- Humana (Springfield, IL)
- …in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep… more
- Aston Carter (Chicago, IL)
- … management . Essential Skills + 3-5 years of Illinois Workers' Compensation claims management experience. + Workers' Compensation Lost Time claim handling ... Handler at the plant. The position emphasizes excellent customer service, quality claims handling, and loss cost management . Responsibilities + Analyze and… more
- Axis (Chicago, IL)
- …+ Participating in professional associations to stay abreast of changes in claims management . + Communicating with senior executives, brokers, reinsurers, ... processing. + Show a commitment to continuous professional development in the field of claims management . + Have the ability to critically review and update … more
- AON (IL)
- … System) application to support business processes in reinsurance and insurance claims management . The role involves configuring the application, troubleshooting ... System) application to support business processes in reinsurance and insurance claims management . The role involves configuring the application, troubleshooting… more
- AIG (Chicago, IL)
- …claims adjusters to embody AIG's corporate values + Identify and escalate complex claims to senior management with significant coverage, loss, or other issues ... that transformation. You'll work with some of the best claims and underwriting minds in the industry addressing challenging...managers and underwriters. You will be supported by a management team that is deeply invested in achieving the… more
- AON (Chicago, IL)
- …all aspects of the employee life cycle, including hiring, performance management , compensation, accommodations, leave, consequence management , terminations, pay ... it relates to employment litigation including: restrictive covenant and breach of contract claims , discrimination and retaliation claims , and wage and hour … 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
- Amentum (Springfield, IL)
- …appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management , including litigation strategy and resolution in coordination ... sectors.** + Deep knowledge of insurance products, risk financing, claims management , and enterprise risk practices. +...origin, citizenship status, low-income status, or mental or physical disability so long as the essential functions of the… more
- Humana (Springfield, IL)
- …our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis to execute accurate, timely, and ... completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and procedures as well as… more
- Humana (Springfield, IL)
- …community and help us put health first** The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data … more