Claims Specialist Jobs in Springfield, IL

Innovate and enhance valuation models to ensure accurate financial reporting. Support actuarial research and product development while driving process improvements and delivering insightful analyses t...

Empower a high-performing underwriting team while managing your own book of business. Drive growth, innovate processes, and optimize performance in a fast-paced environment, partnering with leadership...

Collaborate with consultants and project teams to manage life sciences initiatives, providing strategic support and oversight on deliverables and timelines, while ensuring effective communication and...

Help us enhance operational excellence and lead a large team in risk adjustment, ensuring compliance and performance across multiple clients. Drive strategic initiatives while collaborating across dep...

Transform the future of Inland Marine underwriting by building a profitable portfolio from scratch. Leverage your expertise in Builders Risk and Contractors Equipment while creatively cultivating new...

Join a dynamic team as a key legal advisor in pharmacy benefit management, collaborating closely with executives to navigate complex regulations and drive business strategy while ensuring compliance a...

Accelerate progress at the intersection of science and sales, engaging key Oncology stakeholders to drive the adoption of innovative treatments while ensuring compliance and collaboration across diver...

Transform clinical trial budgeting by coordinating analyses, negotiating with sponsors, and ensuring compliance. Support a collaborative team to refine administrative processes and mentor junior staff...

Manage reimbursement strategies supporting business goals across product areas. Collaborate with teams to guide product development, analyze landscapes, and educate stakeholders on reimbursement impac...

Unlock your analytical skills to drive process improvements and enhance customer experiences. Lead projects with minimal oversight, leveraging process mining tools to identify opportunities and delive...

Lead the charge in complex fraud investigations and audits, collaborating with law enforcement and influencing departmental strategy, while ensuring billing appropriateness and preparing detailed repo...

Lead the delivery of projects from initiation to closure, coordinating efforts across multiple teams and managing risks effectively to ensure successful project outcomes while utilizing AI tools for e...

Manage key regulatory functions, guiding compliance in PBM, pharmacy, and healthcare technology. Advise on state and federal obligations, and translate regulations into practical strategies for busine...

Unlock potential by leading client analytics setups to create impactful reporting for health systems, enhancing revenue cycle efficiency through data processes, and driving implementation improvements...

Invent powerful actuarial solutions as you build and operationalize innovative analytics tools, collaborating closely with teams to enhance client decision-making in insurance deal cycles through impa...

Partner with us to enhance compliance and oversight strategies for financial transactions. Leverage your expertise in regulatory requirements to safeguard client interests while collaborating across t...

Join a team that's driving profitability in primary casualty underwriting. Utilize your expertise to manage a strong book of business, forge broker relationships, and mentor fellow underwriters while...

Drive impactful relationships with key Oncology and Hematology customers, executing clinically focused selling strategies to enhance product awareness and revenue. Collaborate effectively across teams...

Accelerate progress at financial operations through expert management of accounting activities, policy implementation, and team leadership, ensuring accuracy and compliance in corporate disbursements...

Join a team that's driving the strategic oversight of Pharmacy Benefit Management and Ancillary Benefit Management products, enhancing service alignment, optimization, and client satisfaction in a dyn...

Lead critical clinical strategies and ensure regulatory compliance while collaborating across teams to uphold data integrity and support product development initiatives in a dynamic environment...

Contribute to operational excellence in patient services by supporting daily operations, facilitating workflows, and enhancing technology integration to optimize patient experiences and program perfor...

Innovate in healthcare by overseeing Utilization Management programs, driving clinical accuracy, and collaborating for measurable outcomes. Support strategic direction and ensure compliance while enha...

Unlock potential by driving growth and profitability in assigned states for Commercial Auto lines. Develop and implement innovative strategies while collaborating with internal partners to optimize pe...

Lead project teams in managing global clinical trials, ensuring compliance with protocols and deliverables, while supervising resources and maintaining communication with sponsors to achieve project m...