- Elevance Health (Chicago, IL)
- …by law._ **Carelon Payment Integrity** is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- CVS Health (Springfield, IL)
- …and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is a full time role and is ideal ... investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate...of data interpretation and analysis experience, preferable in the health insurance or Medicaid program. + Ability… more
- Snapsheet (Chicago, IL)
- …Job Type: Full-time Department: Technology About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative ... claims management technology, transforming the end-to-end claims ...to your HSA when you enroll in our high-deductible health plan. + Offer two dental plans and one… more
- Sedgwick (Springfield, IL)
- …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Associate/Trainee Adjuster, Marine Adjusting **PRIMARY PURPOSE** **:** Completes non-complex… more
- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...assess the financial risks and implications of healthcare programs, insurance products, and benefit plan designs. + Completes financial… more
- Sedgwick (Springfield, IL)
- …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Marine Team Lead **PRIMARY PURPOSE** **:** To supervise...activities of the adjuster department; to assign caseload of claims to adjusters and to ensure customer satisfaction of… more
- Sedgwick (Springfield, IL)
- …and relatively complex National Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine ... insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant(s) and witnesses… more
- The Hartford (Chicago, IL)
- …- GD06AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... This role will focus on the Homeowners line of business within the Personal Insurance Loss and Demand Modeling team. We support our product and pricing partners… more
- Highmark Health (Springfield, IL)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent… more
- BrightSpring Health Services (Danville, IL)
- …Company Culture + Competitive Pay + Employee Benefits; including Medical, Dental and Vision insurance + 401K + Daily Pay Option Available + Job Training + Career ... personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce… more