- Reynolds & Reynolds (Warrenville, IL)
- …Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking a Claims Adjuster - Automotive for our growing team at our office in Naperville, ... of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS\u2019 system Training On… more
- Zurich NA (Springfield, IL)
- Inbound, Claims Call Center Representative 126049 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers ... and self-motivated Customer Care Professionals to join our dedicated Claims Call Center team in (enter month and date)....Amazing PTO + 401K Match + Career mobility + Medical , Vision & Dental Basic Qualifications: + High School… more
- NTT DATA North America (Decatur, IL)
- …Summary:** The Utilization Management Coordinator reports to the Director of Claims . This position is responsible for coordinating the appeal activities and ... process which includes initiating Case Management, requesting Pre-Certification, submitting Medical Reviews, and Independent Dispute Resolution. The successful candidate(s)… more
- Humana (Springfield, IL)
- …informaticists to define various clinical concepts and extract clinical information from medical , pharmacy, and lab claims for analytics and modeling purposes ... Healthcare or managed care working experience + Experience working with medical , pharmacy, lab claims + Experience working with big data and using PySpark, Spark… more
- Walgreens (Deerfield, IL)
- …**Job ID:** 1649653BR **Title:** Manager, Retail Injury & Liability Claims (Team Members & Customers) **Company Indicator:** Walgreens **Employment Type:** ... operational efficiency, employee experience, and/or risk mitigation + Knowledge of medical liability, incident reporting, and risk assessment + Experience with… more
- CVS Health (Buffalo Grove, IL)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure + Experience working with medical and/or pharmacy claims data + Experience in healthcare industry, including ... with a collaborative, close-knit reporting team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- CVS Health (Springfield, IL)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- Deloitte (Chicago, IL)
- …and business terms) with PBMS + Experience performing analytical analysis of medical & pharmacy claims , including understanding financial impact of network ... emerging trends and cost drivers + Work directly with medical and PBM vendors to analyze the program offering...in rate negotiation, and analyzing financial terms for both medical and pharmacy + Prepare financial projections and rate… more
- Command Investigations (Chicago, IL)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or ... include Microsoft Word and Microsoft Outlook (email) Full-Time benefits Include: + Medical , dental and vision insurance + 401K + Extensive performance bonus program… more
- Guidehouse (Chicago, IL)
- …insights that address client business problems, which include but are not limited to medical and pharmacy claims (open and closed), formulary and managed care ... Ability to work with large data sets such as claims data. + Excellent attention to detail and ability...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more