- Travelers Insurance Company (Downers Grove, IL)
- …time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical ... in the current position. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical...issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical… more
- Sedgwick (Springfield, IL)
- …! If you are an agile auto claims examiner with 5+ years of experience handling first party and third- party liability claims , we want to talk to you! ... FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly… more
- Sedgwick (Springfield, IL)
- …assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total ... FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower-level injury claims ; assesses damage, makes payments, and ensures claim files are… more
- Carle Health (Champaign, IL)
- …system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance (TM) . We offer ... of the Epic modules and applications related to Revenue Cycle, the Claims Manager System, and other systems, interfaces, and processes related to billing.… more
- Highmark Health (Springfield, IL)
- …requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and ... ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's… more
- USAA (Chicago, IL)
- …teams across multiple locations and functions within SIU. + First and Third- Party auto and property claims investigations. + SIU or Fraud Investigation ... Property & Casualty** , you will be responsible for operational management of Claims fraud investigative teams. Directs field and desk staff in the investigation of… more
- Carle Health (Urbana, IL)
- …and improve revenue cycle activities for prior authorizations, documentation, billing and claims . Understands regulatory and third party payer guidelines for ... system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance (TM) . We offer… more
- Norstella (Springfield, IL)
- Sr. Medical Analyst, RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Humana (Springfield, IL)
- …and quality related topics. + Educate on processes including claims submissions, recoupments, reconsiderations, authorizations, referrals, medical record ... **Become a part of our caring community and help us put health first ** Humana Gold Plus Integrated is seeking Provider Engagement Professionals (LTSS) who are… more
- Walmart (Elgin, IL)
- …the prescription fulfillment process when necessary by processing information for third- party insurance claims ; rescanning illegible images; alerting patients to ... assisting the pharmacist in the prescription fulfillment process; processing third party insurance claims and/or rejections; assisting patients/members with… more