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Claims Review Nurse jobs - Chicago, IL

Viewing 1 - 10 of 157 jobs

  • Floating/Traveling RN Director of Clinical Management

    Gentiva Health Services - Chicago, IL

    required. Required Experience: keywords: RN, Registered Nurse, Nurse, nursing, homecare, home care, healthcare, ... supervisor, Registered Nurse Supervisor, nurse management, nurse manager, RN director, Registered Nurse Director~MON~...

    30+ days ago from

  • Claim Director

    Commercial Property and Casualty Insurance Company - Chicago, IL

    and claims resolution skills, knowledge of insurance and claims principles, practices and procedures. 4. Excellent ... performance. 5. Reviews and directs the application of claims policies, guidelines, insurance laws and regulations...

    23 days ago from IvyExec

  • Skilled Nursing Medical Biller

    Kforce Inc. - Chicago, IL

    benefits this could be for you! Responsibilities include: Review and edit when necessary, all charges in clinical ... gathering documentation for the purpose of appealing denied claims from payers Assist with chart audits comparing what...

    2 hours ago from

  • 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...

    30+ days ago from IvyExec

  • 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

  • Regulatory Filing Technician - Claim Operations and Support

    CNA Financial - Chicago, IL

    The ideal candidate will have insurance and/or claims experience ... exhibits, statistical and supporting materials in the review and approval of policies. 2. Remains externally...

    30+ days ago from CNA Financial Corporation

  • 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...

    30+ days ago from Kforce Finance & Accounting

  • Clinical Quality Review Spec

    Blue Cross Blue Shield 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...

    30+ days ago from CareerBuilder

  • Medical Malpractice Claims Specialist - Programs Segment

    CNA Insurance - Chicago, IL

    should be able to utilize claims policies and guidelines, review coverages, determine liability and damages, secure ... and/or disposition of more complex claims. 7. Analyzes claims activities and prepares reports for management. 8.

    14 days ago from

  • Litigation and Claims Manager

    Compliance Search International - Chicago, IL

    efficient coordination and management of litigation and claims, including coordination of discovery activities with ... database for claims tracking. - Direct litigation and claims strategy, including settlement or trial strategies;...

    30+ days ago from Compliance Search Group

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