Jepsen Investments, Inc.Hybrid Supplemental Health Claims Examiner Jepsen Investments, Inc.Hybrid Supplemental Health Claims ExaminerLombard, IL$25–$25 / hourFull timeCalculate multiple benefits due based a combination of information on claim forms, medical information, plan certificates/contract and regulatory guidelines and administer provisions accurately, including, but not limited to, misrepresentation or pre-existing Investigation, Evidence of Insurability Review, Benefit Entitlement Review, Financial Accuracy, ERISA Guidelines, MAR Requirements, State Regulations, Company Financial Liability as applicable. Responsible for examining and processing all claim types including Accident Insurance, Critical Illness/Specified Disease, Hospital Indemnity Life product claims and weekly income claims in accordance with established policies and procedures.
Diedre Moire Corp.Claims Examiner MedMal Diedre Moire Corp.Claims Examiner MedMalAurora, IL$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Diedre Moire Corp.NewClaims Professional Liability MedMal - Naperville, IL Diedre Moire Corp.Claims Professional Liability MedMal - Naperville, ILNaperville, IL$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Diedre Moire Corp.Insurance Claims Environmental Diedre Moire Corp.Insurance Claims EnvironmentalPark City, IL$110,000–$160,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Harris Computer SystemsClaims Examiner Harris Computer SystemsClaims ExaminerIllinois, ILAddress customer concerns and escalate complex issues to senior claims personnel or management as needed. Collaborate with team members and management to implement best practices and enhance overall departmental performance.
RLI CorpClaim Examiner-Commercial Auto/Physical Damage (hybrid) RLI CorpClaim Examiner-Commercial Auto/Physical Damage (hybrid)Peoria, IL$67,212–$96,113 / yearThis approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.
CorVel Enterprise Claims, Inc.Liability Claims Supervisor CorVel Enterprise Claims, Inc.Liability Claims SupervisorDowners Grove, ILRemote$73,345–$113,247 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
CorVel CorpLiability Claims Supervisor CorVel CorpLiability Claims SupervisorDowners Grove, IL$73,345–$113,247 / yearExcellent written and verbal communication skills • Ability to assist team members to develop knowledge and understanding of claims practice • Effective quantitative, analytical and interpretive skills • Strong leadership, management and motivational skills • Demonstrated, strong customer service skills • Ability to maintain composure under pressure and communicate diplomatically across various channels, including telephone, email, and written correspondence • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets • Strong interpersonal, time management and organizational skills • Ability to work both independently and within a team environment • Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation. • Bachelors degree or a combination of education and related experience • Demonstrated public speaking skills • Minimum of 5 years claims handling experience • Knowledge of WC required • Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel • Self-Insured Certificate preferred • State Certification as an experienced Examiner.
Contact Government Services LLCSenior Auditor Contact Government Services LLCSenior AuditorChicago, IL$80,000–$150,000 / yearAnalyze and calculate ability to pay settlements and judgments, including analyzing debt covenants, borrowing capacity, adjusted earnings, and earnings per share financial ratios, accounts receivable, and accounts payable aging schedules, tax considerations, assessing collectability, and developing payment terms and schedules. CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in determinations regarding investigations, prosecutions, settlements, and recovery in these matters, which can be voluminous and complex.
Walgreen CoSpecialist 3rd Party Rx Ops Pharmacy Tech Services Walgreen CoSpecialist 3rd Party Rx Ops Pharmacy Tech ServicesDeerfield, IL$22.71–$33.32 / hourBasic level skill in Microsoft Office - Word (for example: creating documents, entering and formatting text, page layouts, creating tables, and adding graphics), Excel (for example: creating worksheets, entering data, creating basic formulas, working with cells and rows) and PowerPoint (for example: creating a new presentation from a design template, adding and removing slides, entering and formatting text, adding speaker notes, and viewing presentations). Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Riverside HealthcareSITE SUPERVISOR - PRIMARY CARE (FT DAYS) Riverside HealthcareSITE SUPERVISOR - PRIMARY CARE (FT DAYS)KANKAKEE, Illinois$25.94–$33.05 / hourMaximize budgeted payroll hours by effectively scheduling staff; monitor and track staff productivity through flex staffing tool keeping WHPUOS and W$PUOS at or under budgeted projections. Responsible for, but may delegate the ordering of routing medical and office supplies according to policies and procedures, Refers special medical and office supply requests and capital equipment request information to Practice Manager or Regional Director.
RSM US LLPSenior Associate, Risk Consulting (Insurance) RSM US LLPSenior Associate, Risk Consulting (Insurance)Chicago, IL$77,700–$146,900 / yearAs a Senior Associate in the Financial Services Risk Consulting (Insurance) practice at RSM, you'll be asked to consistently: • Model the core RSM values of respect, integrity, teamwork, excellence and stewardship in all interactions with clients and team members • Demonstrate your ability to: • Provide subject-matter expertise in risk consulting strategies and internal controls • Lead client engagement activities through the project lifecycle from initiation to close-out, including conducting risk assessments and client walkthroughs, preparing and reviewing work product, helping with process redesign and preparing client deliverables • Manage projects to successful completion through clear communication, expectation setting with stakeholders, deadline management, and within applicable resource and economic requirements • Support multiple client projects simultaneously, while actively contributing to internal initiatives such as talent, practice, and business development • Leverage your understanding of the insurance industry and trends to effectively communicate leading risk management practices as your clients' trusted advisor • Communicate effectively with your internal management team and develop executive presence through interactions with senior management within RSM and our clients. Due to rapid growth of our Financial Services Risk Consulting practice within the insurance industry and the evolving risk landscape of our clients, RSM is seeking a highly motivated senior consultant to lead teams of risk consulting professionals in addressing our clients' needs.
Premier Staffing SolutionNewDealer Auditor Premier Staffing SolutionDealer AuditorChicago, ILThis role is responsible for planning, executing, and reporting on audits related to dealership warranty claims, ensuring consistent application of policies, accuracy of claims, and overall compliance. This position is highly analytical and requires a strong understanding of dealership operations, technical repair processes, and warranty systems.
TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Chicago, ILRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Maximus Federal & VESIndependent Medical Reviewer roles available for Optometry Maximus Federal & VESIndependent Medical Reviewer roles available for OptometryQUINCY, IL$78,000–$234,000 / yearVeterans Evaluation Services is seeking qualified Ophthalmologists and Optometrists to join our provider network as an independent contractor to perform disability examinations for Veterans for the following location: Quincy, IL. VES partners with the Department of Veterans Affairs to fulfill President Lincoln’s promise “To care for him who shall have borne the battle, and for his widow, and his orphan” by serving and honoring the men and women who are America’s veterans.”