- Sedgwick (Springfield, IL)
- … claims thoroughly using technical expertise and complex analysis. + Examines insurance policies, claims , and other records to determine insurance ... limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and… more
- Trinity Health (Westchester, IL)
- …time **Shift:** Day Shift **Description:** Loyola Medicine, a member of Trinity Health , is a nationally ranked academic, quaternary care system based in Chicago's ... accurate and timely follow-up on payments owed to Loyola University Health System (LUHS). This role involves proactive communication with patients, third-party… more
- Elevance Health (Chicago, IL)
- …Management & Cost of Care **Location:** May be located in any Elevance Health PulsePoint office preferably in Indianapolis, IN, Atlanta, GA, Mason, OH, Richmond, VA, ... for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable Elevance… more
- Highmark Health (Springfield, IL)
- …governmental agencies. These studies and projects may involve all aspects of the health insurance business and care management processes and may be confidential ... understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- Kemper (Chicago, IL)
- …to our stakeholders that delivers on our promises._ **Role:** Licensed Insurance Sales Agent (with sign-on bonus and uncapped commissions). **Employment Type** ... Role **Career and Opportunity** : Kemper is a diversified insurance holding company that has been in business for...Responding promptly to service requests such as beneficiary changes, claims , and loans + Record keeping, accounting for money… 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 ... **Company :** Highmark Health **Job Description :** The Graduate Intern -...responsibilities will involve the in-depth analysis of complex healthcare claims data utilizing advanced analytical techniques to detect anomalous… more
- Humana (Springfield, IL)
- …care or managed care experience working with providers (eg, provider relations, claims education). + Experience working with physical health providers, ... **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
- Health Care Service Corporation (Downers Grove, IL)
- …HMO license within required time frame per state regulations. * 2 years as a group health insurance account executive OR 6 years experience in group health ... customer service, claims -related, and/or sales and thorough knowledge of managed health care products (PPO, HMO) processes and trends OR Bachelor degree and 3… more
- Health Care Service Corporation (Chicago, IL)
- …(eg, agentic AI) is strongly preferred. * Previous experience working with insurance claims systems and/or healthcare experience * Experience with Iterative ... impact for our customers and members. At the largest customer-owned and not-for-profit health insurer and fourth largest health insurer overall in the United… more
- Health Care Service Corporation (Chicago, IL)
- …tools such as Zephyr** * Agile tool such as Jira/Rally * SQL * Health insurance or healthcare industry experience with emphasis on Product/Sales knowledge ... analysis, process improvement,** project management, business operations or relevant health care industry experience * 3 years of experience...+ . Provider Credentialing - sCRED application + . Claims Intake process + . Claims Adjudication… more