- Sedgwick (Chicago, IL)
- …client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. **ARE YOU AN IDEAL CANDIDATE?** We ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Canon USA & Affiliates (Springfield, IL)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... marketing, regulatory, applications, and service . **RESPONSIBILITIES** + Clinical research and validation. Support collaborative research and clinical evaluation… 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 ... need for work visa or residency sponsorship. **Additional Qualifications** + Proven client service skills with a track record for building strong client relations +… more
- Prime Therapeutics (Springfield, IL)
- …with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness & ... accuracy of Prime's financial pricing programs against adjudicated claims to identify trends and draw insights to provide...collaboratively to provide the highest quality of care and service to our members. If you are looking to… more
- Zurich NA (Chicago, IL)
- …within delegated authority levels on highly complex assignments ensuring a high-level service to customers. This is a great opportunity for an experienced Commercial ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
- JBS USA (Beardstown, IL)
- …Services staff, the HR staff and the TPA to avoid errors and/or delays in claims submission/payment + Lead monthly claim reviews of all open cases with a focus on ... basis + Assist with continuous quality improvement of Workers' Compensation claims submission policies, procedures, processes and programs. + Consult with corporate… more
- Walgreens (Peoria, IL)
- …billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment in accordance with policy. + Review ... price modify logs and ensure there are corresponding SDL (submit direct link) claims . + Review, research and resolve all third party chargebacks in a timely manner.… more
- Sedgwick (Springfield, IL)
- …Executive General Adjuster - Midwest Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss...PC literate, including Microsoft Office products + Strong customer service skills + Attention to detail and accuracy +… 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
- Prime Therapeutics (Springfield, IL)
- …of Service Level Agreement performance, assurance of accuracy of claims payment and administrative policies, rate maximization through ongoing benefit analysis ... designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the achievement of customer … more