- Sedgwick (Naperville, 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
- IQVIA (Chicago, IL)
- **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our...claims from HCPs or patients and vetting the claim against program specific business rules to determine if… more
- Sedgwick (Naperville, IL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Robert Half Accountemps (Chicago, IL)
- Description We are looking for an experienced and meticulous Claims Adjuster to assist with our client with handling New York based Workers Compensation Claims . ... NY Adjusters License and have experience working workers compensation specific claims . Responsibilities include: + Conduct in-depth investigations and evaluations of… more
- Cognizant (Springfield, IL)
- …and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and ... hospital claims utilizing payer specific policies and procedures. Provide support...stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA… more
- CVS Health (Springfield, IL)
- …to manage job responsibilities. **Required Qualifications** + 2+ years of experience with medical claim processing. + 2+ years of experience in a production ... and/or RX claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. This person will also… more
- Cognizant (Springfield, IL)
- …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims ... be responsible for timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to … more
- Sedgwick (Springfield, IL)
- …suggested by the claim status; and provides written resumes on specific claims as requested by client. + Maintains frequent diaries on complex or high exposure ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, General Liability **PRIMARY PURPOSE** : To...PURPOSE** : To supervise a team of General Liability Claim Specialists and administrative or technical staff for a… more
- Philadelphia Insurance Companies (Naperville, IL)
- …engaging training to Claim Division staff on best practices, good faith claims handling, and relevant developments in the law to promote effective and compliant ... 50 and rated A++ by AM Best. Position Overview Claim Counsel will provide legal counsel and strategic guidance...and strategic guidance regarding commercial property and casualty insurance claims . Reporting to VP of Claims &… more
- Sedgwick (Naperville, IL)
- …properly documented, and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim ...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more