- TEKsystems (Chicago, IL)
- …using patient accounting systems and online resources + Follow up on claim submissions and remittance reviews for insurance collections + Initiate and pursue ... Document clear and concise notes in the system regarding claim status and actions taken + Identify and resolve...+ Access payer websites to gather data and resolve claims + Communicate system access issues, payor trends, and… more
- CVS Health (Chicago, IL)
- …and share results of analysis with management. + Reserve Analysis: Analyze claim data and monitor reserve levels for appropriateness and demonstrate an understanding ... insurance premiums by analyzing data and estimating the expected costs of claims . + Conducting research on Actuarial market trends, competitor pricing, and… more
- R1 RCM (Chicago, IL)
- …As our Denials & AR Analyst I, you will help R1 clients by analyzing claims information so that they can resolve complex accounts. Every day, you will conduct root ... problem-solving capabilities. Prior Denials or AR experience in Hospital or Physician claims and experience working in a production-based environment is required. We… more
- The Walsh Group (Chicago, IL)
- …teams on contract administration including dispute resolution and mitigation, claim preparation, and subcontractor and supplier management. + Provide counsel ... issues, including but not limited to subcontractor default, bond and mechanic lien claims , project claims , and contract compliance. + Provide advice and counsel… more
- CVS Health (Springfield, IL)
- …to assist customers in understanding components of the Aetna products including claims , accumulators, usage and balances, and cost sharing. + Answers questions and ... while avoiding over-committing. + Other activities may include providing claim status information, benefit coverage interpretations, and explaining plan eligibility.… more
- Philadelphia Insurance Companies (Chicago, IL)
- …staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work ... control technical support to Tokio Marine departments such as underwriting, claims and coordination. Coordinate loss control activities on select accounts ensuring… more
- Sedgwick (Chicago, IL)
- …payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Walgreens (Peoria, IL)
- …all required documentation for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment ... 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… more
- Invenergy (Chicago, IL)
- …Company has appropriately structured insurance programs + Support a wide range of claim related activities - claim notice intake, evaluation, and reporting, ... oversee claim handling, support claim investigations, claim payment collections and payment...things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability… more
- Sedgwick (Springfield, IL)
- …and monitor successful return to work of claimants within appropriate disability duration guidelines; to determine specific physical tolerances and vocational skills ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more