- 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
- IBM (Chicago, IL)
- …including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Implement client's E2E content supply ... community with client stakeholders as required * Manage the day-to-day operational support and service for all users at local and global levels as required by client… more
- CVS Health (Buffalo Grove, IL)
- …report and analyze data, improve operational efficiency, and deliver outstanding customer service . You will work with a collaborative, close-knit reporting team on ... pharmacy and member specific claims data including, but not limited to, financial and...AWS/ Azure + Experience working with medical and/or pharmacy claims data + Experience in healthcare industry, including health… more
- MetLife (Aurora, IL)
- …a month in office for meetings Key Responsibilities: Coordinate analyzing claims overpayments and determine recovery strategies. * Prepare written notification and ... Essential Business Experience and Technical Skills: Required: . 1-3 years Customer Service experience including outbound phone work experience. . High School Diploma… more
- CVS Health (Springfield, IL)
- …report and analyze data, improve operational efficiency, and deliver outstanding customer service . You will work with a collaborative, close-knit team on pharmacy ... and member specific claims data including, but not limited to, financial and...AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including health… more
- Axis (Chicago, IL)
- …lines insurance and reinsurance. We stand apart for our outstanding client service , intelligent risk taking and superior risk adjusted returns for our shareholders. ... Casualty book. They will proactively engage with Reserving, Risk Management, Finance, Claims , and Data & Analytics colleagues to achieve desired business outcomes… more
- MetLife (Aurora, IL)
- …Disability (STD), State Plans, PFML, and concurrent Absence Management Solutions (AMS) claims to ensure we meet or exceed customer expectations. Will engage business ... procedures, training, contract development, product and service delivery as warranted to discuss any discrepancies found. * Providing timely and meaningful feedback… more
- International Paper (Aurora, IL)
- …of all benefits for hourly and salaried employees. + Processes all unemployment-related claims ; may participate in any appeal hearings or other activities related to ... unemployment claims . + Surfaces employee concerns and improvements; recommends alternatives...plant operations. + Coordinate facility functions including employee recognition, service awards, safety, and holiday-related events. + Assists in… more
- Pfizer (Lake Forest, IL)
- …with Pfizer's GAV Patient Affordability Solutions Team Lead and GAV Patient Service Analytics & Insights Team Lead. The individual will interact with multiple ... forecasting, predictive modeling. + Consulting experience and experiences of analyzing patient/ claims data is highly desired. + Deep understanding of pharmaceutical… more
- Prime Therapeutics (Springfield, IL)
- …Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims data + ... value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are looking to advance your career within a… more