- Sedgwick (Chicago, IL)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining… more
- Nestle (Chicago, IL)
- …compliance as pertains to ingredient and product composition, labeling, product claims , and associated communications. This position is expected to master the ... is responsible, with may include dietary supplements, conventional foods, and medical foods. This position is expected to display Nestle leadership attributes… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for Global ... Medical Affairs across all therapeutic areas and brands. This...+ Collaborate with Compliance and Legal to maintain robust review processes and documentation. + **Leadership & Innovation:** +… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …teams including providing oversight of integrated brand strategy and plans + Represents Global Medical Affairs on Copy Review governance committee + Is a core ... **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Axis (Chicago, IL)
- …in the field of claims management. + Have the ability to critically review and update claims procedures to maintain regulatory compliance. + Be capable of ... process. **About the Team** AXIS is hiring a Senior Claims Specialist - Cyber, Media, and Crime Claims...for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and… more
- Walgreens (Deerfield, IL)
- …School Diploma/GED and at least 1 year of experience in retail pharmacy, medical claims processing, and/or third party reimbursement. + Required certification in ... and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims including order of claims processing for government payers.… more
- AON (Chicago, IL)
- …it relates to employment litigation including: restrictive covenant and breach of contract claims , discrimination and retaliation claims , and wage and hour ... compliance with restrictive covenants. + Manage and respond to employment-related claims and demand letters. + Draft employment, separation, and compensation… more
- AON (IL)
- …is responsible for maintaining and enhancing the DXC SICS (Swiss Insurance Claims System) application to support business processes in reinsurance and insurance ... claims management. The role involves configuring the application, troubleshooting...of users to use SICS reinsurance software system. + Review , analyse and resolve SICS system related issues. +… more
- AbbVie (North Chicago, IL)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Director of Medical Affairs & Health Technology Assessment (MA&HTA) Statistics will be responsible… more
- Elevance Health (Chicago, IL)
- …+ Serves as a resource and consultant to other areas of the company; particularly the Medical Review and Appeals areas + May be required to represent the company ... fee for service and assisting nurses as needed with review of claims . Works with other Medicare...claims . Works with other Medicare Administrative Contractor (MAC) Medical Directors for developing collaborative policies. May participate in… more