- First National Bank of Omaha (IL)
- …how it fits into our organization's success.** **Summary of the Job:** THE SPECIFICS Remote Training class is set to begin 10/13/2025. 8:00am to 5:00pm CST for 2 to ... back against fraud * Determine the validity of fraudulent claims and hold cardholders accountable if needed Conduct an...payoff, join us. We will provide the support and training to help you become a well-versed Fraud Specialist… more
- Elevance Health (Chicago, IL)
- ** Claims Auditor Senior ** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training ... considered for employment, unless an accommodation is granted as required by law._ The ** Claims Auditor Senior ** is responsible for auditing of high dollar … more
- The Hartford (Naperville, IL)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... we help shape the future. The Hartford Financial Lines Errors & Omissions E&O Claims Group has an open Claim Consultant position handling a caseload of third-party… more
- CVS Health (Springfield, IL)
- …reporting overall results, and making recommendations regarding training needs, quality controls, and procedures to senior management. + Takes direction ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision,...and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- **Job Summary** The Senior Director of Quality Strategy and Operations will be responsible for developing and delivering the Global Quality strategic plan, ... and process excellence. The ideal candidate will have a strong background in quality management within the pharmaceutical industry and a proven track record of… more
- MetLife (Aurora, IL)
- …for meetings How You'll Help Us Build a Confident Future (Key Responsibilities): The STD Senior Quality Analyst is responsible for: * Working with senior ... a related field or equivalent experience * 7-8 years of related disability claims administration experience Preferred: * Prior training or management experience… more
- CVS Health (Downers Grove, IL)
- …BH, DMEs, and others to support staff. + Process Improvement: Work with Sr . Managers and Director to develop and implement strategies to streamline, policies, ... Collaboration: Participate in HFS, IAMHP, and IL Associations Meetings/Conferences. + Training & Support: Ensure providers have access to necessary resources, … more
- Ankura (Chicago, IL)
- …prominent US health care providers, payers, and law firms. Role Overview: Our Sr . Associates use their experience and knowledge related in coding, revenue cycle and ... processes, anatomy and pharmacology. + Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission ... considerable latitude in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims… more
- Norstella (Springfield, IL)
- Senior Analytic Consultant Company: MMIT Location: Remote, United States Date Posted: Aug 21, 2025 Employment Type: Full Time Job ID: R-1436 **Description** **About ... The Netherlands, Japan, China and India. **The Role: RWD Senior Analytic Consultant** We are currently seeking a high...unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be… more