156 Results for

Claims Specialist Jobs in Illinois

Jobs

New!

Cicero, IL4 days ago

$80,000–$100,000 Per Year

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Lombard, IL22 days ago

$20–$20 Per Hour
Full-time
Employee

This position is responsible for administrative claim setup as well as initial claim review including but not limited to eligibility, determine coverage amounts, policy requirement, group contacts and preferences and payment procedures. Create, review and edit member and benefit information including Self-Administered Billing, Self-Administered Billing-Web, Third Party Administrators, spouse and dependent coverages.

Lombard, IL22 days ago

$25–$25 Per Hour
Full-time
Employee

Calculate 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.

New!

Aurora, IL4 days ago

$100,000–$140,000 Per Year
Full-time

CONSIDERED 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.

Park City, IL23 days ago

$110,000–$160,000 Per Year
Full-time

CONSIDERED 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.

New!

Mundelein, IL2 days ago

$79,000–$119,000 Per Year
Full-time

This role is responsible for writing stability protocols/reports, evaluating stability data, performing risk assessment, and supporting process improvements. Determine the tests and acceptance criteria required for stability in collaboration with testing subject matter experts and product divisions.

New!

East Saint Louis, IL5 days ago

$69,920–$133,620 Per Year

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

New!

Work From Home, IL2 days ago

$92,000–$138,000 Per Year
Full-time

Complete and maintain varied regulatory filings by leading internal groups, collaborating with external groups, evaluating and providing direction on supporting technical information, writing appropriate summary documentation, providing direction on product/project changes, and responding to non-conformances and questions from regulators. Prepare comprehensive regulatory strategies for new devices, new launch markets, and post-market device changes, ensuring that the content, context, organization, and quality of supporting information is sufficient to meet all regulatory requirements, commitments, and agreements.

Oak Brook, IL19 days ago

$54,750–$97,500 Per Year

They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Are you an experienced Auto Bodily Injury Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities?.

Bedford Park, IL19 days ago

$41,600–$75,000 Per Year

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. Are you an experienced First & Third Party Property Damage Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities?.

Bedford Park, IL19 days ago

$27.88–$31.25 Per Hour

They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. At the end of the training program, you will be expected to and able to successfully investigate, evaluate, negotiate, and resolve bodily injury, uninsured/underinsured motorist bodily injury, and medical payments claims.

Belleville, IL30+ days ago

$54,750–$97,500 Per Year

They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.

Bedford Park, IL20 days ago

$40,000–$58,000 Per Year

Your role involves investigating and evaluating total loss files for both insureds and third-party claimants, ensuring prompt follow-up on necessary documentation like signed titles to facilitate efficient salvage resolution. As a Full-Time Total Loss Claims Specialist at First Chicago Insurance Company (FCIC), you will review and determine the course of action for each assigned claim, leveraging your technical expertise to support the final disposition of losses.

Oak Brook, IL20 days ago

$54,750–$97,500 Per Year

They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.

Chicago, IL15 days ago

$80,000–$125,000 Per Year

Our focus is on hiring, developing, retaining, and rewarding individuals who excel in: Purposeful Action: Delivering top-tier work with a data-driven approach and operating at AXIS speed. About You We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals.

Oak Brook, IL20 days ago

$41,600–$75,000 Per Year

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. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage liability, status and damages that are applicable for each claim.

Chicago, IL30+ days ago

Remote

Full-time

Provides superior customer service to, and proactively builds strong relationships with, all appropriate representatives of assigned accounts, including their internal leadership, brokers, and agents to maximize the competitive advantage derived from the Vantage Claims value proposition. Additionally, the role supports the Underwriting Business Unit by liaising with account and broker/agent representatives, providing frequent, in-depth exposure analysis to senior leadership, and participating in marketing efforts at industry events and conferences.

Bedford Park, IL20 days ago

$27.88–$31.25 Per Hour

They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. At the end of the training program, you will be expected to and able to successfully investigate, evaluate, negotiate, and resolve bodily injury, uninsured/underinsured motorist bodily injury, and medical payments claims.

Elmhurst, IL15 days ago

$30,000–$45,000 Per Year
Full-time

Ensure timely submission of clean claims, monitor for claim rejection and provide corrections as needed and resubmit. Track aging report of unpaid claims.

New!

Bedford Park, IL2 days ago

$16–$18 Per Hour

Verify coverage, recognize potential coverage issues, refer insured's/claimants for estimates and route calls to the appropriate claim's units based on the loss information reported. Assist in handling of various, on-going responsibilities of the unit inclusive of unmatched mail, process tow bills, ordering police reports, mailing claim checks, etc., as needed.

New!

Bedford Park, IL2 days ago

$16–$18 Per Hour

Chicago, Illinois30+ days ago

They represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the specialty insurance market. Differences in race, creed, color, religious beliefs, physical or mental capabilities, gender identity or expression, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we provide our clients, trading partners, and communities.

Chicago, Illinois25 days ago

$75,000–$85,000 Per Year

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.

Chicago, Illinois23 days ago

The AVP Claims Operations is responsible for managing the team of claims professionals, developing strategic plans to optimize claim outcomes and ensure effective claim advocacy and handling. Differences in race, creed, color, religious beliefs, physical or mental capabilities, gender identity or expression, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we provide our clients, trading partners, and communities.

Skokie, IL30+ days ago

Remote

Full-time

Chicago, IL30+ days ago

Remote

Full-time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

New!

Chicago, IL6 days ago

Remote

$75,000–$100,000 Per Year

Conduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals . Are you an experienced Litigation Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities?.

Bedford Park, IL20 days ago

Remote

$75,000–$100,000 Per Year

Conduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. Ability to research and interpret case law, statute, and coverage forms in order to properly adjust and conclude claims.

Chicago, IL9 days ago

This role ensures accurate and timely billing, supports audit readiness and response, maintains compliance with federal and state regulations, and leads process improvement initiatives related to pharmacy revenue cycle performance. Conducts scheduled and ad-hoc audits of pharmacy billing, charging, and collection practices to ensure alignment with payer contracts, Medicare/Medicaid guidelines, HIPAA, and other federal/state regulations at the direction of the Manager.

Downers Grove, IL22 days ago

This role is ideal for someone who excels in high-volume, fast-paced environments, can confidently navigate challenging customer interactions, and is passionate about delivering exceptional service. You will serve as a key point of contact for policyholders, supporting policy inquiries, billing, and claims-related questions, while partnering closely with our Sales and Claims teams.

Champaign, Illinois11 days ago

$17.26–$27.96 Per Hour

Utilizes clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers.

New!

Springfield, Illinois2 days ago

This may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies. Investigates assigned patient accounts with incomplete/incorrect information and resolves problems or errors to ensure complete and compliant information accompanies the claim.

Springfield, Illinois25 days ago

Identifies situations in which contractual adjustments are warranted by determining the original billed amounts as compared to the amounts allowed and prescribed by Medicare / Medicaid and/or managed care contracts, as applicable. Communicates orally and in writing with internal and external insurance representatives and/or governmental agencies (as applicable) to obtain insurance verification and to resolve account questions and billing issues.

Bedford Park, IL20 days ago

$50,000–$65,000 Per Year

Must have the ability to determine, develop and negotiate the theory of liability with Third Party carriers, attorneys and uninsured motorists, as well as resolve files in accordance with company objectives and applicable state regulations. Contact appropriate parties, insurance carriers, and attorneys, to negotiate settlements which are in compliance with company objectives and applicable state regulations.

Hopedale, IL8 days ago

$29.60–$29.60

MINIMUM QUALIFICATIONS Education: High school diploma or equivalent required Associate's degree in a related field preferred Experience: Minimum 1-2 years of medical billing experience Hospital or Critical Access Hospital billing experience preferred Knowledge, Skills, and Abilities: Knowledge of CPT, ICD-10, HCPCS coding, and revenue codes Familiarity with UB-04 and CMS-1500 claim formats and Medicare/Medicaid billing requirements Experience with TruBridge or comparable community hospital EHR/PM system preferred Strong attention to detail, organizational skills, and ability to meet deadlines Proficiency in Microsoft Office Suite PREFERRED QUALIFICATIONS Experience with multi-service line facility billing including SNF, swing bed, and outpatient services LICENSES AND CERTIFICATIONS Preferred: CPB (Certified Professional Biller) or CPC Physical Requirements: The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this position. Constantly (67-100% of the time): Sitting, Talking/ Hearing, Near Visual Acuity Frequently (34-66% of the time): Repetitive Hand/ Wrist Motion Occasionally (11-33% of the time): Walking, Standing Rarely (less than 10% of the time): Bending/Stooping, lifting/carrying (up to 25 lbs) WORK ENVIRONMENT Work is performed in a professional administrative/office environment within a healthcare facility.

Hopedale, IL8 days ago

Chicago, Illinois15 days ago

Remote

$80,884–$115,549 Per Year

Employees do not have to pay premiums if they enroll in the Aetna High Deductible Health Plan or the Kaiser HMO Plan; 15 days paid vacation and 13 holidays per year plus 2 volunteer days per year; Generous sick and bereavement leave; Competitive parental leave; Company-paid coverage for long term disability, life insurance, and accidental death & dismemberment; Flexible Spending and Health Savings accounts; Retiree health plan and a retiree health account (retiree HRA). The Benefits Specialist helps to develop and implement the United Airlines Master Executive Council’s goals by providing professional and technical support to the United Airlines pilots in the understanding of the United welfare and retirement benefit programs, specifically, Group Life, Health, Dental, Disability, Retirement Plans (both defined contribution and market-based cash balance plans), and Section 125 Plans.

Rolling Meadows, Illinois12 days ago

Remote

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Overview: Gallagher Bassett is hiring a Senior Client Implementation Specialist to lead the implementation and delivery of risk management information system (RMIS) solutions for clients.

Orland Park, Illinois30+ days ago

$27.85–$36 Per Hour

Illinois17 days ago

Remote

$75,000–$90,000 Per Year

Naperville, IL14 days ago

FVI is actively seeking qualified applicants who are passionate about superior client care, excited to make an impact from day one and who are dedicated to providing an exceptional experience for everyone they come in contact with at Fox Valley Institute. Fox Valley Institute (FVI), located in Naperville, Illinois, is a multi-award-winning counseling practice focused on helping people reach their greatest potential.

Naperville, IL23 days ago

Hillside, IL24 days ago

Staffed with experts in coding, billing, denial management, CDI, and medical collections, we make it a priority in discovering the root cause of revenue cycle challenges and incorporate trend analysis with the result being a true partnership in resolving the most critical issues for our clients. As you will see, our references are well-known healthcare entities and results-driven organizations from Academic Medical Centers to Community hospitals to safety-net hospitals as well as sub-acute, ancillary, and physician practice of all sizes.

Chicago, IL30+ days ago

This role requires strong knowledge of medical billing workflows, insurance follow-up, denial management, payment posting, claims resolution, and patient account management specific to an OB/GYN setting. Please send your resume and a brief summary of your OB/GYN billing experience, including your level of experience with athenahealth, to michael@whgchicago.com.

Hillside, IL30+ days ago

Our customers range from Academic Medical Centers to community and rural hospitals to the much-needed safety-net hospitals as well as physician practices, ancillary and sub-acute facilities, and service providers. We are seeking an experienced Dental Biller with strong knowledge of Dentrix and or Eaglesoft to manage claims submission and accounts receivable follow-up.

Rolling Meadows, Illinois30+ days ago

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. How you'll make an impact: Gallagher Bassett is seeking a Senior Cash Application Specialist to join our dynamic team and play a vital role in ensuring the seamless flow of financial operations.

Rolling Meadows, Illinois30+ days ago

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. The Collections Specialist will be responsible for managing and executing collection activities to ensure timely recovery of outstanding balances while maintaining positive relationships with clients.

Chicago, IL30+ days ago

Remote

Full-time

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.

Chicago, IL30+ days ago

This role focuses on identifying root causes of denials, initiating corrective actions, and collaborating with coding, billing, and payer representatives to maximize revenue recovery and reduce future denials. The Denial Recovery Specialist is responsible for reviewing, analyzing, and resolving denied professional billing claims to ensure accurate and timely reimbursement.

Westchester, Illinois30+ days ago

$22–$27 Per Hour

The ideal candidate brings hands-on experience working liability claims, negotiating with attorneys, and managing complex accounts receivable workflows. Addison Group is partnering with one of our clients to hire a Reimbursement Specialist with a strong background in liability billing and collections.

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Claims Specialist Jobs in Illinois

Insurance Claims Specialist Jobot

Hybrid Supplemental Claims Intake Specialist Jepsen Investments, Inc.

Hybrid Supplemental Health Claims Examiner Jepsen Investments, Inc.

Claims Examiner MedMal Diedre Moire Corp.

Insurance Claims Environmental Diedre Moire Corp.

R&D Specialist, Medical Device Stability Medline Industries

Property Adjuster Specialist - Field USAA

Sr Spec Regulatory Affairs Medline Industries

Auto Casualty Claims Specialist Warrior Insurance Network

Auto Property Damage Claims Specialist Warrior Insurance Network

Trainee Casualty Claims Specialist Warrior Insurance Network

Casualty Claims Specialist First Chicago Insurance Company (FCIC)

Total Loss Claims Specialist First Chicago Insurance Company (FCIC)

Auto Casualty Claims Specialist First Chicago Insurance Company (FCIC)

Claims Specialist Axis Capital Holdings

Auto Property Damage Claims Specialist First Chicago Insurance Company (FCIC)

Senior Claims Specialist, Cyber Claims Vantage Risk Companies

Trainee Casualty Claims Specialist First Chicago Insurance Company (FCIC)

Medical Billing Specialist Davis Dermatology

Entry Level Part-time Claims Call Center Specialist First Chicago Insurance Company (FCIC)

Entry Level Claims Call Center Specialist First Chicago Insurance Company (FCIC)

Sr. Claims Advocacy Specialist Ryan Specialty Group

Multi-Line Claim Specialist CCMSI

AVP - Claims Operations Ryan Specialty Group

Revenue Cycle Billing Specialist Spectrum Billing Solutions

Sr Claims Reviewer TriWest Healthcare Alliance

Litigation Specialist Warrior Insurance Network

Litigation Specialist First Chicago Insurance Company (FCIC)

Pharmacy Billing Specialist Solve IT Strategies, Inc.

Customer Support Specialist (Pet Insurance) - Hybrid Prudent Pet

Accounts Receivable Insurance Specialist 1 Carle Health

Follow-Up Specialist Memorial Health

Billing Adjustment Specialist Memorial Health

Property Damage Subrogation Specialist First Chicago Insurance Company (FCIC)

IL - Billing Specialist Lamb Company

IL - Billing Specialist Bestica

Benefits Specialist Air Line Pilots Association, Int'l.

Sr. Client Implementation Specialist, RMIS Solutions Gallagher

Medical Insurance Specialist Affiliated Oncologists

HUD Specialist Related

Medical Billing Specialist Part - Time Fox Valley Institute

Part-Time Medical Billing Specialist Fox Valley Institute

Appeals Specialist/CDI Expert MBOS

OB/GYN Billing Specialist Women's Health Group

Dental Biller/AR Follow Up Specialist (DENTRIX or Eaglesoft Required) MBOS

Senior Cash Application Specialist Gallagher

Collections Specialist Gallagher

Liability Specialist Erie Insurance

Denial Recovery Specialist Wolcott, Wood and Taylor Inc.

Reimbursement Specialist Addison Group

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