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.
NewAccount Associate - State Farm Agent Team Member David Frederickson - State Farm AgentAccount Associate - State Farm Agent Team MemberChicago, ILFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for David Frederickson - State Farm Agent, you are vital to our daily business operations and customers’ success. We’re looking for someone who values collaboration, takes pride in their work, and wants to be part of a stable, experienced team that supports each other and grows together.
NewAccount Associate - State Farm Agent Team Member Jackson Philgren - State Farm AgentAccount Associate - State Farm Agent Team MemberChicago, ILFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Jackson Philgren - State Farm Agent, you are vital to our daily business operations and customers’ success. Before becoming an agent with State Farm, I spent six years as a team member, gaining valuable experience and a strong understanding of what it takes to run a successful agency.
Human Resources Business Partner McHenry County CollegeHuman Resources Business PartnerCrystal Lake, IL$78,257.54–$110,486.27 / yearThe HRBP provides expertise in employee relations, performance management, and employee engagement, while overseeing programs and processes such as workers comp and unemployment benefits administration, employee stipends, and employee belonging initiatives. The College waives tuition and fees for any full time employee who takes credit courses at MCC as well as providing tuition reimbursement for pre-approved course work taken at a regionally accredited institution upon successful completion of such course.
Customer Relations Representative - State Farm Agent Team Member Andy Herrero - State Farm AgentCustomer Relations Representative - State Farm Agent Team MemberDowners Grove, ILFull timeAbout 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 achieve their dreams. Your primary responsibilities will include: Customer Support: Providing excellent customer service by promptly responding to inquiries, answering questions, and offering guidance on insurance products and coverage options.
Personal Lines Account Manager GpacPersonal Lines Account ManagerEvanston, IL65000–75000GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. We are extremely competitive, client-focused and realize that our value is in our ability to deliver the right solutions at the right time.
Epic Denials Manager DeloitteEpic Denials ManagerChicago, ILRemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Supervisor, Stop Loss Allied Benefit Systems LLCSupervisor, Stop LossChicago, ILTo support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Duties include auditing and tracking stop loss claim filings, reimbursements, and cash advance claims to ensure the department is running in an efficient and thorough manner.
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).
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.
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.
Customer Service Representative - State Farm Agent Team Member Elvia Solis - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberPilsen, ILFull timeWorking alongside Elvia Solis, your responsibilities will include: Customer Support: Delivering outstanding 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.
Client Service Representative Allied Benefit Systems LLCClient Service RepresentativeChicago, ILTo support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. The Client Service Representative is responsible for providing excellent client service to Allied members, including HR representatives, brokers, and other various clients.
HR Business Partner Foley & Lardner LLPHR Business PartnerChicago, Illinois$116,900–$175,400 / yearFull timeSupport assigned leaders in managing and resolving complex employee relations issues by providing consultative advice, guidance and direction for best practices in addressing concerns while balancing the needs of the business with employee empathy. Provide leaders guidance and subject matter expertise on staffing for their areas including appropriate staffing levels, candidate selection, retention, succession planning, development, reorganizations, creation of new positions, etc.
Director AccordionDirectorChicago, New York$178,500–$250,000 / yearYou will provide extensive financial and operational support on client engagements across a variety of industries and markets; utilize experience and on the job training to successfully deliver reports, models, work product and advice that helps guide the direction and decisions related to client turnaround and/or restructuring objectives. Actual compensation packages are determined by evaluating a wide array of factors unique to each candidate, including but not limited to geographic location, skill set, years and depth of experience, education, certifications, cost of labor and internal equity.
NewInsurance Claims Manager Diedre Moire Corp.Insurance Claims ManagerWheaton, IL$120,000–$160,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Manager Excess And Surplus Commercial Lines Supervisor Team Leader Leadership Commercial Auto General Liability Automobile Insurance Commercial Claims Personal Bodily Injury Property Damage #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #Insurance #Claims #ClaimsManager #CommericalLines. BENEFITS include competitive base compensation and incentive compensation, health savings account (HSA) medical, dental, vision, flexible spending accounts, life insurance, dependent life insurance, short and long term disability, long term care insurance, time off programs, tuition reimbursement, and professional development programs.
NewClaims Manager Diedre Moire Corp.Claims ManagerHoffman Estates, IL$120,000–$150,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Manager Claims Supervisor Team Leader Leadership Commercial Auto General Liability Automobile Insurance Commercial Claims Personal Bodily Injury Property Damage #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #Insurance #Claims #ClaimsManager #CommericalLines. Insurance Claims Manager Claims Supervisor Team Leader Leadership Commercial Auto General Liability Automobile Insurance Commercial Claims Personal Bodily Injury Property Damage _.
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.
Highline Warranty Administrator Mercedes-Benz of MidlothianHighline Warranty AdministratorBarrington, IL$65,000–$80,000 / yearWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. Responsibilities: Warranty Claims Management: Oversee all aspects of warranty processing, from start to finish, ensuring accurate and timely handling of claims.
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.