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.
Complex Claims Consultant - Financial Lines/Public D&O CNAComplex Claims Consultant - Financial Lines/Public D&OChicago, IllinoisResolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. Manages an inventory of highly complex litigated claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
NewTrainee Casualty Claims Specialist First Chicago Insurance CompanyTrainee Casualty Claims SpecialistIL$27.88–$31.25 / hourThey 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.
Claims Examiner - Liability | Multi State Jurisdiction | Auto, BI, PD, GL | Licensing: NY Preferred and Reciprocal required Sedgwick Claims Management Services, Inc.Claims Examiner - Liability | Multi State Jurisdiction | Auto, BI, PD, GL | Licensing: NY Preferred and Reciprocal requiredDowners Grove, ILRemote$65,000–$85,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Mental: 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.
NewClaims Examiner - Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner - Bodily InjuryIL$80,000–$85,000 / yearTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
NewMedical Billing Specialist - Remote Orthos IncMedical Billing Specialist - RemotePortage, INRemoteOur Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies. Communicate with insurance companies to ensure that claims are paid; identify and correct account and/or insurance error; and post all actions and maintain permanent record of patient accounts.
Remote Direct Sales Representative Stratford DavisRemote Direct Sales RepresentativeChicago, ILRemoteCommission-Based Opportunity: Your earnings are completely commission-driven, giving you direct control over your paycheck so that your financial growth directly reflects your dedication and client impact. As a Remote Entry Level Sales Representative, you will partner with individuals and families to help them navigate important financial decisions and plan for a secure future.
Remote Claims Representative - 630669D Metro Public AdjustmentRemote Claims Representative - 630669DGary, INRemoteMetro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.
Remote Claims Representative - 630669F Metro Public AdjustmentRemote Claims Representative - 630669FPortage, INRemoteMetro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.
Remote Claims Representative - 11717 Metro Public AdjustmentRemote Claims Representative - 11717Gary, INRemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
Complex Claim Director - Employment Practices Liability American International GroupComplex Claim Director - Employment Practices LiabilityChicago, IL$120,000–$150,000 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. You will be responsible for handling all aspects of complex Employment Practice Liability claims, with opportunity to handle Directors & Officers Lability, from inception through conclusion brought against privately held and not-for-profit insureds.
Accounts Receivable Specialist - Medical Billing Bionic Prosthetics and OrthoticsAccounts Receivable Specialist - Medical BillingMerrillville, INBionic Prosthetics and Orthotics is seeking an Accounts Receivable Specialist specializing in older and outstanding insurance claims. This position is responsible for researching, tracking, and resolving aged insurance accounts to maximize reimbursement.
NewYJ Maintenance - Senior Account Executive HOA TalentYJ Maintenance - Senior Account ExecutiveChicago, ILQualify prospects, schedule site visits, understand needs, coordinate pricing, prepare straightforward proposals, follow up persistently, negotiate within approved guidelines, and ask for the business. Experience selling to property managers, facility managers, HOAs, multifamily properties, retail, restaurants, offices, local government, or similar commercial buyers is a plus.
NewSenior Claims Specialist - Professional Liability - Non-Profit D&O BerkleySenior Claims Specialist - Professional Liability - Non-Profit D&ONaperville, Illinois$135,000–$155,000 / yearWe are looking for a highly skilled claims professional who enjoys analyzing complex coverage issues, developing litigation strategies, collaborating with defense counsel, and delivering exceptional service to insureds and brokers. At 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.
NewClaims Consulting Director (Liability Construction Defect) CNA Financial CorpClaims Consulting Director (Liability Construction Defect)Chicago, IL$97,000–$189,000 / yearIn District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $97,000 to $189,000 annually. In conjunction with senior level management, works within assigned limits of the broadest authority on assignments requiring the highest degree of technical complexity and coordination.
Regional Sales Associate Nilfisk Holding ASRegional Sales AssociateChicago, IL$67,900–$84,850 / yearThe Sales Associate will support the Regional Managers dealers and end users by conducting equipment demonstrations, equipment use and care training, site surveys, assist in supporting trade shows and open houses, and assist the Regional Director in other business critical functions. Must possess strong communication skills and maintain usual management skills of time, ability to respond, sense of urgency, prioritize efforts and problem solving.
Liability Claims Adjuster Remote CST/EST Charles Taylor LtdLiability Claims Adjuster Remote CST/ESTILRemoteThe right candidate must perform coverage, liability and damage analysis, maintain timely correspondence and determine the best course of action with low to medium levels of autonomy, while working closely with clients, their employees and attorneys as a moderate to experienced claims professional. Charles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers' compensation, and auto/liability.
Safety Intern - Midwest Region Granite Construction IncSafety Intern - Midwest RegionDes Plaines, ILAny unsolicited resumes sent to Granite, including unsolicited resumes sent to a Granite mailing address, fax machine or email address, directly to Granite employees, or to Granite's resume database will be considered Granite property. Our Benefits at a Glance: In addition to building the next generation of builders, Granite invests in its interns by providing them access to a broad benefits package that includes medical, dental, vision, life insurance, disability insurance, flexible spending plans, as well as special programs for musculoskeletal health, mental wellness, and more.
Workers' Compensation Claims Supervisor CCMSIWorkers' Compensation Claims SupervisorLisle, Illinois$85,000–$110,000 / yearResponsibilities: When we hire supervisors at CCMSI, we look for people-leaders who recognize that every claim impacts a real person’s livelihood, hold themselves and their teams accountable for results, and approach challenges as opportunities to develop others and drive excellence. 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.
Senior Technical Claims Specialist Argo Group International Holdings IncSenior Technical Claims SpecialistChicago, IL$173,706–$208,386 / yearEssential Responsibilities: Working with limited oversight under broad management direction, adjudicate highly complex claims and insurance coverage disputes mostly for our professional liability line of business, at the highest authority limits on assignments reflecting the highest degree of technical complexity and coordination in liability and litigated claims, potentially with major impact on departmental results. Qualifications / Experience Required: A deep knowledge of claims adjudication and focus on customer service typically achieved through: At least seven years' experience handling insurance coverage issues and disputes, with exposure of $100,000 or more, for Professional Liability claims.