- The Hartford (Chicago, IL)
- …work in close partnership with our Underwriting Divisions as well as Finance, Claims , and IT departments. Responsibilities As a key member of the Global Specialty ... as actual loss vs expectation. + Partner with the Claims Department to understand claim activity and trends, and...participate in the development of procedures to improve data quality . + Seek out innovative approaches and apply R/SQL/Python… more
- Humana (Springfield, IL)
- …MAAA + 2+ years of actuarial experience in health insurance and/or medical claims analytics + Proficiency in data analysis and one or more statistical programming ... Strong communication skills + Strong working knowledge of healthcare claims as it relates to trend analytics, total cost...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- ManpowerGroup (Chicago, IL)
- …documenting all transactions accurately. + Coordinate with suppliers to initiate warranty claims and process returns on failed equipment. + Develop working knowledge ... chain in an IT environment. + Familiarity with IT hardware, warranty claims , and return merchandise authorizations (RMA). + Ability to operate heavy-load movement… more
- Prime Therapeutics (Springfield, IL)
- …D eligibility requirements, Part D plan designs, drug formularies, drug pricing, claims processing and reimbursements, True Out of Pocket expenditures, that ensure ... premium amounts, late enrollment penalties, and reimbursement of drug claims . + Ensures the accuracy of payments to Part...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Sedgwick (Springfield, IL)
- …+ Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Walgreens (Glenview, IL)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Strictly adheres to the Walgreen Co. policy regarding Good ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Walgreens (Chicago, IL)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Chicago, IL)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Rush University Medical Center (Chicago, IL)
- …ultimate goal of this position is to decrease receivables and increase quality and productivity. This role includes performing re-bills, Debit & Credits, ... refunds, and claim corrections resulting from the multitude of claims and payer edits as well as notifying denial...to contract allowable payment schedule. 2. Follow up on claims with the appropriate payer for reimbursement. 3. Work… more
- Rush University Medical Center (Chicago, IL)
- …credit, adjustments, refunds, and claim corrections resulting from the multitude of claims and payer edits. The Financial Services Representative 1 is also ... of this position is to decrease receivables and increase quality and productivity. Exemplifies the Rush mission, vision and...account balance is processed correctly. 2. Follow up of claims to the appropriate payer for reimbursement: Work directly… more