- Humana (Chicago, IL)
- …operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with ... (AEP). + Utilize tools such as Availity to streamline claims submission, eligibility verification, and authorization processes. + Directly...achieve their best health - delivering the care and service they need, when they need it. These efforts… more
- Humana (Springfield, IL)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg...achieve their best health - delivering the care and service they need, when they need it. These efforts… more
- Walgreens (Evanston, IL)
- …questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive and delightful ... interpersonal habits (eg, greeting, eye contact, courtesy, etc.) and Walgreens service traits (eg, offering help proactively, identifying needs, servicing until… more
- Robert Half Accountemps (Naperville, IL)
- …to resolving customer issues, managing escalated concerns, and ensuring exceptional service delivery. Responsibilities: * Provide full account management support for ... teams to develop effective solutions to complex customer issues. * Process claims , contractor invoices, and enrollment requests with accuracy and efficiency. *… more
- UNUM (Springfield, IL)
- …to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's ... Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The… 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...achieve their best health - delivering the care and service they need, when they need it. These efforts… more
- Sedgwick (Springfield, IL)
- …rapidly growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global network of experts to both learn ... skills + PC literate, including Microsoft Office products + Good customer service skills + Good organizational skills + Ability to work independently and… more
- Wickstrom Chevrolet (Roselle, IL)
- …critical to its success. Our promise is to keep delivering the same award winning service and value that our community has come to expect from our dealership through ... companies. This includes preparing, submitting and following up on claims . Job Description - Duties: * Prepares, submits and...the accounting office to obtain payments * Maintains all service and customer records as required by the warrantor… more
- Legacy Parking Company (Chicago, IL)
- …expenses, and customer satisfaction is maximized by maintaining the highest level of service thresholds and initiatives that are aligned with the expectations of our ... of Assistant Managers and Team Leaders + Monitor and review all damage claims . Recommend and implement plans or programs to improve safety of operations to… more
- CVS Health (Downers Grove, IL)
- …Leverage analytics to identify trends, address escalated provider concerns, and enhance service delivery. Assist PE staff to educate providers on Availity usage and ... well as for internal staff that aligns PE/Network functions with Operations and Claims as needed + Research, review, and prepare responses for all governmental,… more