- Invenergy (Chicago, IL)
- … notice intake, evaluation, and reporting, oversee claim handling, support claim investigations, complex claims and coverage determination and disputes, ... claims across all lines of coverage in internal claim management systems. + Oversee regular claim ...process. Invenergy offers a variety of other benefits including medical , dental and vision insurance, 401k, paid time off,… more
- USAA (Chicago, IL)
- …for settlement amounts outside of authority limits. + Maintains accurate and current claim file with critical documentation throughout the claims process for ... investigate, evaluate, negotiate and settle the highest complexity property insurance claims presented by or against our members. You will confirm/analyze coverage,… more
- Sedgwick (Chicago, IL)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- Travelers Insurance Company (Springfield, IL)
- …Openings** 1 **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader ... externally. + This position will oversee the following key areas: + Medical Claim Product Research, Strategy and Innovation: + Design and direct innovative,… more
- Sedgwick (Springfield, IL)
- …to support the claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical documentation received ... medical management of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and… more
- Sedgwick (Chicago, IL)
- …establish expectations for return-to-work timelines and accommodations.** **Manages complex disability claims with a focus on medical compliance, duration ... system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support… more
- Rush University Medical Center (Chicago, IL)
- …for all major payers via monthly payer scorecards reconciliation reports, payment denials, claims projects, claim events, and senior leadership payer meetings. * ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Patient Financial… more
- Sedgwick (Chicago, IL)
- …Representative Sr **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity ... feedback and focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action plans. Exemplifies… more
- GE Aerospace (Loves Park, IL)
- …eligibility requirements, and limitations + Strong preference for long term care insurance claim experience + Working knowledge of medical terminology and ... In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology.… more