Claims Specialist Jobs in Springfield, IL

Drive efficiency and excellence in billing operations, leading a dynamic team to enhance accuracy, accelerate cash flow, and ensure compliance. Collaborate with cross-functional teams to implement str...

Unlock operational excellence by driving data integrity and billing accuracy within legal practices. Collaborate with cross-functional teams to enhance efficiency and ensure compliance in managing leg...

Pioneer innovative commercial legal solutions by structuring and negotiating agreements. Collaborate deeply with stakeholders to provide strategic counsel on diverse technology and procurement transac...

Join our Reinsurance team and shape complex treaty accounts, ensure timely recoverables, and enhance financial processes in a remote role supporting growth and accuracy...

Manage and oversee the operational framework of rebate contract processes, ensuring efficient data flow, optimization, and compliance across various stakeholders while enhancing contract performance a...

Empower enterprise transformation by defining a multi-year strategy for claims, collaborating across functions to enhance efficiencies and drive technology improvements, ensuring alignment with busine...

Unlock your potential as you manage department operations, enhance procedures, and support plant initiatives. Collaborate with teams to achieve high performance and continuous improvement in operation...

Transform healthcare processes by leading Risk Adjustment and Quality/HEDIS initiatives. Manage and mentor teams, ensuring compliance and excellence in coding practices while implementing strategic im...

Drive strategic resolution of high-end litigation cases involving complex injuries and coverage issues. Collaborate with legal teams and stakeholders to evaluate, negotiate, and settle claims while en...

Pioneer innovative Medicaid coverage strategies, driving multi-state initiatives in eligibility and documentation. Collaborate cross-functionally to enhance member support and outcomes in line with dy...

Elevate patient safety by investigating post-market complaints and collaborating with cross-functional teams to enhance product effectiveness. Utilize clinical knowledge and insights to ensure complia...

Drive financial performance by managing revenue cycle processes in infusion centers, collaborating with clinical teams to ensure accurate reimbursement, and continuously improving efficiency and effec...

Empower individuals by delivering financial education and guiding clients through personal finance topics. Collaborate with teams to create impactful programming while ensuring a top-notch customer ex...

Elevate security standards and compliance practices while leading risk assessments and audits. Engage with customer security needs and manage cross-functional initiatives, driving relentless improveme...

Elevate healthcare access by managing complex prior authorization processes. Contribute to improving outcomes for vulnerable populations by streamlining workflows, training teams, and resolving issues...

Support growth and adoption as a Clinical Specialist, responsible for case coverage and strategic engagement with healthcare professionals to enhance procedural utilization and build strong account re...

Partner with us to elevate CMiC application support, ensuring user satisfaction through effective incident management and troubleshooting while collaborating across business functions for continuous i...

Elevate underwriting excellence by leading a team, analyzing complex data, and enhancing profitability through innovative strategies while mentoring staff to achieve targeted outcomes...

Discover a rewarding opportunity to assess insurance risks, develop pricing strategies, and build strong broker relationships to drive business growth. Utilize your underwriting expertise across liabi...

Drive your career forward by ensuring regulatory compliance and enhancing operational efficiency in the financial services sector, focusing on suitability standards for life insurance and investment p...

Grow your career with a dynamic underwriting leader role overseeing a top-performing team, driving strategic decisions and profitable growth while enhancing agency relationships and ensuring complianc...

Innovate in a remote setting as you guide injured workers through recovery, advocating for effective care and treatment. Collaborate with providers while enjoying flexibility and autonomy in your impa...

Join a dynamic team as you leverage your actuarial expertise to develop innovative solutions in pricing, reserving, and financial modeling, while collaborating across departments to influence strategi...

Analyze, evaluate, and enhance internal controls within a dynamic insurance environment. Conduct complex audits to ensure compliance with regulatory and governance standards while promoting a culture...

Grow your career with a strategic role providing advanced compensation analysis and guidance. Collaborate with HR to enhance competitive pay practices while leading projects to support compensation ph...