• Claims Quality Review…

    Cognizant (Springfield, IL)
    ** Claims Quality Review ** ( remote ) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** Our ... quality standards, processes and procedures and policies + Ensures the claims processing reps adhere to predetermined quality assurance standards and the… more
    Cognizant (10/09/25)
    - Related Jobs

  • Claims Process Executive ( remote )

    Cognizant (Springfield, IL)
    ** Claims Process Executive ( remote )** **JOB PURPOSE:** Claim Processors will review claim submissions, verify information, adjudicate the claim as per claim ... the business requirements. **ESSENTIAL FUNCTIONS** : + Examining and entering basic claims for appropriateness of care and completeness of information in accordance… more
    Cognizant (10/04/25)
    - Related Jobs

  • Claims Auditor ( Remote )

    WTW (Chicago, IL)
    …You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will contribute to ... and professionally interact with vendor and audit team + Review documentation of potential discrepancies for thoroughness and accuracy...activities in an accurate and timely fashion + Write quality value-added draft report in a timely manner +… more
    WTW (09/26/25)
    - Related Jobs

  • RCIS Crop Claims Specialist

    Zurich NA (Springfield, IL)
    … Specialist, your primary accountabilities will include: + Work the most complex claims , involving multiple causes of loss, multiple quality issues, subrogation ... policies with the ability to change unit structure pending review outcome + Completes claims on specialty...area + Completes Crop Hail re-inspections when requested for quality assurance purposes + Works claims of… more
    Zurich NA (09/25/25)
    - Related Jobs

  • Claim Specialist - Complex Claims Unit

    The Hartford (Naperville, IL)
    Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... help shape the future. This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims… more
    The Hartford (10/01/25)
    - Related Jobs

  • Executive Director of R&D Global Quality…

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    …Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for leading a ... global team focused on R&D Quality . This global role includes direct reports in the...be reported periodically to Senior Management through the Management Review process to ensure alignment with Company policy and… more
    Otsuka America Pharmaceutical Inc. (08/14/25)
    - Related Jobs

  • Sr. AI Business Analyst - Remote

    Prime Therapeutics (Springfield, IL)
    …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... drives every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business Systems Analyst with an AI background?… more
    Prime Therapeutics (10/01/25)
    - Related Jobs

  • Recovery & Resolution Analyst - Remote

    Prime Therapeutics (Springfield, IL)
    …combined pharmacy and PBM experience to include: 1 year of work experience in claims processing in an operations, audit or quality assurance environment, and 1 ... decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & Resolution Analyst is responsible for recovering… more
    Prime Therapeutics (10/04/25)
    - Related Jobs

  • Property Management Manager ( Remote )

    CBRE (Springfield, IL)
    Property Management Manager ( Remote ) Job ID 241052 Posted 06-Oct-2025 Service line GWS Segment Role type Full-time Areas of Interest Property Management Location(s) ... Remote - US - Remote - US...Vendor Management: Source, vet, and handle service providers, ensuring quality and cost-effectiveness. + Documentation: Maintain detailed records of… more
    CBRE (10/07/25)
    - Related Jobs

  • Data and Reporting Analyst Assoc- REMOTE

    Prime Therapeutics (Springfield, IL)
    …every decision we make. **Job Posting Title** Data and Reporting Analyst Assoc- REMOTE **Job Description** The Associate Data & Reporting Analyst is responsible for ... of reporting requirements through intake and prioritization sessions + Recommend quality and system improvements by analyzing the data issues, maintaining and… more
    Prime Therapeutics (10/08/25)
    - Related Jobs