• Manager Claim Processing

    CVS Health (Springfield, IL)
    …of team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs workflow to ensure the efficient and accurate ... and fostering collaboration with internal and external stakeholders to optimize claim processing , minimize errors, and enhance overall operational effectiveness… more
    CVS Health (07/18/25)
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  • Remote Claims Examiner with TPA

    NTT DATA North America (Decatur, IL)
    …or GBAS experience** The Claims Processor reports to the Regional Claims Manager , Employee Benefits Division. This position is responsible for registering, ... providers and case management company for information regarding problem claims . . Print/mail EOBs and claim forms...Assist with audits for assigned group. . Assist with claims processing and over specific for new… more
    NTT DATA North America (06/23/25)
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  • Claims Attorney

    Robert Half Legal (Chicago, IL)
    …with an insurance company located in downtown Chicago who is seeking to hire a Claims Attorney with at least 2-4+ years of experience to join their in-house team. ... company handles complex environmental, asbestos, and other latent type insurance claims . In this position, you will be responsible for coordinating activities… more
    Robert Half Legal (07/18/25)
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  • Pharmacy Benefit Manager Data Analyst…

    CVS Health (Springfield, IL)
    …investigation of plan set-up and overapplied accumulators by running reports from the claim processing system and conducting thorough audits. + Identifies and ... and every day. **Position Summary** The **PBM Data Analyst** performs prescription claim and accumulator audits, verifies policy coverage, assesses claim … more
    CVS Health (07/18/25)
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  • Manager of Cash Management Credit Balance

    Intermountain Health (Springfield, IL)
    **Job Description:** The Cash Management Credit Balance Resolution Manager has the responsibility for overseeing all facets of credit resolution, including self-pay, ... performance and collaborative relationships. Ensuring the accurate and timely processing of credits, active participation in system integration testing. Serves… more
    Intermountain Health (07/15/25)
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  • Project Manager - Third Party Client Audit

    CVS Health (Springfield, IL)
    …measuring and monitoring the quality and effectiveness of work processes in claim processing and/or customer service that impact customer satisfaction, medical ... cost management, and operational efficiency. Meritain Health's Project Manager for Third Party Client Audits will be responsible for the following: + Manage… more
    CVS Health (07/18/25)
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  • Accounting Manager

    ADM (Chicago, IL)
    **98675BR** **Job Title:** Accounting Manager - Chicago, IL **Department/Function:** Finance, Accounting, Audit **Job Description:** **Accounting Manager , ... coverage to ADM's operations and corporate enterprise activities. The Accounting Manager , Agrinational Insurance Company (Agrinational) will play a critical role in… more
    ADM (06/11/25)
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  • Senior Manager , Specialty Pharmacy…

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    …Specialty Pharmacy Operations We are seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of our new ... operations, and addressing any operational issues that arise. The Senior Manager will also collaborate closely with Account Managers, Field Reimbursement Managers,… more
    Otsuka America Pharmaceutical Inc. (07/09/25)
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  • Disability Representative

    Sedgwick (Chicago, IL)
    …Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking ... naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes… more
    Sedgwick (06/29/25)
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  • Field Reimbursement Manager - East Region

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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