- Prime Therapeutics (Springfield, IL)
- …Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the ... or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously working… more
- Cognizant (Springfield, IL)
- …satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify due process was followed. Determine if the appeal ... or Grievance is legitimate. A strong understanding of Claims , Appeals and Medical Benefits. Referring suspicious or complicated Claims to investigators.… more
- Robert Half Accountemps (Northfield, IL)
- …If you have experience in medical billing and are comfortable handling claims and collections, we encourage you to apply. Responsibilities: * Accurately post ... accounts to ensure all payments are properly allocated. * Process medical claims and ensure timely submission to insurance companies. * Investigate and resolve… 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 ... fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately… more
- R1 RCM (Chicago, IL)
- …answer relevant questions and obtain appropriate information in pursuit of resolving unpaid claims . To thrive in this role, you must be resourceful and have ... pertaining to the EOB + Works closely with third party payers to resolve unpaid claims in proving medical necessity of the patient's admission + Works with HIM and… more
- Cardinal Health (Springfield, IL)
- …data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software ... and paper claim processing + Following up on unpaid claims within standard billing cycle time frame + Calling...+ Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave… more
- Zurich NA (Chicago, IL)
- …challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing ... needs in mind, the ZNA hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating… 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 ... an Associate Degree and 12 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft Office OR Basic Qualifications,… 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. ... Duties + Coordinate and manage Altorfer's data center warranty claims process to help ensure we deliver world class...leading compensation and benefit package: + Health, Dental, Vision, Disability , and Life Insurance + 401(k) + Paid Holidays… 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