- The Hartford (Naperville, IL)
- …and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and ... execute file strategies including investigation, valuation, disposition and settlement of assigned claims , in a manner consistent with corporate claim settlement… more
- Axis (Chicago, IL)
- …taking part in the selection process. **Job Description** AXIS is seeking a **Senior Claims Specialist** to join our North America Claims team reporting to the ... Head of Property Program Claims . This position requires senior claims management...Third-Party Administrators to ensure reserve adequacy. + Handling oversight claim files involving complex and severe loss as defined… more
- Axis (Chicago, IL)
- …part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Environmental Claims_** to join our North America Claims . ... The candidate should possess the ability to handle primary & excess claims arising from policies issued to AXIS Environmental insureds. This role will be responsible… more
- CVS Health (Springfield, IL)
- …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Sedgwick (Springfield, IL)
- …Coverage Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- The Hartford (Naperville, IL)
- …Unit will manage the investigation, litigation, disposition, and settlement of specialized claims , in compliance with corporate claim standards and procedures, ... and execution of the investigation, litigation, disposition, and settlement of specialized claims , in compliance with corporate claim standards and procedures,… more
- ICW Group (Lisle, IL)
- …in-house counsel for litigation strategy and nurse case managers for medical management. **ESSENTIAL DUTIES AND RESPONSIBILITIES** **Strategic Claims ... implements strategic plans to accelerate closure of high-cost, long-duration claims . + Collaborates with legal, medical , and...catastrophic cases from early intervention to mitigate exposure to claims closure. + Provides guidance on claim … more
- Cognizant (Springfield, IL)
- …High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it with the… more
- Sedgwick (Springfield, IL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
- Transdev (Lombard, IL)
- …with little guidance and direction. + Demonstrated knowledge and experience in claim adjudication, medical management, and litigation management. + Ability to ... or watch an overview video athttps://youtu.be/ilO5cv0G4mQ About the Role: The Claims Specialist will assist the Director of Workers Compensation in overseeing… more