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Claims Review Nurse jobs - Downers Grove, IL

Viewing 1 - 10 of 128 jobs

  • Nurse RN

    North Shore Senior Center - Northfield, IL

    alignment with company mission, vision and values, the Nurse - Care Manager coordinates and manages service delivery ... claims, and reviewing medical bills. Vendor Evaluation and Recommendation âÂ?¢ Evaluates and recommends appropriate...

    24 days ago from

  • RN Utilization Review

    Sedgwick Claims Management Services - Aurora, IL

    Job Title: RN Utilization Review City: Richardson State/Province: Texas Position Type: Full Time Description: Utilizatio ... all utilization review outcomes in utilization review software. * Communicates and works with claim examiners...

    30+ days ago from Sedgwick Claims Management Services, Inc.

  • RN Clinical Review Coordinator (Managed Care)

    Rush University Medical Center - Chicago, IL

    Job Title: RN Clinical Review Coordinator (Managed Care)* Department: Bone Marrow Transplant Shift: 1st Specialty: Case ... insurance language. Thorough understanding of benefits and claims Proficiency with Microsoft Word and Excel...

    30+ days ago from Rush University Medical Center

  • Licensed Utilization Review I - 111633

    Anthem - Westchester, IL

    with a continuum of care, radiology review, or other such review processes that require an understanding of ... EOE.M/F/Disability/Veteran **Job** *Medical* **Title:** *Licensed Utilization Review I - 111633* **Location:** *IL-Westc...

    11 days ago from Anthem, Inc

  • Claims Technician

    CNA Financial - Chicago, IL

    . Essential Duties & Responsibilities 1. Receives new claims, may determine the loss type if not evident, and ... or above Skills, Knowledge & Abilities 1. Knowledge of claims handling procedures and documentation. 2. Basic...

    11 days ago from CNA Financial Corporation

  • Disability Claims Examiner / RN

    Kelly Services - Chicago, IL

    RN / Disability Claims Examiner Kelly Services has a unique opportunity available for a RN / Disability Claims Examiner ... REQUIRED QUALIFICATIONS Current/Active RN Illinois License 5 years claims and mainframe system experience...

    1 day ago from Kelly Services

  • Utilization Review Team Lead

    Sedgwick Claims Management Services - Aurora, IL

    Job Title: Utilization Review Team Lead City: Aurora State/Province: Illinois Position Type: Full Time Description: Util ... * Expert knowledge of the insurance industry and claims processing * Acquired knowledge of GM claims process,...

    30+ days ago from Sedgwick Claims Management Services, Inc.

  • Claims Coordinator - Risk Management

    Palos Community Hospital - Palos Heights, IL

    managing medical malpractice and general liability claims, managing patient complaints and grievances, managing ... loss runs to ensure adequate reserving of claims. Reports claims to excess insurers/reinsurers as needed on claims and...

    30+ days ago from American Society for Quality

  • Litigation Bill Review Attorney

    CNA Financial - Chicago, IL

    through TeamConnect. May participate in on-site bill review audits, requiring effective communication with ... Typically requires a minimum of five years of legal experience in claims and/or law firm with a progressively increasing...

    24 days ago from CNA Financial Corporation

  • Disability Specialist

    Sedgwick Claims Management Services - Chicago, IL

    efforts and to thoroughly review contested claims; to evaluate and arrange appropriate referral of claims ... appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to...

    30+ days ago from Sedgwick Claims Management Services, Inc