- Humana (Springfield, IL)
- …and quality related topics. + Educate on processes including claims submissions, recoupments, reconsiderations, authorizations, referrals, medical record ... including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals). + Work with internal… more
- WTW (Chicago, IL)
- …Knowledge of the life insurance industry. Working knowledge of insurance functions especially product development, pricing, claims , underwriting and ... Enterprise Senior Sales Executive to join our fast growing North American Insurance Consulting and Technology ("ICT") business. We are looking for a strategic… more
- GE Aerospace (Loves Park, IL)
- …+ Minimum three years (3) of experience in reinsurance, auditing and/or adjudicating insurance claims . + Ability to query and analyze data to identify ... and limitations + Strong preference for long term care insurance claim experience + Working knowledge of medical...related to long term care, disability, life and/or health insurance claims + Note: Position can be… 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 ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Snapsheet (Chicago, IL)
- …Job Type: Full-time Department: Technology About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative ... claims management technology, transforming the end-to-end claims ...wherever life takes you. + Choose from 2 robust medical plans through Blue Cross Blue Shield-plus, we contribute… more
- Sedgwick (Springfield, IL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Associate/Trainee Adjuster, Marine Adjusting **PRIMARY PURPOSE** **:** Completes non-complex ... projects related to claims operations including field, desk and estimating software activities;...with projects and participates in meetings. + Trains on insurance coverages and principles, which may include analysis of… more
- Capgemini (Chicago, IL)
- GW Insurance Now Technical Lead Choosing Capgemini means choosing a company where you will be empowered to shape your career in the way you'd like, where you'll be ... maintenance of cloudbased solutions on the Guidewire InsuranceNow platform for insurance companies Key duties include customizing the platform integrating it with… more
- Cardinal Health (Springfield, IL)
- …to Cardinal Health_** Account Receivable Specialist is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, ... and prioritizes getting the right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and… more
- Sedgwick (Springfield, IL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Marine Team Lead **PRIMARY PURPOSE** **:** To supervise the activities of the ... adjuster department; to assign caseload of claims to adjusters and to ensure customer...which have been escalated through the department. + Examines Insurance policies and other records to determine insurance… more
- Sedgwick (Springfield, IL)
- …and relatively complex National Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine ... insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant(s) and witnesses… more