- NTT DATA North America (Decatur, IL)
- …Summary:** The Utilization Management Coordinator reports to the Director of Claims . This position is responsible for coordinating the appeal activities and ... including pre-determinations and retrospective reviews. + Review submissions by the Claims Department to determine appropriateness of services through established UM… more
- Zurich NA (Schaumburg, IL)
- Bachelor Apprenticeship Program - TPA Claims - Schaumburg, IL (January 2026) 125128 Have you completed two or more years of college and are looking to finish your ... North America is offering Complete-a-Bachelor's Apprenticeship opportunities in TPA Claims . Apprentices who successfully complete this two-year program will: +… more
- Nestle (Chicago, IL)
- …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the customer ... race, color, religion, sex, sexual orientation, gender identity, national origin, disability , or veteran status or any other characteristic protected by applicable… more
- Trustmark (Lake Forest, IL)
- …our people and our business. We are an equal opportunity employer, including disability and protected veteran status. Join a passionate and purpose-driven team of ... colleagues who contribute to Trustmark's mission of helping people increase wellbeing through better health and greater financial security. At Trustmark, you'll work collaboratively to transform lives and help people, communities and businesses thrive.… more
- Sedgwick (Moline, IL)
- …+ Maintains a working knowledge of all aspects of property, casualty, and disability TPA services including claims , managed care, and ancillary services such ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Claims Risk Management Professional is responsible for ensuring payment quality of claims ... with TRICARE policy requirements. This role involves reviewing pre-payment, high dollar claims to assess payment accuracy and identify potential claim payment risks.… more
- Zurich NA (Schaumburg, IL)
- Sr. Pollution Claim Specialist 125621 Zurich is currently seeking a Sr. Claims Professional to join our Latent & Environmental team in Schaumburg, IL. This is an ... opportunity to apply your commercial claims subject matter expertise regarding large exposures, complex coverages, and litigated matters. If you are ready for a… more
- Intermountain Health (Springfield, IL)
- **Job Description:** Claims Solution Coders utilize their professional coding expertise and knowledge of the professional revenue cycle to perform coding ... abstraction, reviews, and final validation of complex professional claims . They resolve issues requiring coding expertise, mentor Claims Solution Specialists,… more
- AIG (Chicago, IL)
- …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 ... Grow your career at the forefront of Casualty insurance. In Complex Casualty Claims , we strive to live AIG's corporate values: Take Ownership, Set the Standard,… more
- CVS Health (Springfield, IL)
- …**Position Summary** This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and validate claims ... candidate will be able to work independently and with others to review claims tied to different overpayment projects in the Overpayment Tracking System, revalidate… more