- RWE Clean Energy (Chicago, IL)
- …report + Responsibility for overall deliverables as designated by the supervisor + Collaborate cross-functionally through various departments to complete tasks ... assigned + Review and approve EPC and subcontract language for all...setting + Oversee Residential Business Workmanship warranty and production claims + Negotiate with subcontractors or EPCs as appropriate… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Sedgwick (Springfield, IL)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- AIG (Chicago, IL)
- …are reimagining the way we help customers to manage risk. Join us as a Claims Adjuster TPA Oversight to play your part in that transformation. It's an opportunity to ... member of the team. Make your mark in TPA Claims Our Claims teams are the proven...evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage… more
- Sedgwick (Naperville, IL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Carrington (Springfield, IL)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… 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
- ICW Group (Lisle, IL)
- …adherence to the daily and scheduled focused audit plan. + Conducts regular, ongoing review and analysis of all Claims Auditors to ensure audit quality and ... purpose of this job is to supervise functions of claims internal controls and to monitor team activities with...is responsible for the development and execution of the Claims audit program, identifying trends and promoting continuous improvement.… more
- Cardinal Health (Springfield, IL)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… 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 ... benefits, letters of medical necessity, patient logs, etc. + Review all documentation to be submitted for audit purposes...audit purposes for completeness and accuracy. + Report to supervisor any apparent issues and coordinate submission of all… 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 ... claims for payment. + Prepares and reviews clean claims for submission to various insurances either electronically or...and Outlook. + Provide feedback to Group Team Lead, Supervisor and Manager regarding issues regarding accounts. + Conducts… more
- Walgreens (Chicago, IL)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Walgreens (Chicago, IL)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and assists in community events as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. **Operations** + Under direct supervision… more
- Sysco (Hampshire, IL)
- …training and consultation, as necessary. + Respond to grievances, review disciplinary programs, conduct investigations, prepare for arbitrations, and participate ... in union contract negotiations - (in Union locations). + Review , interpret, administer, and ensure compliance with federal, state, and local employment laws, and… more
- Cardinal Health (Springfield, IL)
- …to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work patient accounts to ensure timely resolution and ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- Rush University Medical Center (Chicago, IL)
- …Authorization Specialist I may be responsible for pre-appointment registration and insurance review to maximize the submission of a clean claim. Exemplifies the Rush ... or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service.… more
- CVS Health (Chicago, IL)
- …overall deadlines and complete tasks independently with some direction from supervisor . **What you will do** + Develops and communicates pricing model ... estimate future healthcare costs, revenue, and profitability. + Analyzes claims data to assess patterns, trends, and cost drivers...of concern and recommends corrective actions to management for review and resolution. **For this role you will need… more
- Cardinal Health (Springfield, IL)
- …payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with insurance carriers for reimbursement ... + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange +...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Walgreens (Peoria, IL)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist has the ultimate responsibility for ensuring that… more
- CVS Health (Springfield, IL)
- …distribution of the monthly premium invoices. The Billing Premium Consultant must review invoices for reasonability and accuracy and make any necessary adjustments ... billing systems. + Execute monthly invoices on appropriate billing platform and review group specifications to ensure all appropriate information is included with… more
