• Encounter Data Management Professional

    Humana (Springfield, IL)
    …to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing ... and researching medical claims + Proficient in Microsoft Office (Word, Excel, Access, PowerPoint) + Working knowledge of SQL + Familiarity with EDI X12 formats… more
    Humana (08/16/25)
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  • Associate Actuary - Medicaid Trend

    Humana (Springfield, IL)
    …or FSA designation, MAAA + 2+ years of actuarial experience in health insurance and/or medical claims analytics + Proficiency in data analysis and one or more ... Qualifications** + Strong communication skills + Strong working knowledge of healthcare claims as it relates to trend analytics, total cost of care management,… more
    Humana (07/25/25)
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  • Sr. Director, RWD Analytics and Innovation…

    Norstella (Springfield, IL)
    …will be pivotal in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health ... goals. + Drive the integration of diverse data sources, including lab, EMR, claims , and SDoH data, to create comprehensive and actionable datasets + Identify and… more
    Norstella (07/09/25)
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  • Senior Claims Representative - REMOTE

    Ryder System (Springfield, IL)
    …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Claims Representative handles complex and mid-to-high exposure bodily ... injury and property damage claims under Ryder's self-administered liability program. This position investigates...all relevant laws and regulations as well as related medical and legal terminology + Requires strong claim technical… more
    Ryder System (08/14/25)
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  • Specialist Claims

    The Hartford (Naperville, IL)
    …regulatory and ethics requirements + Accurately and timely assess the indemnity, medical and expense exposure of assigned Specialized claims and manage ... Specialist Claims - CH07DE We're determined to make a...and Settlement Strategies, Efficient, Timely and Accurate Investigations and Medical Management are responsibilities of this position. The position… more
    The Hartford (08/08/25)
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  • Claims Examiner - Workers Compensation…

    Sedgwick (Naperville, IL)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Naperville, IL - Hybrid **ARE YOU AN ... promotional growth opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. **PRIMARY PURPOSE** : To analyze… more
    Sedgwick (07/31/25)
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  • Claims Research and Resolution Professional…

    Humana (Springfield, IL)
    …first** Humana Fully Integrated Dually Eligible (HMO D-SNP) in IL, is seeking a Claims Research & Resolution Professional 2 claims educator, who will be ... responsible for carrying out Humana's proactive approach to minimize claims denials through claims education and training. The Claim Research and Resolution… more
    Humana (08/15/25)
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  • General Liability Claims Examiner…

    Sedgwick (Springfield, IL)
    …Fortune Best Workplaces in Financial Services & Insurance General Liability Claims Examiner | Dedicated Client | Remote **_Dedicated Client: Property Ownership ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. _As required… more
    Sedgwick (08/14/25)
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  • Workers' Compensation Claims Specialist

    Transdev (Lombard, IL)
    …or watch an overview video athttps://youtu.be/ilO5cv0G4mQ About the Role: The Claims Specialist will assist the Director of Workers Compensation in overseeing ... the managing the operational excellence of the Workers' Compensation Program. The Claims Specialist will play a critical role in ensuring quality claim file… more
    Transdev (08/08/25)
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  • Bodily Injury | Claims Examiner

    Sedgwick (Naperville, IL)
    …Fortune Best Workplaces in Financial Services & Insurance Bodily Injury | Claims Examiner **PRIMARY PURPOSE** : To analyze complex or technically difficult general ... liability claims to determine benefits due; to work with high...deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application… more
    Sedgwick (07/22/25)
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