- Sedgwick (Aurora, IL)
- …medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness ... but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account,… more
- Walgreens (Harvard, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... as assigned by the Pharmacy Manager. + Leads Pharmacy Department inventory management activities, such as, ordering, unpacking, checking and storing shipment of… more
- CVS Health (Springfield, IL)
- …work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including health insurance, PBM or… more
- CVS Health (Springfield, IL)
- …complaints and appeals received by the organization. This includes denied claims , coverage issues, medical necessity, service quality, or other concerns expressed ... Excel, PowerPoint, Outlook). **Preferred Qualifications** + Prior experience working with claims . + Prior experience in health insurance. + Prior experience in… more
- Walgreens (Evanston, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... the Pharmacy Manager. + Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of… more
- Evolent (Springfield, IL)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorization data… more
- Sedgwick (Springfield, IL)
- …not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the ... but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account,… more
- The Hartford (Chicago, IL)
- …work in close partnership with our Underwriting Divisions as well as Finance, Claims , and IT departments. Responsibilities As a key member of the Global Specialty ... reserving and pricing. Reserving + Complete semi-annual reserve studies and advise management on reserve decisions. + Develop and maintain monitoring tools such as… more
- Sedgwick (Springfield, IL)
- …but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, ... not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the… more
- Philadelphia Insurance Companies (Naperville, IL)
- …Works with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the end-to-end product ... understanding of P&C insurance products, underwriting principles and market trends Management experience required. Knowledge of ISO forms, rates and rules, including… more