- Humana (Springfield, IL)
- …coding certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, ... Qualifications** + BS in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims… more
- Elevance Health (Chicago, IL)
- …teams responsible for building, scaling, and maintaining platforms for: + Medical Cost Management ( claims review, payment integrity, utilization management, ... **Staff VP Engineering** - Medical Cost Management & Cost of Care **Location:**...for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable… more
- Sedgwick (Springfield, IL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - Liability | Remote **PRIMARY PURPOSE** : To analyze complex or ... technically difficult general liability claims to determine benefits due; to work with high...**Skills & Knowledge** + Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets… more
- Sedgwick (Chicago, IL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative **Our teams connect! We collaborate in office.** **All ... your 2+ years' experience in a office setting or medical experience and grow with us! + A stable...professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability… more
- Sedgwick (Chicago, IL)
- …time frames, and claims status either by phone, written correspondence and/or claims system. + Reviews medical information to determine if the claimant meets ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Coordinator **Our teams connect! We collaborate onsite and have… more
- ICW Group (Lisle, IL)
- …curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change ... continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional...purpose of this job is to supervise functions of claims internal controls and to monitor team activities with… more
- BMS CAT (Wood Dale, IL)
- …base + bonus tied to revenue performance. + Full benefits package: Employer paid medical insurance for our employees, life insurance , optional dental and ... industry leader. **Role Overview** Lead BMS CAT's strategic growth in the insurance vertical by owning key relationships with national & regional carriers,… more
- Sedgwick (Chicago, IL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workforce Absence Team Lead **PRIMARY PURPOSE** **:** To supervise the operations ... of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim… more
- Sedgwick (Springfield, IL)
- … claims thoroughly using technical expertise and complex analysis. + Examines insurance policies, claims , and other records to determine insurance ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Adjuster National Marine **PRIMARY PURPOSE** **:** Analyzes, investigates, evaluates,… more
- AON (IL)
- …Analyst 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...plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance , various types… more