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Claims Review Nurse jobs - Chicago, IL

Viewing 21 - 30 of 227 jobs

  • Operations Supervisor - Claim Regulatory Reporting Team

    CNA - Chicago, IL

    Job Summary Leads and supervises an operational team in insurance operations and/or customer service. Essential Duties & Responsibilities 1. Assigns, distributes and coordinates workflow for the team with other teams in the area ensuring...

    3 days ago from

  • Registered Nurse (RN) - Appeals Nurse Consultant

    Aetna - Chicago, IL

    Appeals Nurse Consultant, you will be responsible for the review and resolution of clinical documentation, clinical ... LICENSES AND CERTIFICATIONS Registered Nurse (RN) license is required FUNCTIONAL EXPERIENCES Nursing/Clinical Coverage a...

    30+ days ago from Aetna Inc

  • Nurse Attorney/Legal Nurse Consultant

    General Counsel Counsulting - Itasca, IL

    Nurse Attorney / Legal Nurse ConsultantThe candidate will provide claims adjusters and attorneys with detailed analysis ... significant to allegations in liability claims. Will review, analyze, and summarize medical records and other...


  • Nurse Audit Sr - 82525SY

    WellPoint - Westchester, IL

    by health care providers through prepayment claims review, post payment auditing, and provider record review. ... claims review and post payment auditing. Correlates review findings with appropriate actions (provider...

    30+ days ago from WellPoint

  • RN Medical Case Manager - Workers Compensation

    Travelers Indemnity Company - Naperville, IL

    jurisdictions. For nurses handling Workers Compensation Claims, perform Utilization Review according to established ... EDUCATION/COURSE OF STUDY: Registered Nurse or other qualified health professionals...

    30+ days ago from The Travelers Indemnity Company

  • Regulatory Filing Technician - Claim Operations and Support

    CNA Financial - Chicago, IL

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

    16 days ago from CNA Financial Corporation

  • Surety Claims Specialist - Performance & Payment Bond Claims

    Continental Casualty Company - Chicago, IL

    performance and payment bond claims and will assist senior claims analyst/counsel on the largest and most complex ... claims resolution skill and knowledge of surety and claims principles, practices and procedures. 2. Strong...

    30+ days ago from Continental Casualty Company

  • Quality Assurance Nurse (QA), Worker Comp/UR

    Dane Street - Chicago, IL

    Candidates should be a nurse with experience in claims industry, specifically worker compensation/UR, and possess a stro ... Claims/Medical Terminology and peer review background...

    30+ days ago from Dane Street, LLC

  • Registered Nurse, Clinical Consultant (potential to work virtually)

    Prudential - Chicago, IL

    professional medical evaluation of illness & injury claims for return to work potential, assessment and/or ... claims professionals. * Supports Disability Claims Managers in appropriate claim direction to identify and...

    25 days ago from Prudential

  • Clinical Nurse Manager - Long Term and Extended Care

    U.S. Department of Veterans Affairs - Hines, IL

    documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal ... fax transmissions, etc. * 1-Full-Time * 0610-Nurse * Active * * 15668-Agency...

    7 hours ago from U.S. Department of Veterans Affairs

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