- Norstella (Springfield, IL)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …transfer, validation support, process monitoring, troubleshooting, and lifecycle management activities conducted by external partners. + **Key Responsibilities:** ... sex, gender identity or gender expression, sexual orientation, age, disability , religion, national origin, veteran status, marital status, or...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …transfer, validation support, process monitoring, troubleshooting, and lifecycle management activities conducted by external partners. **Key Responsibilities:** + ... sex, gender identity or gender expression, sexual orientation, age, disability , religion, national origin, veteran status, marital status, or...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Scot Forge Company (Spring Grove, IL)
- …ESOP working knowledge + Review, examine, investigate, and analyze worker's compensation claims , inform management , third party claims handlers, and ... with all departments to best service them in handling of worker's compensation claims and other related matters. This role will develop, maintain, and grow the… more
- The Hartford (Chicago, IL)
- …contributor role is responsible for the end-to-end reliability, performance, and lifecycle management of critical applications within our Claims and Operations ... practices using tools like Terraform or CloudFormation. Incident & Problem Management + Lead triage and resolution of high-severity incidents, minimizing business… 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
- Trinity Health (Westchester, IL)
- …collaboration with other hospital departments such as Patient Access, Coding, Case Management , and Managed Care to gather necessary information and ensure claims ... claim rejections and denials, make corrections, and take appropriate actions or refer claims to the necessary team for resolution. + Evaluate accounts and resubmit … 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 ... and 12 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Kemper (Chicago, IL)
- …evaluation, coverage determination, negotiation, and settlement of non-complex property contents claims . Ensures claims are handled within best practices and ... Subrogation and outside vendors as required. **Position Responsibilities:** + Property claims handling including initial coverage review and contact of all parties… more
- CVS Health (Springfield, IL)
- …Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will act as ... customer service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication authority or… more