Claims Analyst Jobs in Downers Grove, IL

Reimagine the claims process by leading investigations and negotiations on complex auto liability cases. Ensure compliance, maintain high service standards, and drive timely resolutions while effectiv...

Empower your career by joining a dynamic team handling complex cyber claims. Collaborate with industry experts to assess risk, manage vendor relationships, and provide exceptional service while drivin...

Unlock potential by leveraging your analytical skills to assist in rate determination and perform actuarial validations. Collaborate in a hybrid work environment to enhance our actuarial models and en...

Seeking a detail-oriented analyst to perform complex clinical and coding reviews of facility claims, ensuring adherence to medical guidelines and fostering optimal performance through expert analysis...

Lead the charge in auditing medical records for accurate coding compliance and health plan policies. Prepare detailed reports, conduct relevant research, and maintain knowledge of healthcare guideline...

Innovate solutions for complex casualty claims management in the insurance sector. Collaborate with internal teams and clients to deliver exceptional service while overseeing a portfolio of high-value...

Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...

Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...

Help us analyze and optimize medical policies while providing key insights across clinical operations. Collaborate with teams to ensure effective policy development and quality assurance, enhancing ou...

Unlock complex actuarial insights by analyzing risk contracts and leading projects. Support management reporting, enhance team training, and drive innovative capitation initiatives in a dynamic hybrid...

Lead the management of complex commercial general liability claims, overseeing investigations, evaluations, and litigation, while mentoring junior analysts and ensuring optimal claims outcomes in alig...

Champion the resolution of high-exposure claims, overseeing complex investigations, negotiations, and litigation while ensuring compliance and efficient collaboration across teams...

Elevate your career by leading a team in Utilization and Denials Management. Drive quality assurance, enhance operational efficiency, and mentor specialists to achieve client goals while ensuring comp...

Champion quality assurance in healthcare by leading a Utilization and Denials Management team, ensuring efficient operations, training staff, and collaborating with stakeholders to elevate production...

Analyze and resolve Commercial Material Damage claims, ensuring thorough evaluation and effective communication. Collaborate with various stakeholders while managing project responsibilities to achiev...

Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...

Support the Clinical Chart Validation team by reviewing appeals and claims, applying coding guidelines, and providing expert feedback to ensure accurate recovery determinations and maintain compliance...

Lead a high-performing team of commercial auto claims specialists, ensuring technical excellence and operational efficiency in managing complex excess casualty claims while leveraging data-driven stra...

Support a team that evaluates and manages construction claims, ensuring effective strategies for investigation, negotiation, and resolution, while communicating findings with stakeholders and adapting...

Drive the timely resolution of complex claims while mitigating risks, providing technical guidance, and ensuring strong communication with all stakeholders for optimal outcomes and best practices in c...

Transform the claims process by adjudicating complex claims, documenting outcomes, and guiding litigation strategies while supporting a dynamic team dedicated to superior client service and operationa...

Reimagine the claims process by adjudicating complex cases with expertise, providing operational support, and driving best practices within a dynamic team focused on superior service and effective cla...

Analyze and adjudicate complex claims as a Senior Claims Examiner. Provide operational support and documentation in compliance with regulations while driving best practices and managing litigation to...

Tackle complex claims adjustments and support a dynamic claims team. Drive best practices in litigation while ensuring compliance and documentation accuracy for superior service and efficiency...

Bring your expertise to adjudicate complex claims while supporting the team. Manage documentation, analyze legal filings, negotiate settlements, and identify trends to enhance operations and ensure co...