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Claims Review Nurse jobs - Chicago, IL

Viewing 1 - 10 of 110 jobs

  • Clinical Claims Review Nurse

    UnitedHealth Group - Lisle, IL

    paced challenging area. The RN will review, and process claims for those issues that are clinically related to ... The nurse will maintain contact with Case managers for review of authorizations related to requested services and...

    5 days ago from UnitedHealth Group

  • Claim Manager - HealthCare Programs Segment

    Commercial Property and Casualty Insurance Company - Chicago, IL

    claims resolution skills and knowledge of insurance and claims principles, practices and procedures. 4. Ability to ... claim initiatives. 5. Reviews and manages investigations of claims, liability and damages, and works with senior...

    7 days ago from IvyExec

  • Claims Adjuster

    Kforce Inc. - Chicago, IL

    standards * Coordinate appropriate referral of claims for nurse case management services, transportation, translation ... and investigative services, within company standards * Review and appropriate payments for medical treatment within...

    9 days ago from Kforce Finance & Accounting

  • Clinical Quality Review Spec

    Blue Cross Blue Shield of Illinois - Chicago, IL

    appropriate workflow. JOB REQUIREMENTS: * Registered Nurse (RN) with unrestricted license in state of operations. ... * 5 years health claims and mainframe system experience...

    12 days ago from Women's Career Channel

  • Outside Property Claims Specialist - Commercial Lines

    CNA Insurance - Chicago, IL

    commercial property claims. This unit handles property claims up to $250,000. Candidates with only personal lines ... Identifies claims with third party recovery potential and coordinates with subrogation/salvage unit...

    8 days ago from

  • Senior Ceded Reinsurance Claims Analyst

    CNA - Chicago, IL

    with direct claims areas. Works on ceded reinsurance claims under complex Treaties and/or Facultative ... claims staff and other functional areas. Analyzes claims activities; prepares and presents reports to...

    6 days ago from

  • Sr Claims Representative

    KONE - Lisle, IL

    litigation and claims. 6. Negotiate disposition of claims with claimants or their attorneys. Recognize and ... management experience. Fifteen or more years of claims operations experience required. Professional...

    2 days ago from KONE, Inc

  • Worker's Compensation Claims Adjuster

    Kforce Inc. - Chicago, IL

    is confidentially searching for Worker's Compensation Claims Adjusters for their Downtown Chicago, IL office. The ... standards *Coordinate appropriate referral of claims for nurse case management services, transportation, translation...

    9 days ago from Kforce Finance & Accounting

  • Job Accommodation Specialist

    Sedgwick Claims Management Services - Chicago, IL

    and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both ... disability and workers compensation claims; to review medical information for temporary and permanent...

    7 days ago from Sedgwick Claims Management Services, Inc.

  • Nurse Case Manager Specialist

    CIGNA - Chicago, IL

    referrals, and select outpatient services. May review initial liability disability claims to determine extent and impact of insured's medical condition, medical restrictions and limitations and expected duration. Performs leadership role...

    10 days ago from Cigna

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