- Sedgwick (Springfield, IL)
- …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 ... 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… more
- R1 RCM (Chicago, IL)
- …+ Review and apply client contract language and rates to resolve denied claims . + Utilize payer-provider and administrative manuals to dispute denied claims . ... staff team members and provide necessary feedback as requested by management . + Apply provider-specific reimbursement methodologies, payment policies, and provider… more
- The Hartford (Chicago, IL)
- …work in close partnership with our Underwriting Divisions as well as Finance, Claims , and IT departments. Responsibilities As a key member of the Global Specialty ... reserving and pricing. Reserving + Complete semi-annual reserve studies and advise management on reserve decisions. + Develop and maintain monitoring tools such as… more
- CVS Health (Springfield, IL)
- …and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth research to ... communication, analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. + DG… more
- BrightSpring Health Services (Centralia, IL)
- …personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas...area regulations. Exceptions must have written approval from Regional Management + A minimum of two years of verifiable… more
- Sedgwick (Springfield, IL)
- …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 ... 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… more
- Walgreens (Glenview, IL)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... as assigned by the Pharmacy Manager. Leads Pharmacy Department inventory management activities, such as, ordering, unpacking, checking and storing shipment of… more
- Zurich NA (Chicago, IL)
- …Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Walgreens (Chicago, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... the Pharmacy Manager. + Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of… more
- Walgreens (Chicago, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... as assigned by the Pharmacy Manager. + Leads Pharmacy Department inventory management activities, such as, ordering, unpacking, checking and storing shipment of… more