- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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