- Humana (Springfield, IL)
- …and LTSS) roles and responsibilities include: + Serve as primary relationship manager with assigned providers to ensure positive provider experience with Humana's ... including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals). + Work with internal… more
- Zurich NA (Chicago, IL)
- …have the flexibility to work on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports you, our customers, and our brokers ... be filled at either a Senior or AVP Underwriter level. The hiring manager will determine the appropriate level based upon the selected applicant's experience and… more
- Zurich NA (Chicago, IL)
- …have the flexibility to work on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports you, our customers, and our brokers ... at either an Excess Casualty Underwriter Level II or III. The hiring manager will determine the appropriate level based upon the selected applicant's experience and… more
- Elevance Health (Chicago, IL)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… 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
- Zurich NA (Chicago, IL)
- …have the flexibility to work on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports you, our customers, and our brokers ... either the Senior Underwriter OR AVP level. The hiring manager will determine the appropriate level based upon the...and 10 or more years of experience in the Claims , Underwriting support areaOR + Zurich Certified Insurance Apprentice… more
- Zurich NA (Schaumburg, IL)
- …talent at any Zurich office location. We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent. This role will be filled at either the ... or Sr. Construction Property Underwriter (Leve III). The hiring manager will determine the appropriate level based upon the...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… 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
- Prime Therapeutics (Springfield, IL)
- …Functional Business Consultant The Functional Business Consultant serves as a project manager **,** business system or business process subject matter expert with a ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to… more
- Elevance Health (Chicago, IL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more