- Transdev (Lombard, IL)
- …short-term disability, voluntary long-term disability. Principal Duties and Responsibilities + Claims Quality Assurance (QA) + Responsible for ensuring ... or watch an overview video athttps://youtu.be/ilO5cv0G4mQ About the Role: The Claims Specialist will assist the Director of Workers Compensation in overseeing… more
- Cognizant (Springfield, IL)
- …coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/ quality assurance procedures + Must be able to work ... business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical**... Processors to join our growing team. The **Medical** ** Claims Processor** is responsible for the timely and accurate… more
- Sedgwick (Springfield, IL)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, Liability **PRIMARY PURPOSE** : To supervise...contract requirements, and quality standards. + Acts as second level of appeal… more
- Sedgwick (Springfield, IL)
- …reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, General Liability **PRIMARY PURPOSE** : To...contract requirements and quality standards. + Reviews… more
- Cognizant (Springfield, IL)
- …1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. * Must be able ... claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate… more
- Travelers Insurance Company (Downers Grove, IL)
- …evaluating, reserving, negotiating and resolving assigned General Liability - Public Sector claims . Provides quality claim handling throughout the claim life ... manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file quality and timely… more
- Elevance Health (Chicago, IL)
- …CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all ... of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of the following… more
- Elevance Health (Chicago, IL)
- …applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- AdventHealth (Hinsdale, IL)
- …health staff practice and performance, including patient injuries, complaints, compliments, claims , quality indicators and other risk-related data. + Coordinates ... professional practice evaluation and peer review activities. + Collaborates with Quality /Risk Management to investigate and analyze root causes, patterns, or trends… more
- Axis (Chicago, IL)
- …upon request for candidates taking part in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the ... performance, oversight, and ongoing improvement of Claims support activities performed within our North America ...performance metrics, including Task Volumes, adherence to Service Levels, Quality , and Exception rates. + Performing Quality … more