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Claims Review Nurse jobs - Schaumburg, IL

Viewing 1 - 10 of 276 jobs

  • Utilization Review RN

    Sedgwick - Cicero, IL

    Utilization Review RN Utilization Review Registered Nurse CLAIM YOUR FUTURE AS A GREAT PERFORMER!Continuing double-digit ... review services; i.e., administrative continued stay review.Evaluates need for alternative treatment through...

    3 days ago from Get Nursing Jobs

  • Nurse Reviewer NGS I - 90318

    WellPoint - Chicago, IL

    to take your career further than you can imagine. Our **Nurse Reviewer I** is responsible for reviewing and making medical determinations as to whether a claim meets the benefits the member carries. **Primary duties may include, but are...

    6 days ago from WellPoint

  • Director of Case Management / RN / Utilization Review Nurse

    Biologics - Chicago, IL

    for the organization Oversee the provider contracting and claims review functions Oversee the development, ... for prospective, concurrent and retrospective utilization review procedures Collect, analyze and maintain data regarding...

    16 days ago from CareerBuilder

  • Clinical Quality Review Nurse RN/LPN

    Confidential Search Solutions - Chicago, IL

    accreditation and regulatory requirements. Clinical Quality Review Specialist will participate in department initiatives ... 5 years health claims and mainframe system experience Experience with internal/external customer relations Knowledge of...

    17 days ago from CareerBuilder

  • Account Claims Representative II - Workers Compensation

    PMA Companies - Schaumburg, IL

    Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve ... to clients, including face to face interactions during claims reviews, stewardship meetings and similar...

    6 days ago from PMA Companies

  • Nurse Reviewer NGS Ld - 90314

    WellPoint - Deerfield, IL

    to take your career further than you can imagine. Our **Nurse Reviewer NGS Ld** is responsible for serving as a team ... products. Prior managed care experience required. Medical Review Part B. Excellent knowledge of Part B mainframe system...

    6 days ago from WellPoint

  • CASE MGR - PHO - UTILIZATION REVIEW (71432)

    Advocate Health Care Network - Chicago, IL

    patients identified by Decision Support tools, referrals, claims. Accountabilities: 1. Works under the supervision of a ... using decision support tools, inpatient/ER admissions, claims and physician referral mechanisms. 5. Patient and...

    13 hours ago from Advocate Health Care

  • Operations Supervisor - Claim Regulatory Reporting Team

    CNA Financial - Chicago, IL

    Job Summary Leads and supervises an operational team in insurance operations and/or customer service. Essential Duties & Responsibilities 1. Assigns, distributes and coordinates workflow for the team with other teams in the area ensuring...

    22 days ago from CNA Financial Corporation

  • Regulatory Filing Technician - Claim Operations and Support

    Continental Casualty Company - Chicago, IL

    The ideal candidate will have insurance and/or claims experience. Essential Duties & Responsibilities: 1 ... exhibits, statistical and supporting materials in the review and approval of policies. 2. Remains externally...

    30+ days ago from Continental Casualty Company

  • Director of Claims Management Services

    Alper Services - Chicago, IL

    of claims administrators and in-house occupational health nurse; claims reporting and management; loss history ... and semi-monthly basis; Review of P C and PL Claims with Claims Administrators on weekly basis, and assistance with...

    29 days ago from Alper Services LLC Jobs

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