- Sedgwick (Chicago, IL)
- …and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow ... processes. + Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and/or adjustments in compliance with… more
- Elevance Health (Chicago, IL)
- …analysis and expanding reporting. This role will center around mining complex claims , diagnosis, eligibility and patient data for valuable insights and then ... make an impact:** + Serving as a subject-matter-expert on claims , eligibility, authorization and assessment datasets. + Tackling wide-reaching...in good faith believes is the range of possible compensation for this role at the time of this… more
- Elevance Health (Chicago, IL)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...in good faith believes is the range of possible compensation for this role at the time of this… more
- Robert Half Accountemps (Burr Ridge, IL)
- …play a key role in managing billing operations, ensuring accuracy in claims submission, and collaborating with clinical staff to facilitate timely processes. The ... accuracy in codes, drug quantities, and pharmacy delivery documentation. * Submit claims to insurance companies by printing and mailing forms, attaching primary… 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
- 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 ... strong client relations + Implementation experience + Thorough understanding of pharmaceutical claims data and general understanding of medical claims data;… more
- Zurich NA (Springfield, IL)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 12 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft...+ Strong presentation skills + Results oriented At Zurich, compensation for roles is influenced by a variety of… more
- Marriott (Chicago, IL)
- …**Conducting Human Resources Activities** * Assists in minimizing cost of accident claims through aggressive claims management. * Brings issues to the ... and reports all employee accident and general liability incidents to Claims Reporting Service. * Conducts hourly employee performance appraisals according to… more
- Prime Healthcare (Aurora, IL)
- …key stakeholders on employment issues. This attorney must be experienced with wrongful termination claims , wage and hour class actions, PAGA claims , as well as ... preferably with hospitals. Pay Transparency Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the… more
- Zurich NA (Chicago, IL)
- …High School Diploma or Equivalent and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the insurance industry and the legal ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...written communication skills + Microsoft Office skills At Zurich, compensation for roles is influenced by a variety of… more