NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistWoodridge, IllinoisSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Claims Manager OSI CareersClaims ManagerAurora, IllinoisPosition may require frequent and/or infrequent of bending, squatting, pushing, pulling, stretching/reaching, use hands or fingers, talk, hear, feel objects, tools, controls and standing/walking on concrete flooring. • Develops claim metrics on the mix of claims by type, root cause, frequency, and severity to identify emerging claims issues and trends for communication with management and develops performance benchmarks to track adjusters’ service level.
Claims Account Manager, Wholesale AXA SAClaims Account Manager, WholesaleCHICAGO, IL$139,300–$219,300 / yearClaims Account Manager - Wholesale Location - Exton, Hartford, NYC, Chicago As a Claims Account Manager - Wholesale, you will be responsible for claim account management functions for customers in our growing Wholesale (Programs, Excess & Surplus) business unit, helping to deliver on AXA XL Claims value in the marketplace and managing claims-related service issues for our customers, Third Party Administrators ("TPA") and key distribution partners. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.
Account Associate - State Farm Agent Team Member Tina Biscan - State Farm AgentAccount Associate - State Farm Agent Team MemberWestmont, ILFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Tina Biscan - State Farm Agent, you are vital to our daily business operations and customers’ success. As a second-generation State Farm agent, opening my own agency in the community where I grew up gave me the opportunity to serve the people and businesses that helped shape my career.
Senior Claims Specialist Professional Liability Non Profit D&O W. R. Berkley CorpSenior Claims Specialist Professional Liability Non Profit D&ONaperville, IL$135,000–$155,000 / yearAt Berkley Program Specialists, we are dedicated exclusively to program business and excel at partnering with program administrators who possess significant underwriting expertise for homogeneous, niche classes of business. This role requires deep technical expertise in claims-made coverage forms, strong analytical and negotiation skills, and a commitment to delivering exceptional customer service to insureds, brokers, and legal partners.
Account Associate - State Farm Agent Team Member Hemina Patel - State Farm AgentAccount Associate - State Farm Agent Team MemberChicago, ILFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Hemina Patel - State Farm Agent, you are vital to our daily business operations and customers’ success. Team members also enjoy random outings, free snacks and drinks in the office, team lunches, bonus opportunities, and travel incentives to celebrate success.
Customer Service Representative CARSTAR Franchising IncCustomer Service RepresentativeElgin, ILAdditional duties include gathering prospect information needed to obtain the sale, providing general administrative support and maintaining the customer reception area / front office. The Customer Service Representative (CSR) is responsible for establishing exceptional customers relationships and capturing customer sales (in-person and over the phone).
Senior Claim Consultant -Trade Credit (Hybrid) Intact InsuranceSenior Claim Consultant -Trade Credit (Hybrid)Chicago, IL$153,000–$180,000 / yearSome of the Senior Claim Consultant responsibilities include but are not limited to: Makes timely and appropriate contacts and completes appropriate level of investigation to make determination of coverage, liability and damages for very complex and specialized claims. For candidates located in San Francisco, CA; Washington DC; our Massachusetts based offices and the New York City metro area, the base salary range is $153,000 -$180,000.
NewClaims Research & Resolution Representative Humana IncClaims Research & Resolution RepresentativeILRemote$40,000–$52,300 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Major Case General Liability Claims Consultant The Hartford Insurance Group IncMajor Case General Liability Claims ConsultantNaperville, IL$84,800–$127,200 / yearFor full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Mifi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA, NYC, NY) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Employment Practices Liability Claims Analyst The Hartford Insurance Group IncEmployment Practices Liability Claims AnalystNaperville, IL$82,800–$124,200 / yearCandidates should demonstrate the following competencies: Excellent oral and written communication skills; Strong strategic thinking abilities and execution skills; An ability to communicate thoughts clearly and concisely, and to influence and persuade others; Superior interpersonal skills, with an ability to work well as part of a team and/or in supporting roles. Experience, education and skills: Bachelor's degree required; professional designation and/or legal degree a plus; Insurance company (or law firm) experience a plus; Basic knowledge/understanding of professional lines, and/or litigated coverage and liability exposure desired; EPL a plus.
Supervisor - Pharmacy Adjudication Onco360Supervisor - Pharmacy AdjudicationWoodridge, IllinoisSkills/Knowledge Required: NDC medication billing, PBM and medical contracts, healthcare audit experience, knowledge of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, excellent interpersonal skills, able to work with all levels of management and staff, vast knowledge of pharmacy terminology and process including sig codes, and roman numerals, brand/generic names of medication, advanced typing, math and analytical skills. Assists Director of Pharmacy Operations in day-to-day pharmacy operations and in implementing new procedures to ensure that the accurate and timely dispensing of quality pharmacy services is consistently delivered to all patients using effective service leadership and customer skills.
Claims Manager, SDI AXA SAClaims Manager, SDIChicago, IL$139,300–$219,300 / yearClaims Manager - SDI Chicago, IL | Hartford, CT | Exton, PA | New York, NY | Morristown, NJ| Boston, MA | USA As the SDI Claims Manager, you will play a pivotal role in leading a team that handles high-exposure Subcontractor Default Insurance (SDI) claims for some of the largest construction contractors in the industry. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.
Customer Service Representative - State Farm Agent Team Member Todd MarkmanCustomer Service Representative - State Farm Agent Team MemberNorthbrook, IllinoisROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Todd Markman - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Claims Consultant -Life Sciences Or Cyber/Technology E&O (Hybrid) Intact InsuranceClaims Consultant -Life Sciences Or Cyber/Technology E&O (Hybrid)Chicago, IL$143,000–$167,000 / yearSpecial consideration will be given to candidates who have personally litigated life sciences matters as attorneys and possess firsthand experience developing litigation strategy, managing scientific and expert evidence, conducting depositions, participating in trial preparation, and evaluating product liability and professional liability exposures from both the litigation and insurance claims perspectives. The ideal candidate will possess substantial Technology Errors & Omissions claims experience and a deep understanding of E&O coverage, including the ability to analyze complex professional liability exposures, contractual liability issues, performance disputes, and technology-related loss scenarios.
Customer Relations Representative - State Farm Agent Team Member Bryan Solis - State Farm AgentCustomer Relations Representative - State Farm Agent Team MemberNorth Chicago, ILFull timeWorking alongside Bryan Solis, your responsibilities will include: Customer Support: Providing excellent customer service by promptly responding to inquiries, answering questions, and offering expert guidance on insurance products and coverage options. About State Farm: State Farm is a renowned insurance and financial services company committed to helping individuals manage life's uncertainties, recover from unexpected events, and realize their dreams.
Claims Consultant -Life Sciences or Cyber/Technology E&O (Hybrid) Onebeacon Professional Insurance IncClaims Consultant -Life Sciences or Cyber/Technology E&O (Hybrid)Chicago, IL$143,000–$167,000 / yearSpecial consideration will be given to candidates who have personally litigated life sciences matters as attorneys and possess firsthand experience developing litigation strategy, managing scientific and expert evidence, conducting depositions, participating in trial preparation, and evaluating product liability and professional liability exposures from both the litigation and insurance claims perspectives. The ideal candidate will possess substantial Technology Errors & Omissions claims experience and a deep understanding of E&O coverage, including the ability to analyze complex professional liability exposures, contractual liability issues, performance disputes, and technology-related loss scenarios.
Account Associate - State Farm Agent Team Member Zach Hasselbring - State Farm AgentAccount Associate - State Farm Agent Team MemberBarrington, ILFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Zach Hasselbring - State Farm Agent, you are vital to our daily business operations and customers’ success. We are located in Barrington, IL and help customers with their insurance and financial services needs, including: Auto insurance.
Auto Property Damage Claims Specialist Warrior Insurance NetworkAuto Property Damage Claims SpecialistOak Brook, IL$41,600–$75,000 / yearFull timeExcellent analytical, organizational, interpersonal and communication (verbal, written, phone) skillsGeneral working knowledge of policies, file procedures, state rules and regulationsAbility to pass written examinations where required by state statutes to become a licensed Claims AdjusterPreferred:College degreePrior auto claims experienceAbility to use on-line claims systemBi-lingual a plus! This talented individual must possess previous experience in the investigation, determination of coverage, prompt evaluation of both First and Third Party auto property damage claims with an eye towards prompt, courteous and economical resolution of both First and Third Party related property damage claims.
Pharmacy Medical Billing Specialist Onco360Pharmacy Medical Billing SpecialistWoodridge, IllinoisOnco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Behavior Competencies Required: Strong work ethic with excellent time management skills, excels at working independently but collaborative in a group setting as well.