Claims Specialist Jobs in Chicago, IL

Partner with us to resolve complex denied claims efficiently, ensuring compliance with regulations. Leverage your expertise in healthcare revenue cycles and denial management to mentor colleagues and...

Lead the charge in developing and scaling an innovative AI solution for denials management. Drive insights from user feedback while collaborating across teams to enhance product performance and busine...

Join a team that's committed to delivering exceptional client experiences by guiding businesses through insurance processes. Leverage your expertise while contributing to product innovation and team g...

Unlock your potential by driving growth in the Hematology and Oncology sector, engaging key customers and delivering impactful solutions within a defined territory to support the launch of innovative...

Unlock potential by leading actuarial reserving and loss analytics efforts, driving integration and innovation while collaborating with cross-functional teams to enhance business insights within a dyn...

Deliver strategic leadership to a high-performing actuarial team, managing valuation, financial reporting, and forecasting for diverse health products, ensuring compliance and accuracy in financial op...

Advance our process efficiencies by documenting and enhancing Finance, Accounting, and Operations workflows. Collaborate with stakeholders to align procedures with compliance requirements and leverage...

Champion innovative reimbursement solutions by guiding clients through payment reform, optimizing provider financial sustainability, and leading cross-functional teams in delivering high-impact consul...

Transform the care experience by providing telephonic and field-based health coordination, engaging members in goal discussions, conducting assessments, and collaborating with clinical operations to i...

Join a dynamic team managing the implementation of actuarial models and systems for pricing, underwriting, and forecasting. Lead projects across departments while developing innovative models and pres...

Shape the future of underwriting by leading complex evaluations and fostering relationships to ensure profitable business within the National Accounts ancillary market for large group clients...

Lead and develop a recruitment team focused on community outreach, ensuring participant alignment with project needs through strategic pipeline management and performance enhancement...

Unlock innovative solutions as you provide strategic consulting services to public sector clients, enhancing Medicaid reimbursement and improving health care outcomes through actuarial expertise and c...

Pioneer clinical excellence by supporting multiple studies, ensuring compliance with regulations, timelines, and SOPs. Collaborate cross-functionally to generate high-quality clinical evidence while m...

Transform enterprise business applications with innovative strategies, driving AI and automation in core operations. Collaborate with leadership to optimize systems, enhancing performance and complian...

Elevate your career by managing and resolving complex liability claims, collaborating with stakeholders, and overseeing legal strategies to ensure effective risk management and compliance while handli...

Shape your career by supporting regulatory compliance for clinical investigations and product distribution worldwide. Contribute to approvals and quality standards in a collaborative environment while...

Engage with executive leadership to drive enterprise risk management, compliance, and strategic guidance. Oversee contract risk, insurance, and cross-functional initiatives, fostering a proactive cult...

Advance data integrity and operational excellence by driving resolution of billing discrepancies and enhancing relationships with Audit Attorneys and Outside Counsel nationwide, ensuring accurate lega...

Deliver strategic leadership in data quality and operations, overseeing global teams to drive excellence in compliance and transparency. Implement scalable processes for data integrity, fostering coll...

Drive efficiency in project billing and workflow management by overseeing setup, ensuring data integrity, and facilitating vendor invoice processing in Certinia. Collaborate with finance and project t...

Unlock potential by driving profitable underwriting and marketing strategies for Commercial Management Liability business, enhancing broker relationships, and monitoring industry trends for success in...

Optimize sales contract and rebate management processes, ensuring compliance and efficiency while supporting cross-functional teams and data analysis in a dynamic, hybrid work environment...

Engage in overseeing underwriting and production activities within the region. Develop strategic marketing plans and foster relationships to achieve profitability goals, ensuring compliance through ri...

Empower individuals by overseeing the care management process for members with chronic needs, ensuring their access to services, and collaborating with healthcare providers to optimize health outcomes...