- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …teams while aligning with CoE training efforts + **Performance & Risk Management :** + Provide regular updates on the performance and effectiveness of omnichannel ... Strong matrix team-building skills, a team-oriented approach, and supportive management style. + Solid written and oral communication skills...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Prime Therapeutics (Springfield, IL)
- …conclude preliminary investigation in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource ... Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …(Word, Excel, PowerPoint, Outlook) and familiarity with electronic document management systems (EDMS). **Competencies** See OPDC Competencies Chart (Level X) ... in regulatory affairs or related areas (eg, clinical development, project management , quality assurance, etc.) in pharmaceutical or healthcare related industry.… more
- Zurich NA (Chicago, IL)
- …areas of product/proposition development, marketing, fulfillment, and portfolio management . Responsibilities include: + Generating, underwriting and analyzing ... and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Kemper (Chicago, IL)
- …evaluation, coverage determination, negotiation, and settlement of non-complex property contents claims . Ensures claims are handled within best practices and ... Subrogation and outside vendors as required. **Position Responsibilities:** + Property claims handling including initial coverage review and contact of all parties… more
- Trinity Health (Westchester, IL)
- …collaboration with other hospital departments such as Patient Access, Coding, Case Management , and Managed Care to gather necessary information and ensure claims ... claim rejections and denials, make corrections, and take appropriate actions or refer claims to the necessary team for resolution. + Evaluate accounts and resubmit … more
- CVS Health (Springfield, IL)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- Sedgwick (Moline, IL)
- …of all aspects of property, casualty, and disability TPA services including claims , managed care, and ancillary services such as alternative risk to support ... not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …policy and government affairs activities, particularly PhRMA. Contribute to the management of the federal political action committee and the grassroots political ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …transfer, validation support, process monitoring, troubleshooting, and lifecycle management activities conducted by external partners. + **Key Responsibilities:** ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more