- CVS Health (Springfield, IL)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... processes, and responsibilities. **Required Qualifications** + 2+ years of health insurance work experience and/or Healthcare Insurance Quality Review +… more
- TORKLAW (Chicago, IL)
- …Damage Claim Resolution: Navigate the complexities of property damage claims , ensuring just and timely resolutions. + Lien Negotiation: Engage in strategic ... clients. In this role, you'll work closely with clients, insurance adjusters, medical providers, and our legal team to...+ 6 days of sick leave annually + Medical insurance + Optional Dental, Vision, Life + 401(k) with… more
- Robert Half Finance & Accounting (Elmhurst, IL)
- …and it comes with benefits, including medical, vision, dental, life, and disability insurance . To apply to this hybrid role please send your resume to ... functions as required. * Use communication and auditing skills to administer claims and produce clear reports. Requirements Job Requirements: * Proficiency in… more
- Sedgwick (Chicago, IL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Field Appraiser- Chicago, IL **PRIMARY PURPOSE** : To handle field appraisal ... assignments for our corporate fleets and insurance clients with an emphasis on Auto's. **ESSENTIAL FUNCTIONS...regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair… more
- Robert Half Office Team (Hoffman Estates, IL)
- …Details: Role: Member Service Associate (similar to CSR/Admin within financial services, insurance , banking, risk, or even healthcare billing/ claims -NOT a call ... Background: 2+ years detail oriented customer service experience; financial services, insurance , banking, healthcare claims /billing, or risk/compliance is a plus… more
- Cognizant (Springfield, IL)
- …teams. **In this role, you will:** . Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable. . Analyze denial trends and root ... and insights to management using advanced Excel skills. . Recommend updates to claim edits and work queues to improve efficiency and reduce payment delays. **What… more
- Cognizant (Springfield, IL)
- …Sales Cloud and Claim Vantage . Nice to have Skills : Claims vantage, SQL or Snowflake **Salary and Other Compensation:** Applications will be accepted until ... benefits for this position, subject to applicable eligibility requirements: + Medical/Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + 401(k) plan… more
- Elevance Health (Chicago, IL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... create predictive impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results post-implementation… more
- Walmart (Joliet, IL)
- …assigned area of work Creates action plans to address audit findings Validates claim records work with workers compensation case managers for investigation of ... claims Asset Protection Security Possesses knowledge of Asset protection...Financial benefits include 401(k), stock purchase and company-paid life insurance . Paid time off benefits include PTO (including sick… more
- Evolent (Springfield, IL)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key ... credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or management… more