- Health Care Service Corporation (Chicago, IL)
- …with the management of corporate insurance policies and renewals, claims reporting, captive reporting, maintaining insurance policy databases and electronic ... or Finance, preferred). + 2+ years of experience in Risk Management, Claims Adjusting, Brokerage or Underwriting. + Ability to work independently and interact… more
- Sedgwick (Springfield, IL)
- …General Adjuster - Midwest Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …evaluate insurance claims to determine the extent of the insurer's liability , adhering to policy provisions and state and federal regulations. + Authenticate ... SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and maximum payer reimbursement. They prioritize… more
- Sedgwick (Chicago, IL)
- …General Adjuster - Midwest Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address most ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Philadelphia Insurance Companies (Naperville, IL)
- …Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in ... of new and existing insurance product development projects for Property, General Liability , Auto, Inland Marine, Crime, Farm, Business owners and Professional … more
- DATAMAXIS (Springfield, IL)
- …to make determinations relating to complex processes involving claims processing/adjudication, recipient/provider eligibility, and third-party liability . ... claims processing, Medicaid program eligibility, provider enrollment, third-party liability . * Understanding of fee-for-service, managed care claim/encounter adjudication… more
- Sumitomo Pharma (Springfield, IL)
- …and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling + ... of advisory comments and any other interactions regarding use of promotional claims for assigned products, including pre-clearance of launch materials. + Direct and… more
- AIG (Chicago, IL)
- …technical direction to management, less senior specialists, producers, and claims adjusting personnel. + Responsible for underwriting the Workers' Compensation, ... General Liability and Auto Liability primary Casualty product lines. + Accepts, declines, or modifies new and renewal submissions submitted by brokers.… more
- Sedgwick (Springfield, IL)
- …Executive General Adjuster - Midwest Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... and inspects property damage to determine extent of company's liability and varying methods of investigation according to type...Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss… more
- Rush University Medical Center (Chicago, IL)
- …managing the billing and reimbursement process for professional and hospital claims related to workplace injuries, motor vehicle accidents and third-party ... timely medical bills to worker's compensation, motor vehicle accidents and third-party liability carriers and attorneys representing the patients. + Following up on… more
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