- Zurich NA (Schaumburg, IL)
- …points of contact including customers, vendors, suppliers, and brokers to provide a quality claims experience. Additionally, you will learn and develop knowledge ... are handled in the most efficient, effective way while delivering a quality customer-centric claims experience. This position will work from one of the following… more
- WelbeHealth (Springfield, IL)
- …corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement opportunities, and configuration change ... Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate… more
- Zurich NA (Schaumburg, IL)
- …points of contact, including customers, vendors, suppliers, and brokers, to provide a quality claims experience. + Learn and develop knowledge of established ... General Liability Claims Specialist I 129754 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to… more
- Sedgwick (Springfield, IL)
- …and documentation standards. + Providing technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for ... Fortune Best Workplaces in Financial Services & Insurance Assistant Claims Team Lead - Workers Compensation Are you looking...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Elevance Health (Chicago, IL)
- …at least one of the following: AA/AS or minimum of 15 years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of ... Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case… more
- MetLife (Aurora, IL)
- …solutions to address core business challenges within MetLife. This role will conduct quality reviews of disability claims , collecting and analyzing quality ... & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers who collaborate to create innovative… 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
- Sedgwick (Springfield, IL)
- …medical management of claims ; ensures appropriate recommendations are made on claims . + Consistently achieves appropriate quality audit scores. + Acts as ... Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client… more
- Cummins Inc. (Hodgkins, IL)
- …lists, etc Completes required documentation, such as service worksheets, timesheets, warranty claims , quality documents via handwritten forms or business system ... guidelines, using required tools within standard repair time to ensure a quality repair; disassembles and assembles engines or power generators following guidelines,… more