- Sedgwick (Naperville, IL)
- …combination of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In ... depth knowledge of claims management, managed care and/or absence management processes and...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Kemper (Chicago, IL)
- …planning and analysis role you will support Kemper Property & Casualty Claims business leaders, providing critical insights to enable them to make data-driven ... + Provide analysis of monthly financial performance, primarily focusing on claims -related expenses. Interpret financial data and key performance indicators to help… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... a minimum of 5 business days. **Company benefits:** Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Prime Therapeutics (Springfield, IL)
- …Thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Self learns new processes/software ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to… more
- Sedgwick (Moline, IL)
- …content inventories and assist in the research of personal property claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates residential and commercial ... + Reviews and processes replacement receipts. + Applies limitations and/or exclusions on claims based on coverage afforded by the policy. + Tracks time and logs… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …drug development programs, including: + Understanding pharmacology of drugs and unmet medical needs. + Formulating a rationale to develop the drug in accordance ... Developing and leading formal presentations of results to the medical community, in written, verbal, andvisual formats. + Analyzes...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Prime Therapeutics (Springfield, IL)
- …Description** The Initial Review Pharmacy Technician plays a key role in medical and pharmacy management initiatives critical to the company achieving revenue goals ... on both pre- and post-service requests. Coordinates with operations, clinical, medical , reporting and other internal departments as needed. **Responsibilities** +… more
- Sharecare (Springfield, IL)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... including but not limited to medical , dental, and vision plans + Provider search (PCP,...resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization… more
- Walgreens (Deerfield, IL)
- …customer and plan covers. + Facilitates the reimbursement windshields for PBM major medical claims . + Identifies and assesses individual customer or patient ... Responsible for verifying patient eligibility, coordinating benefits, running test claims , and determining patient coverage/responsibility for services. Handles inbound… more
- Sedgwick (Springfield, IL)
- …new business plan with goals and objectives for assigned locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff. ... combination of education and experience required to include five (5) years medical case management, two (2) years clinical experience, two (2) years providing… more