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Claims Review Nurse jobs - Des Plaines, IL

Viewing 1 - 10 of 282 jobs

  • Staff Nurse (Revenue Utilization Review)

    U.S. Department of Veterans Affairs - North Chicago, IL

    Job Duties: RUR (Registered Utilization Review) Nurse responsibilities include: *Performance of clinical review ... or Military Sexual Trauma. SA review includes validation review of special treatment related to experience or...

    5 days ago from U.S. Department of Veterans Affairs

  • RN - Medicare Claims Reviewer

    Catapult Consultants - Chicago, IL

    • While performing the duties of this job the employee is regularly required to sit and use hands to finger, handle, or feel while typing at a computer keyboard. • The employee is occasionally required to stand, walk, reach, or lift...

    6 days ago from Catapult Consultants, LLC

  • Lead Medical Claims Review Analyst

    Analytica - Chicago, IL

    Claims Review Analyst will review information contained in claims history and provider files in order to detect ... review. Position Requirements: Qualifications for Lead Claims Review Analyst Work Experience: At least 2 years...

    8 days ago from ANALYTICA

  • Utilization Review Nurse I

    Zurich Insurance Company - Schaumburg, IL

    We are currently looking for a Utilization Review Nurse to join one of the largest workers’ compensation insurers in the ... Utilization Review Nurse (URN) performs medical necessity review of proposed, concurrent, or retrospective clinical...

    13 days ago from Zurich Insurance Company Ltd

  • 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. · Evaluate treatment requests and review clinical information received with treatment protocols...

    30+ days ago from TRISTAR Insurance Group

  • Commercial Lines Agency Claims Manager

    Capstone Search Group - Chicago, IL

    Agency Claims Manager Responsibilities Majority of the claims being handled will be from healthcare clients ... Proactively manage claims. Monitor large and complex claims (typically those over $100,000). Review all new claims...

    6 days ago from Capstone Search Group

  • 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...

    12 days ago from CNA Financial Corporation

  • Claim Rep Specialty Liability - Inland Marine Transportation Job

    Travelers - Naperville, IL

    for specific activities required to properly investigate claims such as Subro, Risk Control, nurse consultants, and ... claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal...

    2 days ago from Travelers

  • 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

  • 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...

    30+ days ago from CNA Financial Corporation

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