- Travelers Insurance Company (Downers Grove, IL)
- …Services provides industry-first resources designed to detect and deter fraudulent claims . Using some of the most comprehensive technology available, we have ... potentially fraudulent activity. The investigator, supporting a Claim Center, will investigate claims deemed suspicious in nature within all lines of business. The… more
- Transdev (Lombard, IL)
- …Responsibilities: + Primary support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department to support valuation of ... significant estimates related to insured claims + Create and maintain pricing model related to...global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations , etc.) to develop global regulatory plans, address global regulatory ... 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)
- …+ **Cross-Functional Collaboration:** Work closely with, market access, Finance, Commercial operations , and medical teams to ensure seamless execution of brand ... 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
- Deloitte (Chicago, IL)
- …success. You'll work alongside talented professionals reimagining and re-engineering operations and processes that are critical to businesses. Your contributions ... solutions are powered by engineering for business advantage, transforming mission-critical operations . We enable clients to stay ahead with the latest advancements… more
- Prime Therapeutics (Springfield, IL)
- …the technical and leadership skills that ensure successful Part D pharmacy operations and program compliance within the pharmacy business unit. Makes business ... D eligibility requirements, Part D plan designs, drug formularies, drug pricing, claims processing and reimbursements, True Out of Pocket expenditures, that ensure… more
- Walmart (Quincy, IL)
- …Ensures associates are treated in an accepting, respectful manner. Manages Optical Operations : Stays current on changes in optical procedures, ideas, and processes ... procedures for advising on merchandise and filling prescriptions. Ensures optical operations are aligned with company and regulatory standards for prescriptions and… more
- Humana (Springfield, IL)
- …reports. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross ... Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of...Experience in a corporate environment and understanding of business operations **Additional Information - How we Value You** +… more
- TEKsystems (Chicago, IL)
- …resolve recoupment issues + Access payer websites to gather data and resolve claims + Communicate system access issues, payor trends, and workflow inconsistencies + ... Medicaid, Commercial, and Managed Care insurance + Familiarity with medical billing, claims submission, and medical terminology + Proven experience in revenue cycle … more
- ICW Group (Lisle, IL)
- …Counsel is to provide insurance advice and regulatory support for underwriting, claims , product management, actuarial, and other business units within ICW Group. ... DUTIES AND RESPONSIBILITIES** **Provides insurance regulatory support for commercial insurance operations .** + Provides legal support for all insurance operations… more