- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Springfield, IL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- The Hartford (Naperville, IL)
- Claims Representative - CH09CN We're determined...with customers and business partners in the management of claims ; + Review and analyze policies and ... our team as we help shape the future. The Claim Representative is a claim handling role within Complex Claims Unit - Bodily Injury (CCU-BI). CCU is a highly… more
- Ryder System (Springfield, IL)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Sedgwick (Chicago, IL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **Senior Disability Representative - Make a Meaningful ... do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise,...your moment.** **WHAT YOU'LL DO** **As a Senior Disability Representative , you'll be the go-to guide for individuals navigating… more
- Sedgwick (Chicago, IL)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **PRIMARY PURPOSE** : Provides disability case management and complex… more
- TEKsystems (Chicago, IL)
- Patient Account Representative Location: Must reside in CST Schedule: 8:00 AM - 4:30 PM CST Overview The Patient Account Representative is responsible for ... systems and online resources. + Follow up on unpaid claims with insurance companies and patients via phone, email,...companies and patients via phone, email, or online. + Review remittances and pursue disputed balances from government and… more
- Centuri Group, Inc. (Naperville, IL)
- Human Resources Representative Date: Dec 9, 2025 Location: Naperville, IL, US, 60563 Company: NPL Construction (S4) Description: Pay Range: $23 - $32/hr Centuri ... + Maintain accurate HRIS data and employee personnel files + Compile and review HR data to support workforce planning efforts, including turnover, hiring sources,… more
- Ally (Springfield, IL)
- …liability as quickly as possible. * Negotiates settlement of subrogation claims with at fault party while following established, authorized settlement authority. ... files. * Handles all registers within the guidelines of the state's Fair Claims Practices Acts and other Regulations while also ensuring timeliness and KPIs are… more
- Highmark Health (Springfield, IL)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Springfield, IL)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- CRC Insurance Services, Inc. (IL)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates General ... Liability claims affecting primary and excess policies in a fast-paced...assigned. **QUALIFICATIONS** **Required Qualifications:** The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable… more
- Highmark Health (Springfield, IL)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- Transdev (Lombard, IL)
- …Responsibilities: + Primary support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department to support valuation of ... significant estimates related to insured claims + Create and maintain pricing model related to...preparation of financial reporting process and monthly financial reporting review package + Works on complex finance topics as… more
- CVS Health (Springfield, IL)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Owens & Minor (Downers Grove, IL)
- …and secure the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review /appeals payments. + Ability to edit and ... factors such as experience, skills, education and location. The representative is to service the needs of our customers...claims for payment. + Prepares and reviews clean claims for submission to various insurances either electronically or… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- Carle Health (Champaign, IL)
- Overview The Accounts Receivable Representative 2 is proficient in Accounts Receivable Representative 1 responsibilities. Responsible for handling escalated ... Must be able to perform essential job functions of Accounts Receivable Representative 1. Handles complex edits, correspondence and advanced level work queues such… more
- Stantec (Chicago, IL)
- …community. Your Opportunity Stantec is seeking an individual to act as an Owner's Representative , Project Manager for the design and construction of a mix of higher ... or commercial expansion or renovation projects as an Owner's Representative . Managing the approved scope, budget and schedule are...and budget throughout all phases of the project. - Review and track all contracts, invoices, and payments to… more
- Spectrum Billing Solutions (Skokie, IL)
- …| Billing and Reimbursement Specialist | Billing Specialist |Billing Coordinator | Claims Specialist | Billing Representative | Collections Specialist | ABA ... contract applications with third-party carriers and government health plans. + Review provider credentialing and contracting information to ensure completeness and… more