- Prime Therapeutics (Springfield, IL)
- …Solution Strategist for our NEW JUDI program. If you have experience with PBM/health claims , love working in a fast-paced environment within a group that has a ... collaborative problem solving **Preferred Qualifications** + PBM/health experience - Claims + Experience working on and coaching cross-functional teams aligned… more
- Carrington (Springfield, IL)
- …and updates Policy & Procedures, and reviews control reports to ensure overall quality and performance of the Bankruptcy processes * Handles escalated calls from ... Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of...for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition Fee notices,… more
- Prime Therapeutics (Springfield, IL)
- …experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to ... relations + Implementation experience + Thorough understanding of pharmaceutical claims data and general understanding of medical claims...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Snapsheet (Chicago, IL)
- …direct hire Job Department: Technology About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative claims ... claims process - delivering faster, modern experiences for claims organizations of all sizes. About the role: We...scalable data pipelines and ETL processes + Support data quality , reliability, and consistency across systems + Collaborate with… more
- Sedgwick (Springfield, IL)
- …Executive General Adjuster - Midwest Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss experience reports to help… more
- Sedgwick (Moline, IL)
- …content inventories and assist in the research of personal property claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates residential and commercial ... + Reviews and processes replacement receipts. + Applies limitations and/or exclusions on claims based on coverage afforded by the policy. + Tracks time and logs… more
- Evolent (Springfield, IL)
- …cost and use trends, and estimate Evolent's ability to reduce costs and improve quality . + Develop models to quantify and articulate value of new and existing ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- Snapsheet (Chicago, IL)
- …Job Department: Technology Team : R&D About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative claims ... claims process - delivering faster, modern experiences for claims organizations of all sizes. About the role: We're...front-end and back-end features with a high standard of quality . You'll be expected to contribute to architecture discussions,… more
- Humana (Springfield, IL)
- …work. + Manage teamwork assignments to ensure adequate coverage to meet quality and service levels. + Conduct regular performance evaluation of associates and ... provide ongoing feedback and coaching as necessary to achieve service, quality , and production goals. + Monitor state standards and guidelines and coordinate… more
- Elevance Health (Chicago, IL)
- …in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services. The **Data Warehouse ... analysis and expanding reporting. This role will center around mining complex claims , diagnosis, eligibility and patient data for valuable insights and then… more