Senior Analyst, Payment Integrity Disputes Oscar HealthSenior Analyst, Payment Integrity DisputesChicago, ILRemote$64,832–$85,092 / yearYou will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah.
Enterprise Onboard Specialist RedSail Technologies, LLCEnterprise Onboard SpecialistOak Brook, IL$35–$40 / hourWorking with customer contacts, pharmacy operations, IT teams, third-party vendors, and internal cross-functional teams, this role completes assigned onboarding activities, tracks progress, escalates issues, and supports timely implementation. The Enterprise Onboarding Specialist supports the onboarding of assigned pharmacy chain customers onto RedSail's claims switching and pharmacy technology platform by completing defined implementation tasks, maintaining documentation, and coordinating routine activities.
Medicare Pricing Analyst Wisconsin Physicians Service Insurance CorpMedicare Pricing AnalystILRemoteThe Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.
EM Healthcare Chicago Infosys LtdEM Healthcare ChicagoChicago, IL$30–$50 / hourThe consulting & strategic framework has helped client organizations with the Assessment of their various business process frameworks like Provider data management, Care management, claims processing, etc. which helped in improving and modernizing existing business processes to build a more robust and flexible system and functions. About Infosys Healthcare: At Infosys, we understand the industry drivers of healthcare outcomes, optimized cost, and evolving compliance needs well and have aligned our services strategy to support healthcare organizations in navigating their digital journey of tomorrow.
Coding Investigator Auditor - Work From Home Health Care Service CorpCoding Investigator Auditor - Work From HomeChicago, ILRemote$55,900–$123,500 / yearCoordinating with all departments involved in each case required such as medical director special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database. This position is responsible for auditing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed.
Vice President, APD Sales CCC Intelligent Solutions Holdings IncVice President, APD SalesChicago, IL$217,236.65–$225,000 / yearWe are seeking a proven sales leader to accelerate the adoption, expansion, and commercial success of our Automobile Physical Damage (APD) solutions portfolio-driving innovation in how insurers, fleets, and service providers manage vehicle damage assessment, repair, and claims processes. This role sits at the intersection of claims innovation, automotive expertise, and client partnership, requiring deep knowledge of APD workflows, strong commercial acumen, and the ability to translate market needs into scalable solutions.
DLP / Desk Level Procedures Manager Huron Consulting Group IncDLP / Desk Level Procedures ManagerChicago, ILRemoteThis individual will play a key role in translating complex system workflows and business processes into clear, actionable step-by-step procedures that enable operational teams to resolve issues, maintain compliance, and drive consistent execution. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year.
Coding Investigator Auditor - Work From Home HCSCCoding Investigator Auditor - Work From HomeChicago, IllinoisRemoteCoordinating with all departments involved in each case required such as medical director special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database. This position is responsible for auditing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed.
Claims Call Center Specialist First Chicago Insurance Company (FCIC)Claims Call Center SpecialistBedford Park, IL$16–$22 / hourFull timeQualificationsRequiredPrior customer service experienceStrong verbal communication and phone skillsExcellent organizational and interpersonal skillsData entry and typing proficiency (minimum 30 WPM)Basic PC and computer navigation skillsAbility to multitask and work effectively in a fast-paced environmentPreferredAssociate or bachelor's degreePrior insurance, claims, or call center experienceBilingual skills are a plusFirst Chicago Insurance Company provides a competitive benefits package to all full-time employees. Whether you bring prior insurance experience or a strong customer service background, Warrior Insurance Network (WIN) offers the training, development, and career growth opportunities needed to build a successful future in claims and insurance operations.
Claims Call Center Specialist Warrior Insurance NetworkClaims Call Center SpecialistBedford Park, IL$16–$22 / hourFull timeQualificationsRequiredPrior customer service experienceStrong verbal communication and phone skillsExcellent organizational and interpersonal skillsData entry and typing proficiency (minimum 30 WPM)Basic PC and computer navigation skillsAbility to multitask and work effectively in a fast-paced environmentPreferredAssociate or bachelor's degreePrior insurance, claims, or call center experienceBilingual skills are a plusWhy Join Warrior Insurance Network (WIN)?At Whether you bring prior insurance experience or a strong customer service background, Warrior Insurance Network (WIN) offers the training, development, and career growth opportunities needed to build a successful future in claims and insurance operations.
Auto Claims Adjuster Trainee First Chicago Insurance Company (FCIC)Auto Claims Adjuster TraineeBedford Park, IL$20–$30 / hourFull timeKnowledge and skills required for the position are:Excellent analytical, organizational, interpersonal and communication (verbal, written, and phone) skillsPrevious customer service experienceIn-Office and Hands-On Training! To excel as a Full-Time Auto Claims Adjuster Trainee at First Chicago Insurance Company, you'll need a dynamic skill set that empowers you to navigate the fast-paced insurance landscape effectively.
Associate Director- Spending Account Operations Alera GroupAssociate Director- Spending Account OperationsChicago, IllinoisThis role ensures the accurate and compliant administration of Health Savings Accounts (HSA), Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), and Commuter Benefits, while driving operational efficiency, compliance, and client satisfaction. The Associate Director, Spending Account Operations is responsible for leading a high-performing team focused on claims processing, funding reconciliation, and data analytics for spending account programs.
Auto Claims Adjuster Trainee Warrior Insurance NetworkAuto Claims Adjuster TraineeBedford Park, IL$20–$30 / hourFull timeKnowledge and skills required for the position are:Excellent analytical, organizational, interpersonal and communication (verbal, written, and phone) skillsPrevious customer service experienceReady to join our team? To excel as a Full-Time Auto Claims Adjuster Trainee at Warrior Insurance Network, you'll need a dynamic skill set that empowers you to navigate the fast-paced insurance landscape effectively.
Logistics Operations & Transportation Analyst Siemens AGLogistics Operations & Transportation AnalystChicago, IL$49,480–$84,823 / yearAs a Transportation Reporting & Analytics, you will: Prepare, analyze, and maintain recurring transportation and logistics reports, including: Monthly Freight Reclass ReportsMonthly Freight Accrual ReportsTransportation DashboardsMonthly Carrier Accounts Receivable ReportsFreight claims processing and carrier follow-up management Ensure accuracy, timely completion, and distribution of operational and financial reports. Experience level Experienced Professional Job type Full-time Work mode Hybrid (Remote/Office) Employment type Permanent Location(s) Chicago - Illinois - United States of America Position Location: This role supports our Buffalo Grove, IL branch location, which serves customers throughout the greater Chicago, IL area.
Full Stack Software Engineer Miller CooperFull Stack Software EngineerWinter Park, FL, ILRemote$125,000–$145,000 / yearIndividual salaries that are offered to a candidate are determined after consideration of numerous factors including internal equity, market data, the candidate’s qualifications- including but not limited to specialty skills, prior relevant industry experience, relevant degrees or certifications. Hands-on experience with healthcare claims processing, including 837 (institutional/professional) claim formats and 835 remittance files, with an understanding of payer workflows, claim adjudication, and revenue cycle processes.
NewVP, Enterprise Sales - Insurance CCC Intelligent SolutionsVP, Enterprise Sales - InsuranceChicago, IllinoisWe are seeking a proven sales leader to accelerate the adoption, expansion, and commercial success of our Automobile Physical Damage (APD) solutions portfolio—driving innovation in how insurers, fleets, and service providers manage vehicle damage assessment, repair, and claims processes. This role sits at the intersection of claims innovation, automotive expertise, and client partnership, requiring deep knowledge of APD workflows, strong commercial acumen, and the ability to translate market needs into scalable solutions.
Product Manager, Fraud & Abuse CVS Health CorpProduct Manager, Fraud & AbuseIL$92,700–$203,940 / yearDevelop compelling, data-driven business cases for new product capabilities and enhancements, securing stakeholder alignment and financial investments to support strategic priorities. Lead a cross-functional squad of data engineers, data scientists, and ideation team members, managing competing priorities and perspectives to keep the squad focused and moving forward.
Senior Personal Injury Protection Adjuster First Chicago Insurance CompanySenior Personal Injury Protection AdjusterChicago, IL$54,750–$97,500 / yearCommunicate effectively with first-party claimants, legal representatives, medical providers, and other stakeholders to provide updates, address concerns, and facilitate the claims process. Stay abreast of industry trends, legal developments, and medical advancements relevant to PIP claims to enhance expertise and effectiveness in the role.
Insurance Representative II Endeavor HealthInsurance Representative IISkokie, IL$20.69–$30 / hourOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties.
Technical Account Manager RedSail Technologies, LLCTechnical Account ManagerOak Brook, IL$85,000–$120,000 / yearActing as the customers trusted operational advisor and primary point of contact for technical and service delivery matters, the Technical Account Manager develops a deep understanding of each customers business, pharmacy operations, systems, and strategic priorities. When escalation is required, engage Engineering, Product, Network Operations, or other internal teams with complete technical context while remaining the customers single point of accountability until resolution is achieved.