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Claims Review Nurse jobs - Des Plaines, IL

Viewing 1 - 10 of 253 jobs

  • Life and Disability Nurse

    Aerotek Scientific - Downers Grove, IL

    department and either approving or denying the claim. The Nurse will review perscriptions, insurance qualifications, ... The candidate will be reviewing medical records, incidental claims and they will educate the claims team on the actions...

    2 hours ago from Aerotek Scientific

  • Legal Nurse Consultant - Commercial Lines

    Farmers Insurance Group - Aurora, IL

    with Claims Representatives and Defense Council on claims issues *Organize, review, and analyze medical records ... *Present medical training and education to claims staff *Review and analyze expert witness reports and depositions...

    21 days ago from Farmers Insurance Group

  • 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

  • Assistant Vice President - Workers Compensation Claim

    Leading American Insurance Company - Naperville, IL

    continuous process of management involvement and claim file review. Evaluates claim behaviors, taking improvement ... strategy. Seeks information on, supports, and communicates Claims philosophies. Identify business drivers and trends...

    30+ days ago from IvyExec

  • RN Medical Case Manager - Concentra Med. Clinic Elk Grove Village

    Travelers - Schaumburg, IL

    most advanced approach to managing workers compensation claims. As a Travelers registered nurse, you will work ... jurisdictions. For nurses handling Workers Compensation Claims, perform Utilization Review according to established...

    3 days ago from MiracleWorkers.com

  • Global Medical Director New Products CNS Immunology

    Major Pharmaceutical Company - Deerfield, IL

    support to the Target Product Profile (TPP), proposed core claims, value demonstration plan and when necessary, other Commercial endeavors. Supports Global Medical Head by providing input into disease or therapy area strategy documents. As...

    4 days ago from IvyExec

  • 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

  • CHARGE CAPTURE SPECIALIST - RN

    Presence Health - Bolingbrook, IL

    Registrations REQUIRED: Illinois Licensed registered nurse (RN) and five years acute care clinical experience in a hospital setting OR Illinois Licensed registered nurse (RN) and three years acute care clinical experience plus two (2)...

    30+ days ago from MiracleWorkers.com

  • 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...

    23 days ago from NCI information Systems, Inc.

  • 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...

    24 days ago from NCI

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