- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Evolent (Springfield, IL)
- …fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate ... raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,...Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are… more
- Zurich NA (Chicago, IL)
- …and Adobe + Experience working with Lexis or Westlaw + Knowledge of the insurance industry, claims and the insurance defense litigation legal environment ... challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing… more
- Walmart (Evergreen Park, IL)
- …prescription fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible images; alerting patients to ... the pharmacist in the prescription fulfillment process; processing third party insurance claims and/or rejections; assisting patients/members with prescription… more
- Humana (Springfield, IL)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Transdev (Lombard, IL)
- …range $63,000-$84,000 annually. Responsibilities: + Primary support for key internal topic of insurance and insured claims estimates + Work with actuary and risk ... claims + Create and maintain pricing model related to insured claims and insurance premiums + Works with assigned organizational unit(s) to develop annual… more
- Sedgwick (Springfield, IL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) Director National Technical Compliance - Casualty **PRIMARY PURPOSE** : To ... requirements + Ability to research technical issues + In-depth technical knowledge of claims management, managed care or call center operations + Excellent oral and… more
- CVS Health (Springfield, IL)
- …Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation ... a litigation adjuster with a large self-insured company or insurance carrier. - Ability to travel and participate in...and ability to handle a full docket of litigated claims . - Strong written and verbal communication skills, ability… more
- R1 RCM (Chicago, IL)
- …Follow Up) is required + Demonstrated extensive knowledge in the health insurance industry (Commercial Insurances, Medicare, Medicaid); health claims billing ... and obtain appropriate information in pursuit of resolving unpaid claims . To thrive in this role, you must be...both verbally and in writing with staff, patients, and insurance plan administrators + Demonstrated ability to work successfully… more
- Sedgwick (Springfield, IL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Assistant Vice President **PRIMARY PURPOSE** : To provide strategic recommendations ... locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more