or other entities, as well.... 2. Significant experience with hospital or healthcare risk management and exposure control preferred. 3. Prior experience interacting… more