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Claims Review Nurse jobs - Chicago, IL

Viewing 1 - 10 of 170 jobs

  • HealthCare Claims Consultant

    Commercial Property and Casualty Insurance Company - Chicago, IL

    coordination. Individual should be able to utilize claims policies and guidelines, review coverages, determine ... and/or disposition of complex claims. 8. Keeps claims systems updated with current data, coding, and...

    30+ days ago from IvyExec

  • Occupational Health Nurse

    Synectics - Schaumburg, IL

    complete and concise. Initiate Workers' Compensation claims with 3rd party insurer. Review all work related ... in the Occupation Health space. Minimum Qualifications: Current Registered Nurse Certified in Basic Life...

    1 day ago from Jobg8

  • Appeals Clinical Coordinator - RN

    Sinai Health System - Chicago, IL

    .S.N. from accredited school of Nursing, preferred. Two to three years experience in case management, a managed care environment and/or claims review. Currently licensed as a professional nurse in Illinois. Certification in case...

    30+ days ago from MiracleWorkers.com

  • Medical Review Nurse

    NCI - Chicago, IL

    * Reviews information contained in Standard Claims Processing System files (e.g., claims history, ... analysis and processing of Medicare claims, utilization review/quality assurance procedures, ICD-9/10-CM and CPT-4...

    4 hours ago from NCI

  • LPN Nurse Reviewer I Sens -- 101535

    Anthem - Chicago, IL

    a continuum of care, radiology review, or other such review processes that require an understanding of terminology and ... M/F/Disability/Veteran.* **Job** *Medical* **Title:** *LPN Nurse Reviewer I Sens - 101535* **Location:** *AZ-Scottsdate*...

    14 days ago from Anthem, Inc

  • Medical Review Nurse

    NCI Information Systems - Chicago, IL

    Reviews information contained in Standard Claims Processing System files (e.g., claims history, ... analysis and processing of Medicare claims, utilization review/quality assurance procedures, ICD-9/10-CM and CPT-4...

    29 days ago from NCI information Systems, Inc.

  • Medical Case Manager - Telephonic/Utilization Review - TMC

    TriStar Insurance Group - Chicago, IL

    through coordination with the patient, physician, claims examiner and employer. Possess excellent ... care being provided. ยท Evaluate treatment requests and review clinical information received with treatment protocols...

    30+ days ago from TRISTAR Insurance Group

  • Operations Manager - Insurance Claims Operations and Support Organization

    CNA Financial - Chicago, IL

    The Claims Operations and Support organization is currently recruiting for an experienced Services/Operations Manager fo ... location. The individual in this position will manage 14 claims operations and support associates who support the...

    26 days ago from CNA Financial Corporation

  • Regulatory Filings Technician - Claims Operations

    CNA Financial - Chicago, IL

    exhibits, statistical and supporting materials in the review and approval of policies. 2. Remains externally focused while monitoring the state filing process to ensure customer satisfaction and compliance. Develops and distributes regular...

    30+ days ago from CNA Financial Corporation

  • Claim Regulatory Operations Analyst

    CNA Financial - Chicago, IL

    Job Summary Under broad supervision, this individual is responsible for collecting and reporting data to regulatory entities on a regular basis. Ability to produce, analyze and understand large amounts of Claim data is required. Knowledge...

    30+ days ago from CNA Financial Corporation

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