- Humana (Springfield, IL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Springfield, IL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more
- Humana (Springfield, IL)
- …time frame. + CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** **This is a remote role and ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- GuideOne Insurance (Chicago, IL)
- As a Commercial Casualty Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...and AD&D, long-term disability and short-term disability insurance + Medical , dental and vision plans to meet your unique… more
- Cognizant (Springfield, IL)
- …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered… more
- MetLife (Aurora, IL)
- Long Term Disability Claims Specialist II Job Location: Virtual but must be commutable to the following office locations: * Aurora, IL * Bloomfield, CT * Cary, NC * ... Effectively manages with minimal oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS… more
- Guardian Life (Springfield, IL)
- As the ** Claims Case Manager I** , **Supplemental Insurance,** you will be responsible for Accident and Hospital Indemnity claim decision making according to the ... telephone for information needed on initial and ongoing claim management ( medical information, accident details, hospital services) + Communicate claim status and… more
- MetLife (Aurora, IL)
- Long Term Disability Claims Specialist I Job Location: Virtual but must be commutable to the following office locations: * Aurora, IL * Bloomfield, CT * Cary, NC * ... meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and… more
- Philadelphia Insurance Companies (Naperville, IL)
- …Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist - Commercial Property to join our team! SUMMARY: Investigate, evaluate and settle more ... complex first and third party commercial property insurance claims . JOB RESPONSIBILITIES: Evaluates each claim in light of facts; Affirm or deny coverage;… more
- Robert Half Legal (Chicago, IL)
- …with an insurance company located in downtown Chicago who is seeking to hire a Claims Attorney with at least 2-4+ years of experience to join their in-house team. ... company handles complex environmental, asbestos, and other latent type insurance claims . In this position, you will be responsible for coordinating activities… more