111 Results for

Claims Specialist Jobs in Justice, IL

Jobs

New!

Cicero, IL5 days ago

$80,000–$100,000 Per Year

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Lombard, IL23 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, IL23 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, IL5 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.

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. 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?.

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. 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, 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.

Bedford Park, IL21 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, IL21 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, IL16 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, IL21 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, IL21 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, IL16 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, IL3 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, IL3 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, Illinois26 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, Illinois24 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.

Chicago, IL7 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, IL21 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, IL10 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, IL23 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.

Bedford Park, IL21 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.

Chicago, Illinois16 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.

Naperville, IL24 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, IL15 days ago

Rolling Meadows, Illinois13 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

Merrillville, Indiana30+ days ago

Overview: Under supervision, to perform work involving the thorough examination and evaluation of medical record documentation to accurately assign ICD-10-CM, CPT 4, and HCPCS codes and to abstract relevant information from inpatient and outpatient records. Abstracting: Applies appropriate elements to record, including admitting provider, attending provider, other providers, point of origin, primary service, discharge destination, discharge disposition, present on admission.

Hillside, IL25 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. 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.

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.

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.

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.

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.

Aurora, IL30+ days ago

$25–$30 Per Hour

Responsibilities:Employee Onboarding Support:Backup to HR Specialist - Able to input new hires into GHR and manage all aspects of the employee onboarding process including:License Verification. Learning Management System (Tuitio):Administration and monitoring of annual and ongoing education within the LMS platform.

Chicago, IL30+ days ago

Remote

Full-time

Technical 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.

Skokie, IL30+ days ago

Full-time

Revenue Cycle Collections Specialist | A/R Collections Specialist | Patient Account Specialist | Reimbursement Specialist | Billing/Revenue Cycle Management Specialist | Medical Billing Specialist | Collections Associate | Medical Biller | Reimbursement SpecialistPowered by JazzHR. This role includes all aspects of revenue cycle collections including denial management, appeals, reimbursement rate negotiation, and accounts receivable collections.

Des Plaines, IL7 days ago

$75,000–$85,000 Per Year

Develop efficient internal processes related to the management leave of absence requests and ensure adjudication for all relevant leave types including but not limited to the Federal Family & Medical Leave (FMLA), state & local paid and unpaid leaves (both internally managed and coordinated by a government authority or designee), and leaves provided by CBAs . However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

Northbrook, IL16 days ago

$50,000–$58,000

Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, we’ve grown into the nation’s largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Proactively identify opportunities to streamline workflows and implement automation, including AI-based tools for denial prediction, posting accuracy, and trend analysis.

Chicago, IL30+ days ago

Remote

Full-time

Technical Skills: Proficient with key databases, including FoxPro, Claims Systems, Medical Management Systems, and Provider Data Management Systems; working knowledge of VA policies and procedures, current knowledge of claims, reimbursement methodology; healthcare or managed care experience. • Communicate clearly through both written and verbal forms of communication and follow up with various parties to ensure tasks are completed within the allotted timeline or issues are escalated appropriately.

Schaumburg, IL30+ days ago

$67,000–$90,000 Per Year

Additional responsibilities include but are not limited to: + Provide clinical care, nursing assessments and interventions with a focus on promoting and restoring health, preventing injury and illnesses and protecting workers from occupational and environmental hazards. + Represent Nestle as the Workers' Compensation Administrator for the factory and act as a liaison for the Company with local physicians, other health care agencies and third party administrators for worker's compensation claims.

Deerfield, Illinois23 days ago

What You'll Do / Your ImpactClient Partnership & Risk StrategySupport clients with coverage placement, renewals, claims coordination, and policy analysis. We serve clients across Employee Benefits, Property & Casualty Insurance, and Financial Services, combining national strength with local service through a deeply collaborative approach.

Chicago, Illinois30+ days ago

This position requires deep familiarity with healthcare data (including medical and Rx claims), strong analytical capabilities, and the ability to independently manage integration workflows, resolve data issues, and drive process improvements. This role partners closely with the Director of Data Integration, Integration Team Lead, and cross-functional teams to ensure the accurate, timely, and complete integration of healthcare data.

Chicago, Illinois29 days ago

Identify & evaluate production cutting end users based on media sources, trade shows, and knowledge of the industry; prioritize end user sales opportunities driving growth in assigned territory. Create & deliver product training or sales presentations to both internal and external groups incorporating samples, catalogs and highlighting features/benefits of products and services, in order to close the sale.

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Claims Specialist Jobs in Justice, IL

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.

Auto Casualty Claims Specialist Warrior Insurance Network

Auto Property Damage Claims Specialist Warrior Insurance Network

Trainee Casualty Claims Specialist Warrior Insurance Network

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

Property Damage Subrogation Specialist First Chicago Insurance Company (FCIC)

Benefits Specialist Air Line Pilots Association, Int'l.

Part-Time Medical Billing Specialist Fox Valley Institute

Medical Billing Specialist Part - Time Fox Valley Institute

Sr. Client Implementation Specialist, RMIS Solutions Gallagher

Medical Insurance Specialist Affiliated Oncologists

CODING SPECIALIST-CBO PHYS PRACTICES Methodist Hospitals

Appeals Specialist/CDI Expert MBOS

OB/GYN Billing Specialist Women's Health Group

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

Collections Specialist Gallagher

Senior Cash Application Specialist Gallagher

Liability Specialist Erie Insurance

Reimbursement Specialist Addison Group

Denial Recovery Specialist Wolcott, Wood and Taylor Inc.

Onboarding Specialist for HR ECLARO

Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare Alliance

Revenue Cycle AR Collections Specialist Spectrum Billing Solutions

Employee Relations & Leave Specialist ACTS-AVIATION SECURITY

Senior Revenue Cycle Specialist - Onsite USA Clinics Group

Provider Data Specialist TriWest Healthcare Alliance

Occupational Health & Wellness Specialist - Factory Nestle

Small Group Account Specialist Alera Group

Integration Specialist Alera Group

Bandsaw Specialist Snap On

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