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Claims Review Nurse jobs - Hines, IL

Viewing 1 - 10 of 135 jobs

  • Utilization Review Nurse RN

    CorVel - Downers Grove, IL

    Review nurse handling workers' compensation cases. The U.R. Nurse gathers demographic and clinical information on ... the UR determination process. JOB DUTIES: The Utilization Review Nurse must identify the necessity of the review...

    30+ days ago from CareerBuilder

  • 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

  • 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...

    4 days ago from CNA Financial Corporation

  • 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...

    5 days ago from Anthem, Inc

  • Supervisor: Remote Medical Review Auditor RN

    All Med Search - Chicago, IL

    Remote Medical Review Auditor Nurse Supervisor *Must have experience with: *MS-DRG *Inpatient Audits/ RAC *Interqual and ... RHIA, RHIT, CCS or CPC Responsibilities: The Medical Review Nurse Supervisor is responsible for the oversight of a team...

    14 days ago from Glassdoor

  • 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...

    18 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

  • Commercial Lines Agency Claims Manager

    Capstone Search Group - Chicago, IL

    smaller, growing insurance agency is seeking an experienced claims professional for a Commercial Lines Claims Manager ... * Proactively manage claims. Monitor large and complex claims (typically those over $100,000). Review all new claims on...

    30+ days ago from Capstone Search Group

  • Claims Specialist - Directors and Officers Professional Liability

    CNA Financial - Chicago, IL

    technical complexity and coordination. Utilizing claims policies and guidelines, reviews coverages, ... regarding the handling and/or disposition of complex claims. 6. Analyzes claims activities and prepares reports for...

    30+ days ago from CNA Financial Corporation

  • 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