- 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..., which includes but is not limited to policy review , interviewing all parties associated with the loss and… more
- Cognizant (Springfield, IL)
- …1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able ... claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate… more
- Guardian Life (Springfield, IL)
- …Communicate claim status and decisions via telephone and in writing + Prioritize and review new claims to adhere to established departmental turnaround times + ... As the ** Claims Case Manager I** , **Supplemental Insurance,** you...investigation and draft adverse determination letter if applicable + Review claim documentation to determine benefits available against policy… 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
- Reynolds & Reynolds (Warrenville, IL)
- …explain the different levels of contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into ... an affiliate of Reynolds and Reynolds, is seeking a Claims Adjuster - Automotive for our growing team at...family. We offer a comprehensive benefits package including: - Medical , dental, vision, life insurance, and a health savings… more
- NTT DATA North America (Decatur, IL)
- …for medical necessity including pre-determinations and retrospective reviews. + Review submissions by the Claims Department to determine appropriateness of ... Summary:** The Utilization Management Coordinator reports to the Director of Claims . This position is responsible for coordinating the appeal activities and… more
- Walgreens (Deerfield, IL)
- …geographic location, and other factors permitted by law. To review benefits, please visit jobs.walgreens.com/benefits More Company information is available ... **Job ID:** 1649653BR **Title:** Manager, Retail Injury & Liability Claims (Team Members & Customers) **Company Indicator:** Walgreens **Employment Type:**… more
- Humana (Springfield, IL)
- …help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the… more
- CVS Health (Springfield, IL)
- …The ideal candidate will be able to work independently and with others to review claims tied to different overpayment projects in the Overpayment Tracking ... day. **Position Summary** This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and validate … more
- Canon USA & Affiliates (Springfield, IL)
- …of the business unit. + Support regulatory activities by managing image quality review with external medical experts, providing clinical expertise, and reviewing ... **Mgr Medical Affairs - Clinical Development Sr - HIT...and external experts. Support marketing in developing collaterals and review of collaterals for clinical accuracy and adherence to… more