- 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 ... - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the...is required. **Travel:** None required **About the role:** As Claims Processor, you will be responsible for timely and… 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
- Travelers Insurance Company (Downers Grove, IL)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle ... quality . + Shares accountability with business partners to achieve and sustain quality results. + Investigate, evaluate and settle claims , applying technical… 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
- Evolent (Springfield, IL)
- …necessary/required. + Participates in continuing education initiatives. + Collaborates with Claims , Quality Management and Provider Relations Departments as ... with the health care delivery team to maintain high quality and cost effective care delivery. **What You'll Be...to the Medical Director. + Appropriately identifies and refers quality issues to UM Leadership. + Appropriately identifies potential… 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
- Zurich NA (Springfield, IL)
- Marine Claims Specialist II 126114 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability experience ... With moderate direction, handles single and multi-party commercial Marine and Liability claims of low to moderate exposure and complexity within specific limits of… more
- Axis (Chicago, IL)
- …request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims Specialist to join ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...of internal Severity and Coverage resources. + Compliance & Quality Assurance - Comply with best practices measured by… more