Healthcare Claim Analyst Jobs in Illinois

Claims Analyst (Legal Affairs) The candidate will be responsible for initiating and maintaining the litigation files. Will conduct discovery at the request of the in-house and assigned defense counsel. Will attend ..

Claims Analyst (Legal Affairs) Duties: Be responsible for initiating and maintaining the litigation files. Conduct discovery at the request of the in-house and assigned defense counsel. Attend and participate (including preparation ..

Claims Analyst (Legal Affairs) Responsibilities: Practices service pride philosophy when speaking with employees, patients, visitors and physicians. Answers UCH discovery on assigned claims and litigation files. Prepares cases for legal action ..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..

... of the position The Insight Analyst Investigator will be reviewing healthcare claims for possible fraud, waste, ... or erroneous charges submitted by healthcare providers. Required to manage workload .....

A law firm is seeking a General Liability Associate Attorney with 3-5 years of experience in general liability, trucking, or transportation law. The candidate will be responsible for file review, legal ..

Description The Senior Business Intelligence Analyst (Claims Strategy) solves complex business ... decision-makers. The Senior Business Intelligence Analyst work assignments involve moderately complex ... In The Senior Business Intelligence Analyst..

Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are driven to develop and deliver innovative and effective new ..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Chicago Illinois Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

Legal Nurse (Medical Claims Administrator/Analyst - Legal Affairs ) Duties: Practices service pride philosophy when speaking with employees, patients, visitors and physicians. Answers UCH discovery on assigned claims and litigation files. ..

16,436 Job Information Deloitte Federal Healthcare Data Analytics and Visualization Analyst in Chicago Illinois Federal Healthcare Data Analytics and Visualization Analyst Are you a Federal Data ... expertise on Medicare..

Job Information Humana Pharmacy Claims Specialist, Remote in Chicago Illinois Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. ..

A law firm in Peoria is currently seeking a qualified Attorney with 0-10 years of medical malpractice defense experience. The successful candidate must possess a Juris Doctor degree from an ABA-accredited ..

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

Claims Analyst (Legal Affairs) Duties: Practices service pride philosophy when speaking with employees, patients, visitors and physicians. Answers UCH discovery on assigned claims and litigation files. Prepares cases for legal action ..

13,738 Job Information Deloitte Healthcare Data Analytics & Visualization Consultant ... Visualization Consultant in Chicago Illinois Healthcare Data Analytics and Visualization Consultant ... expertise on Medicare (preferably Claims) Healthcare Analytics..

... Humana Lead Product Manager - Healthcare API in Chicago Illinois Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

Job Information Humana Call Center Pharmacy Claims Technician, Remote in Chicago Illinois Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..

Client Service Analyst – Moline, IL','2139072','!*!If you are located within commutable distance of 101 17th Street, Moline, IL, you will have the flexibility to work from home and the office in ..

Description The Claims Review Representative 4 (formerly Team lead), Financial Recovery Overpayment Team makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. ..

... and Excess Umbrella based on Claim Guidelines, where analysis of situations ... and direction, as required by Claim Guidelines. Verifies/analyzes applicable coverage for ... throughout the life of the..