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Claims Review Nurse jobs - Des Plaines, IL

Viewing 1 - 10 of 303 jobs

  • 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...

    21 days ago from IvyExec

  • Medical Director

    Managed Care Company - Oak Brook, IL

    manages the denial process. Reviews cases with concurrent review nurses. Provides medical expertise for care ... Preferred Education: Board Certified (primary care preferred) Preferred Experience: Peer Review, medical policy/procedur...

    30+ days ago from IvyExec

  • Registered Nurse (RN) - Utilization Management (UM) Retro-review Nurse Consultant

    Coventry Health Care - Downers Grove, IL

    SUMMARYClinical nurse position for retrospective review of inpatient and outpatient claims. Facilitates ... review.Works closely with Customer Service Organization and Claims Processing teams to facilitate timely reimbursement...

    1 day ago from Coventry Health Care

  • RN-Utilization Review Nurse

    CorVel - Downers Grove, IL

    office for a full-time utilization review nurse. The U.R. Nurse gathers demographic and clinical information on ... Utilization Review Nurse must identify the necessity of the review process and communicate any specific issues of...

    13 days ago from CareerBuilder

  • Clinical Quality Review Spec

    Health Care Svc - Chicago, IL

    JOB REQUIREMENTS:* Registered Nurse (RN) with unrestricted license in state of operations.* 5 years health claims and mainframe system experience.* Experience with internal/external customer relations.* Knowledge of managed care...

    23 days ago from Health Care Svc Corp

  • 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

  • Worker's Compensation Claims Adjuster

    Kforce Inc. - Chicago, IL

    is confidentially searching for Worker's Compensation Claims Adjusters for their Downtown Chicago, IL office. The ... standards *Coordinate appropriate referral of claims for nurse case management services, transportation, translation...

    3 days ago from Kforce Finance & Accounting

  • Life Sciences Claim Specialist

    Continental Casualty Company - Chicago, IL

    effective resolution of more complex claims. 7. Analyzes claims activities. Prepares and presents reports for ... claim information; and to further articulate analyses of claims in internal reports. 10. Ability to handle claims...

    2 hours ago from Continental Casualty Company

  • Claim Manager - HealthCare Programs Segment

    CNA Financial - Chicago, IL

    claim initiatives. 5. Reviews and manages investigations of claims, liability and damages, and works with senior ... claims resolution skills and knowledge of insurance and claims principles, practices and procedures. 4. Ability to...

    1 day ago from CNA Financial Corporation

  • Assistant Vice President Workers Compensation Claim

    Travelers Indemnity 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...

    24 days ago from The Travelers Indemnity Company

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