- AdventHealth (Glendale Heights, IL)
- …to prioritize multiple tasks and role components. + Registered Nurse (RN) Required + Accredited Case Manager (ACM) / Certified Case Manager (CCM) ... of the multi-disciplinary care team to effect timely, appropriate management of claims . + Utilizes advanced conflict resolution skills as necessary to ensure timely… 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...identity or gender expression), national origin, age, marital status, disability , veteran status, citizenship status, genetic information or any… more
- Sedgwick (Chicago, IL)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Sysco (Danville, IL)
- …workplace hazards. Escalating resistance/challenges to leadership and direct line manager to facilitate problem solving. **Duties and Responsibilities:** + Execute ... on injury trends, KPIs, and risk assessments. + Support the workers' compensation claims process by completing OSHA determinations, identifying gaps in claims … more
- Trinity Health (Westchester, IL)
- …requires collaboration with other hospital departments such as Patient Access, Coding, Case Management, and Managed Care to gather necessary information and ensure ... claims are processed efficiently. **Key Responsibilities:** + Proactively follow...protocols. + Perform other tasks as assigned by the Manager or Director. **Qualifications:** + Experience in collections, billing,… more
- Ankura (Chicago, IL)
- …leaders and team members as needed. However, a remote option may be available on a case -by- case basis. As a key member of our Life Sciences Practice, you will be ... in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act;...contributor to project delivery teams . Serve as project manager for client services, including large and complex engagements… more
- Zurich NA (Schaumburg, IL)
- …+ As a subject matter expert for IBM FileNet P8, including IBM Content Navigator Case Manager and Process Engine + Work with IT Leadership and stakeholders in ... Business and IT, as assigned. + Support the Portfolio Manager in building the Business Case , including...JIRA or similar tooling + P&C - Commercial Insurance, Claims , or Underwriting system experience desired + Strong verbal… more
- CDM Smith (Springfield, IL)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... in regular FEMA meetings by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether the claim is eligible. Assists… more
- Rising Medical Solutions (Chicago, IL)
- …Compensation, Medical Unit Claims Administrator, IME Coordinator, Medical Office Manager + Experience with workers' compensation or disability (a plus!) ... Facilitate and schedule appointments as needed, and keep the Telephonic Nurse Case Manager (TCM), clients, claimants, providers, and employers informed verbally… more
- Deloitte (Chicago, IL)
- …as general health and group benefits skills. Key Responsibilities + Lead project manager for specific projects or key workstream lead on larger projects. + Evaluate ... Pharmacy Benefit Manager (PBM) contracts, deal terms, and financial proposals. +...Manage RFP processes for medical, dental, pharmacy, life, and disability programs, including development, administration, proposal evaluation, vendor selection,… more