- Sedgwick (Springfield, IL)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a ... Claims Examiner at Sedgwick, you'll have the...Claims Examiner at Sedgwick, you'll have the opportunity to take...you have experience as a **Bodily Injury General Liability Claims Examiner ** working within **commercial (** **captive)… more
- NTT DATA North America (Decatur, IL)
- …for NTT DATA Services and for the people who work here. NTT DATA seeks a ** Claims Examiner ** on a **project** basis to work **remote, from home** . This is ... a full-time, temporary role. **Must have TPA experience.** The Claims Processor reports to the Regional Claims ...The Claims Processor reports to the Regional Claims Manager, Employee Benefits Division. This position is responsible… more
- Sedgwick (Springfield, IL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required | Remote ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...IDEAL CANDIDATE?** To analyze **New York** **Workers Compensation Lost-Time** claims on behalf of our valued clients to determine… more
- Sedgwick (Springfield, IL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**PRIMARY PURPOSE OF THE ROLE:** To analyze Workers Compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Moline, IL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Examiner , Bodily Injury **PRIMARY PURPOSE** : To analyze and process ... complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- Aston Carter (Naperville, IL)
- Job Title: Claims ExaminerJob Description This position entails the review, investigation, and evaluation of claims to determine eligibility. The role involves ... state regulatory requirements while managing a large volume of claims . Responsibilities + Ensure timely and accurate payment to...status. + Analyze and validate a high volume of claims data, entering it into the proprietary operating system.… more
- Sedgwick (Springfield, IL)
- …the claim. + Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in injured worker status ... + Maintains ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case Manager arrives onsite. + Adheres… more
- Sedgwick (Springfield, IL)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (Springfield, IL)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- ICW Group (Lisle, IL)
- …service delivery. + Communicates effectively with medical providers, the assigned claims examiner , injured worker and policyholder and/or handling attorneys ... clinical assessment and evaluate needs for treatment in worker's compensation claims . The Telephonic Nurse Case Manager will negotiate and coordinate appropriate… more
- Sedgwick (Springfield, IL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - Liability **PRIMARY PURPOSE** : To analyze complex or technically difficult ... general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of … more
- Sedgwick (Chicago, IL)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles, reviews, and… more
- Sedgwick (Springfield, IL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an ... needs. **ARE YOU AN IDEAL CANDIDATE?** Are you an experienced attorney or examiner with a strong background in insurance coverage analysis? We're seeking an… more
- CDM Smith (Chicago, IL)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...such as CPA (Certified Public Accountant), CFE (Certified Fraud Examiner ), or CFF (Certified in Financial Forensics). **EEO Statement:**… more
- Ally (Springfield, IL)
- …are taken to recover potential losses (eg repo, restitutions, assumptions, insurance claims , etc.). * Work cooperatively with EFSI and collaborate on higher risk ... etc) required * Certification in area of specialization-CFE (Certified Fraud Examiner Certification) or equivalent-strongly preferred. * Should have knowledge of… more
- Health Care Service Corporation (Chicago, IL)
- …Accredited Health Care Fraud Investigator + Certified Professional Coder + Certified Fraud Examiner + Knowledge of health care claims processing and benefit ... administration. Please note that this role is **HYBRID** with an in-office requirement of 3 days a week \# LI-LK1 \# LI-Hybrid \# INJLF **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!**… more
- Option Care Health (Bannockburn, IL)
- …to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance activities and to identify ... in Healthcare Compliance (CHC), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), or similar certification preferred. + Direct experience in home… more
- Highmark Health (Springfield, IL)
- …**Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have… more
- Johns Hopkins University (Chicago, IL)
- …health and wellness events and initiatives. + To manage workers' compensation claims . + To expand clinic services and reach. + Provide crisis ... in Occupational Medicine, Workers' Compensation, and DOT exams. + DOT Medical Examiner . + Certified Urine Drug Screen Collector. + Certified Breath Alcohol… more
- Johns Hopkins University (Chicago, IL)
- …health and wellness events and initiatives. + To manage workers' compensation claims . + To expand clinic services and reach. + Provide crisis ... in Occupational Medicine, Workers' Compensation, and DOT exams + DOT Medical Examiner preferred. + Certified Urine Drug Screen Collector preferred. + Certified… more