- Cognizant (Springfield, IL)
- …you will make an impact by managing and resolving physician claim denials through advanced problem-solving, including identifying root causes and implementing ... **In this role, you will perform:** + **Resolution of Claim Denials** : Perform advanced work related to resolving...**Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. + **Accounts Receivables** : AR follow up… more
- Sedgwick (Elgin, IL)
- …and/or the claims system regarding documentation required to process a claim , required time frames and claim status. + Communicates clearly and ... Service Center Associate **PRIMARY PURPOSE** **:** To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as… more
- CDM Smith (Chicago, IL)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- JBS USA (Beardstown, IL)
- …Health Services staff, the HR staff and the TPA to avoid errors and/or delays in claims submission/payment + Lead monthly claim reviews of all open cases with a ... focus on return to work and claim closure/resolution + Communicate loss experience and data analysis...+ Assist with continuous quality improvement of Workers' Compensation claims submission policies, procedures, processes and programs. + Consult… more
- Sedgwick (Springfield, IL)
- …Coordinator **PRIMARY PURPOSE** : To analyze low- and mid-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of ... claims within company standards and industry best practices. **ESSENTIAL...and files necessary documentation with state agency. + Communicates claim action/processing with appropriate parties including, but not limited… more
- AIG (Chicago, IL)
- …coverage, loss, or other issues + Support departmental initiatives focusing on improved claim processes, claims results and financial results + Lead training and ... play your part in that transformation. You'll work with some of the best claims and underwriting minds in the industry addressing challenging claims and… more
- Sedgwick (Springfield, IL)
- …Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to ... criteria; to provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through training and… more
- Elevance Health (Chicago, IL)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and… more
- Patten CAT (Addison, IL)
- …Warranty Admin. The primary function of this role is to manage the warranty claims process for assigned data center customer accounts for Altorfer's Inc. and Ind. ... team is required. Basic Duties + Coordinate and manage Altorfer's data center warranty claims process to help ensure we deliver world class service to our external… more
- Sedgwick (Moline, IL)
- …Adjuster- Remote Opportunity (NY License Required) **PRIMARY PURPOSE:** To investigate claims against insurance or other companies for personal, casualty, or ... including handling accounting-based losses (business interruption and stock) + Examines claim form and other records to determine insurance coverage. + Interviews,… more