- Sedgwick (Springfield, IL)
- …treating physicians to conduct a peer review of medications used on specific claims and provides insight for drug interactions, health and safety concerns, and ... cases. + Consults with pharmacy UR team for difficult claims requiring weaning schedule. + Assesses needs, gives appropriate...complex review of cases to identify referral for case management as needed. + Participates in client meetings and… more
- The Hartford (Naperville, IL)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... As a Claim Specialist for Primary and Excess Liability Claims in the Hartford Global Specialty (HGS) Liability Major...basis for any needed adjustment; + Presenting cases to management for expense or indemnity reserve authority above established… more
- CVS Health (Springfield, IL)
- …solutions, and stay current with processes that connect operations, account management , clinical services, and claims adjudication, ensuring business continuity ... Manager (ie leading teams, projects, mentoring/training, escalations, hiring, performance management , team oversight). + Minimum 5+ years of Client service/account… more
- GE HealthCare (Chicago, IL)
- …Risk Manager plays a key role in executing GE HealthCare's global risk management strategy. This position is responsible for managing insurance program operations, ... claims oversight, and compliance activities. Operating with autonomy within...Risk Manager utilizes in-depth knowledge of insurance and risk management disciplines and applies analytical thinking to support program… 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
- Transdev (Lombard, IL)
- …group's effort in providing the best value and timely submission of warranty claims and working with the field locations to ensure compliance with warranty ... + Prepare and process warranty documentation according to manufacturer guidelines + Submit claims quickly and efficiently + Follow up with manufacturers to ensure … more
- Walmart (Taylorville, IL)
- …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Sedgwick (Chicago, IL)
- …involved in the claims process + Other duties as assigned by management or as needed. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as ... with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and… more
- Sedgwick (Moline, IL)
- …Adjuster- Remote Opportunity (NY License Required) **PRIMARY PURPOSE:** To investigate claims against insurance or other companies for personal, casualty, or ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in...+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more
- Sedgwick (Moline, IL)
- …General Adjuster - Midwest Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address most ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more