- Humana (Springfield, IL)
- …2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives, ... 2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives,… more
- Sedgwick (Chicago, IL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Assistant Vice President Client Services - Chicago, IL Area Are you looking for ... Account Executive on national accounts experience and five (5) years of claims /supervisory experience. _As required by law, Sedgwick provides a reasonable range of… more
- The Hartford (Chicago, IL)
- …that we will lead the insurance industry in AI. The AI Accelerator - Claims & Operations is at the heart of that commitment, serving as the company's innovation ... make a difference and are proud to be an insurance company that goes well beyond coverages and policies....is developing agentic AI workflows to automate and transform claims processing, while also advancing other strategic AI projects… more
- Humana (Springfield, IL)
- …and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are ... Office, ER, Telehealth, Home Health, and minor procedures + Experience with the Claims Life Cycle + Experience with coding/auditing Professional Inpatient Claims … more
- Rush University Medical Center (Chicago, IL)
- …overseeing the administrative functions of Rush Legal, Office of Risk and Claims management and ensuring coordination of other administrative tasks across all ... employment, risk management (clinical, legal and enterprise risk) and insurance functions . This individual exemplifies the RUSH mission,...needed. + Assists with any and all reporting of claims via the loss run. + Responds to … more
- Highmark Health (Springfield, IL)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... agencies. These studies and projects may involve all aspects of the health insurance business and care management processes and may be confidential in nature or… more
- Sedgwick (Springfield, IL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance VP Client Services | Carrier, Captive, MGA | Remote We are seeking candidates ... Account Executive experience on national accounts and five (5) years claims /supervisory experience. **Skills & Knowledge** + In-depth understanding of workers… more
- Sedgwick (Springfield, IL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director As a Business Development Director at Sedgwick, you'll ... required to include five (5) years of relationship building in the claims management or risk management area. Worker's compensation experience highly desired,… more
- Owens & Minor (Downers Grove, IL)
- …teammates. Owens & Minor teammate benefits include: + Medical, dental, and vision insurance , available on first working day + 401(k), eligibility after one year of ... written instructions. + Answers questions from customers, clerical staff, and insurance companies. + Identifies and resolves patient billing complaints. + Handles… more
- Sedgwick (Springfield, IL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Vice President Business Development As a Vice President Business Development at ... designation required. Experience: Ten (10) years of relationship building in the claims management or risk management area or equivalent combination of education and… more