Pharmacy 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.
Auto Property Damage Claims Specialist Warrior Insurance NetworkAuto Property Damage Claims SpecialistOak Brook, IL$41,600–$75,000 / yearFull timeExcellent analytical, organizational, interpersonal and communication (verbal, written, phone) skillsGeneral working knowledge of policies, file procedures, state rules and regulationsAbility to pass written examinations where required by state statutes to become a licensed Claims AdjusterPreferred:College degreePrior auto claims experienceAbility to use on-line claims systemBi-lingual a plus! 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.
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.
Trainee 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.
Remote Claims Representative - 630669F Metro Public AdjustmentRemote Claims Representative - 630669FCrown Point, 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 - 630669D Metro Public AdjustmentRemote Claims Representative - 630669DHammond, 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.
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.
CLAIMS MANAGER City of ChicagoCLAIMS MANAGERChicago, ILGraduation from an accredited college or university with a Master’s degree or higher in Business Administration, Accounting or a directly related field, plus four (4) years of claimsmanagement or cost recovery work experience, of which two (2) years are in asupervisory/managerial role related to the responsibilities of the position. · Graduation from an accredited college or university with a Bachelor’s degree in BusinessAdministration, Accounting or a directly related field, plus five (5) years of claim managementor cost recovery work experience, of which two (2) years are in a supervisory/managerial rolerelated to the responsibilities of the position, OR .
Trainee Casualty Claims Specialist First Chicago Insurance Company (FCIC)Trainee Casualty Claims SpecialistBedford Park, IL$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.
Pharmacy Technician Local Health PharmacyPharmacy TechnicianChicago, ILGRX Holdings, LLC is a fast growing, family-oriented group of independent pharmacies looking for a Full Time, up to 40 hours per week, Pharmacy Technician to work at our Touhy Pharmacy in Chicago, IL. Such functions may include measuring, counting, labeling, record keeping, and communicating with patients and other healthcare professionals.
Certified Pharmacy Technician Local Health PharmacyCertified Pharmacy TechnicianChicago, ILLocal Health is a fast growing, family-oriented group of independent pharmacies looking for a Full Time, up to 40 hours per week, Certified Pharmacy Technician to work at our Harvey Local Health Pharmacy in Chicago, IL. Any person not currently registered with the Illinois Board of Pharmacy as a pharmacy technician or pharmacy technician trainee must obtain registration prior to commencing employment in an Iowa pharmacy.
Outpatient Child & Adolescent Therapist Ellie Mental Health - 026Outpatient Child & Adolescent TherapistOak Brook, ILFull timeWe offer incredible work-life balance, flexibility to set your schedule, a warm and inviting office, and more of the good stuff while removing the "busy" stuff from a traditional private practice setting. New clients will schedule direct through our online scheduling system or client phone calls will be routed, answered, matched, and scheduled by our dedicated client care team.
Talent Development Business Partner Chubb LtdTalent Development Business PartnerChicago, IL$85,000–$100,000 / yearJOB SUMMARY: The Talent Development Business Partner plays a key role in supporting Chubb Benefits and broader Chubb priorities by leading talent and learning initiatives that strengthen employee capability and growth. Talent Development/Management and/or program design experience: conduct needs analysis, create PowerPoint presentations for live and virtual training, using eLearning software, and writing job aids/user manuals.
Lead Claim Examiner I Amtrust Financial Services IncLead Claim Examiner IOak Brook, ILThe Workers'' Compensation Examiner Lead is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans.
Claims Examiner II, Construction Defect Markel CorporationClaims Examiner II, Construction DefectChicago, IL$62,400–$85,800 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Outpatient Child & Adolescent Therapist Ellie Mental HealthOutpatient Child & Adolescent TherapistOak Brook, IllinoisSo we created a new model: one that puts flexibility, innovative decision-making, creativity, and our people first, while remaining a socially conscious and responsible for-profit business focused on changing how we treat mental health. We offer incredible work-life balance, flexibility to set your schedule, a warm and inviting office, and more of the good stuff while removing the "busy" stuff from a traditional private practice setting.
Property Damage Subrogation Specialist First Chicago Insurance Company (FCIC)Property Damage Subrogation SpecialistBedford Park, IL$50,000–$65,000 / yearFull timeDUTIES & RESPONSIBILITIES:Review evidence required supporting property damage subrogation activity on claims in accordance with policy contract, corporate claims policy and state regulationsContact appropriate parties, insurance carriers, and attorneys, to negotiate settlements which are in compliance with company objectives and applicable state regulationsEvaluate all counter claims that present themselves and review with Claims managementReview settlement offers with Claims management to ensure they are in compliance with company objectives and applicable state regulationsAchieve/maintain company goalsPerform other duties as assignedQUALIFICATIONS REQUIRED:Minimum of 2-3 years of auto insurance company subrogation experienceKnowledge of liability lawGood interpersonal, organizational, and verbal/written communication skillsAbility to pass written examinations where required by state statutes to become a licensed claims adjusterAbility to work on an on-line computer-based claims systemIn-Office positionPreferred:College degreeFirst Chicago Insurance Company provides a competitive benefits package to all full- time employees. In this role, you'll take ownership of auto property damage subrogation files from start to finish, working with insurance carriers, attorneys, and uninsured motorists to maximize recoveries while delivering exceptional claim outcomes.
Claims 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.
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.