- Highmark Health (Springfield, IL)
- …resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This ... relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), Provider Data… 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
- Zurich NA (Springfield, IL)
- …of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 5 or more years of ... the Underwriting or Market Facing areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and...and 12 or more years of experience in the Claims or Underwriting Support area Preferred Qualifications: + Bachelors… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …creating event-driven architectures + AWS Certified Solution Architect - Associate or higher **Bonus Qualifications/Experience** + AWS Certified Solutions Architect ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Allied Universal (Champaign, IL)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services ... of an Insurance claim. **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers'… more
- Zurich NA (Schaumburg, IL)
- …currently seeking an intellectually curious Finance Analytics Specialist to join the Claims Finance team, located at our North American headquarters in Schaumburg, ... insights of claim operations and outcomes. + Maintaining and improving existing claims dashboards and automating reporting. + Creating claim staffing models and… more
- Humana (Springfield, IL)
- …achieving operational and compliance key performance indicators. In addition, the associate will participate in cross functional teams and support analyzing business ... an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and… more
- Evolent (Springfield, IL)
- …across the organization, training and development, provider relations, member services, claims management and our implementation team will also be available. **What ... - Required and Preferred** + RN Licenses (Active and Unrestricted) - Required + Associate 's degree or equivalent years of work experience.- Required + 1-2 years of… more
- Humana (Springfield, IL)
- …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Zurich NA (Chicago, IL)
- …and coordinating with the appropriate business partner for resolution (ie claims adjusters, underwriters). + For new and existing customers, assist underwriting ... regulatory requirements, reporting, risk engineering coordination, premium payment processes, claims flow issues, and money/currency movement. + Handle specific… more