- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Adjudication Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Position Type Full Time Salary Range $18.00 - ... for career advancement to all our team members. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring timely billing… more
- CVS Health (Springfield, IL)
- …**Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for… more
- Transdev (Lombard, IL)
- …or watch an overview video athttps://youtu.be/ilO5cv0G4mQ About the Role: The Claims Specialist will assist the Director of Workers Compensation in overseeing the ... managing the operational excellence of the Workers' Compensation Program. The Claims Specialist will play a critical role in ensuring quality claim file management.… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Billing Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Position Type Full Time Salary Range $21.00 - $23.00 Hourly ... for career advancement to all our team members. JOB SUMMARY: The Billing Specialist is responsible for Nursing Homes, Assisted Living Facilities, Group Homes, and… more
- Prime Therapeutics (Springfield, IL)
- …our passion and drives every decision we make. **Job Posting Title** Claims Specialist Sr **Job Description** The Claims Specialist is responsible for assisting ... incoming inquiries related to specific process or support systems (eg claim adjudication system) Escalate issues when appropriate + Partner with Prime's clients to… more
- Robert Half Office Team (Lombard, IL)
- Description We are looking for a skilled Workers Compensation Claims Specialist to manage and enhance the operational aspects of our Workers' Compensation Program. ... little guidance and direction. + Demonstrated knowledge and experience in claim adjudication , medical management, and litigation management. + Ability to use skills… more
- BMO Financial Group (Chicago, IL)
- Provides independent, objective review and adjudication of credit applications and transactions for an assigned portfolio within credit limits or makes credit ... tolerance, policies & procedures, and meet financing guidelines. Supports credit adjudication operations and initiatives. Provides training and support to teams and… more
- Commander, Navy Installations (Marine, IL)
- …Standardized Module Training. Assists the Training and Curriculum (T&C) Specialist in helping lower-level CY Program Assistants translate professional development ... and makes recommendations to credential practicum candidates. Assists the T&C Specialist with recording observations and charts progress of team members' on-the-job… more
- BMO Financial Group (Winnetka, IL)
- …planning and implementation of operational programs. + May specialize as either a funding specialist or a credit underwriting specialist . + As a funding ... Prospects, Bankers and Risk Management to provide expertise regarding the adjudication of applications. + Mitigates identified risks and makes credit… more
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