- Elevance Health (Chicago, IL)
- …responsible for building, scaling, and maintaining platforms for: + Medical Cost Management ( claims review, payment integrity, utilization management , risk ... level. + Proven track record of delivering large-scale healthcare technology solutions ( claims systems, care management platforms, or cost optimization tools). +… more
- The Hartford (Naperville, IL)
- …CCU Construction is a highly specialized claim organization responsible for the management of construction defect and construction related claims involving ... Provide proactive communications to customers and business partners in the management of claims ; + Respond to inquiries from customers and provide superior… more
- HUB International (Chicago, IL)
- …Customer Service professionals provide critical support to our customers through account management , claims management , day-to-day client oversight, and ... + Enter Client information and policy detail into broker management system + Check policies for accuracy of information...information in comparison with the Insurance quote and Broker Management System + Request, process, and document Audits and… more
- CVS Health (Springfield, IL)
- …external constituents, provider partners and internal cross-functional teams (Sales, PDS, Claims , PDS, etc). + **Contract Management :** Initiate, coordinate, and ... vbc engagement, execution of contract activities, strategy development, relationship management , dispute resolution and other duties as related to network… more
- HUB International (Downers Grove, IL)
- …Customer Service professionals provide critical support to our customers through account management , claims management , day-to-day client oversight, and ... a positive team environment and independently + Excellent organizational and time management skills + High school diploma required, though college degree preferred +… more
- Nestle (Schaumburg, IL)
- …ability to apply to the company's operations. + Understanding of worker compensation and claims management a plus. + Ability to read, analyze and interpret ... + Manages workers compensation cases. + Assists with the management of the Return to Work program. + Conducts...with plant safety audits. + Maintains effective relationships with management as well as employees regarding all safety matters.… more
- Medical Express Ambulance Service (Skokie, IL)
- …and professional growth. + Oversee the end-to-end revenue cycle, including claims processing, denial management , account resolution, payment posting, coding, ... with at least 3 years in a leadership or management role. + Extensive knowledge of ambulance claims... management role. + Extensive knowledge of ambulance claims processing, Medicaid billing procedures, and CMS compliance. +… more
- TEKsystems (Chicago, IL)
- …the TriZetto Facets platform, a core system used by healthcare payers for claims processing, member management , and provider services. The ideal candidate will ... with TriZetto Facets platform. + Strong knowledge of healthcare payer systems ( claims , enrollment, billing, provider management ). + Proficiency in: SQL Server… more
- Zurich NA (Springfield, IL)
- RCIS CROP Area Claims Supervisor I or II Southern IL 129577 Zurich North America is hiring an RCIS CROP Claims Handling Supervisor (Level I or II) to join our ... cities in Illinois: Mt. Vernon, Nashville, and Carmi.** With management oversight, leads and directs a team of lower...leads and directs a team of lower level technical Claims Professionals who are responsible for low complexity and… more
- Axis (Chicago, IL)
- …taking part in the selection process. About the Team AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its North America Claim Team. ... This role involves managing primary and excess claims for various AXIS policy forms. How does this...outside counsel. Managing costs in collaboration with the Litigation Management and Vendor Management teams. Maintaining accurate… more