- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data ... of the appropriate courses of action. The Encounter Data Management Professional develops business processes to ensure successful submission...Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience… more
- Ankura (Chicago, IL)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... Drug, and Cosmetics Act; FDA regulations; The Federal False Claims Act and Anti-Kickback statute; CMS and Veteran's Administration.... Delivering timely, exceptional work product . Strong time management and project management skills with a… more
- Sedgwick (Elgin, IL)
- …that meets both the internal and external customers' requirements accurately into the claims management system. + Contacts the customer by telephone, written ... Service Center Associate **PRIMARY PURPOSE** **:** To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as… more
- Humana (Springfield, IL)
- … submissions, recoupments, reconsiderations, authorizations, referrals, medical record management , Availity, Quality resources, and member resources. + Communicate ... (Physician and LTSS) who are responsible for day-to-day, front-line relationship management for network providers in Humana. This role supports provider onboarding,… more
- Snapsheet (Chicago, IL)
- … claims . We leverage our expertise in virtual estimating and innovative claims management technology, transforming the end-to-end claims process - ... to join one of two core teams at Snapsheet: Claims Management Team Our Claims ...healthy. + Peace of mind with company-paid Short Term Disability , Long Term Disability , and Life Insurance.… more
- The Hartford (Naperville, IL)
- …of key processes, continuous improvement initiatives, and changes in trends in Claims . The individual will perform diagnostic analytics to identify underlying causes ... for performance and trend change. The individual will partner with teammates in Claims Strategy and Optimization, Claims Performance Analytics, Claims Data… more
- Snapsheet (Chicago, IL)
- … claims . We leverage our expertise in virtual estimating and innovative claims management technology, transforming the end-to-end claims process - ... of a small but dynamic team focused on implementing complex enterprise claims solutions in a fast-paced, results-oriented environment. In addition to client… more
- Snapsheet (Chicago, IL)
- … claims . We leverage our expertise in virtual estimating and innovative claims management technology, transforming the end-to-end claims process - ... PTO policy, casual dress code, and more! + Development - 1-on-1 management , promote when ready culture, quarterly internal promotion opportunities, and goal setting… more
- Zurich NA (Schaumburg, IL)
- Document Management System (DMS) Subject Matter Expert (SME) - IBM FileNet 122364 Zurich North America is looking for a Document Management System (DMS) Subject ... areaAND + 7 or more years of software product management or product development experience. + 5 or more...JIRA or similar tooling + P&C - Commercial Insurance, Claims , or Underwriting system experience desired + Strong verbal… more
- Sedgwick (Springfield, IL)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase ... with a wide range of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team of professionals who are dedicated… more