- GE Aerospace (Loves Park, IL)
- …+ Minimum three years (3) of experience in reinsurance, auditing and/or adjudicating insurance claims . + Ability to query and analyze data to identify ... and limitations + Strong preference for long term care insurance claim experience + Working knowledge of...related to long term care, disability, life and/or health insurance claims + Note: Position can be… more
- Philadelphia Insurance Companies (Chicago, IL)
- …District of Columbia, and write all major lines of Commercial Property and Casualty Insurance . We provide unique insurance and risk management tools from our ... underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim...professionals. We work with major brokers and leading independent insurance agents throughout the United States to serve the… more
- Auffenberg Dealer Group (Shiloh, IL)
- …policy proceeds after a claim is filed and approved * Communicate with Insurance Adjusters about the life cycle of each claim * Explain the differences ... Are you excited to help customers meet their insurance needs? Do you take pleasure in walking...through their policy options and helping them settle their claims as quickly and efficiently as possible? If so,… more
- Highmark Health (Springfield, IL)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... claim rejection and the proper action to complete the...effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of… more
- Sedgwick (Springfield, IL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Marine Team Lead **PRIMARY PURPOSE** **:** To supervise the activities of the ... adjuster department; to assign caseload of claims to adjusters and to ensure customer...Develops standards, programs, processes, and initiatives to assure quality claim files and results. + Resolves complaints and problems… more
- Sedgwick (Chicago, IL)
- …under ADA, state, and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims or makes a recommendation ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Coordinator **Our teams connect! We collaborate onsite and have… more
- Sedgwick (Chicago, IL)
- …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative **Our teams connect! We collaborate in office.** **All… more
- Carle Health (Urbana, IL)
- …to date working knowledge of latest healthcare trends in authorization, insurance verification and benefits, reimbursement, claims denials, and hospital/clinical ... Overview Manages the daily activities of Patient Access Medical Insurance and Prior Authorization departments to ensure high quality customer service and improve… more
- Highmark Health (Springfield, IL)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES** +… more
- Sedgwick (Springfield, IL)
- …smaller and non-complex National Accounts. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Adjuster Regional Marine **PRIMARY PURPOSE** **:** To handle losses or claims… more