- CVS Health (Springfield, IL)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical services, supplies,… more
- Birkeys Farm Store (Macomb, IL)
- …maintain all repair orders for accuracy and completeness. + Assist with all warranty claims and manufacturer claim forms. + Assist in maintaining up-to-date and ... offer a robust compensation and insurance package including Health, Dental, Vision, Life, Disability , and 401k for all 30+ and full-time employees. + Career Growth:… more
- After School Matters (Chicago, IL)
- …compliance site visit forms and risk management checklists + Assist with insurance claim inquiries (follow-up with emails, tracking claims , etc.) + Legal ... ancestry, national origin, religion, sex, sexual orientation, gender identity, disability , protected veteran status, military discharge status, age, marital status,… more
- The Clorox Company (Willowbrook, IL)
- …to life. Your work will span new product innovation, formulation and claim improvements, optimization, cost savings, and sustainability. Experience in product and ... innovative technical solutions. + Proficiency in navigating IP and claims . + Critical thinking to adapt to formulation and...If you need assistance or accommodations due to a disability , please contact us at ###@clorox.com . Please note:… more
- Walmart (Joliet, IL)
- …assigned area of work Creates action plans to address audit findings Validates claim records work with workers compensation case managers for investigation of ... claims Asset Protection Security Possesses knowledge of Asset protection...duty, and voting. Other benefits include short-term and long-term disability , company discounts, Military Leave Pay, adoption and surrogacy… more
- CVS Health (Rantoul, IL)
- …including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. - Utilizes case management processes in compliance with regulatory… more
- CDM Smith (Springfield, IL)
- …applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates in and assists with the development of the final ... gender identity or gender expression), national origin, age, marital status, disability , veteran status, citizenship status, genetic information or any other… more
- HUB International (Chicago, IL)
- …of Pharmacy Benefit Managers (PBMs) to ensure contractual compliance, accurate claims processing, and proper financial management. This role involves in-depth data ... Audits: Plan, execute, and manage all aspects of PBM audits, including claims data analysis, financial reviews, and compliance checks against contract terms.… more
- Zurich NA (Springfield, IL)
- …investigates, evaluates, and concludes low exposure, low complexity, mechanical breakdown claims by following established protocols to ensure that claims ... handled in the most efficient, effective way while delivering a customer-centric claims service. Determines causes of failures and reviews specific contract language… more
- Kemper (Downers Grove, IL)
- …professional with the ability to investigate and adjust first-party and third-party automobile claims . We are offering the opportunity to work in a fast-paced and ... We are currently looking for Auto Liability Adjusters to investigate claims , determine liability, confirm coverage, establishes damages, and negotiate settlement of… more