Claims Adjudicator II UNITE HERE HEALTHClaims Adjudicator IIOak Brook, ILRemote$20.36–$24.97 / hourActual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location. Evaluates diagnoses, procedures, services, and other submitted data to determine the need for further investigation in relation to benefit requirements, accuracy of the claim filed, and the appropriateness or frequency of care rendered.
Liability Claims Examiner | BI Premises Experience Required | TX License Sedgwick Claims Management Services, Inc.Liability Claims Examiner | BI Premises Experience Required | TX LicenseLake Forest, ILRemote$60,000–$70,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze Bodily Injury Premise claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.