Insurance Jobs in Chicago, Latest Insurance Jobs in Chicago

As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising’s Specialty Services unit involving complex/large medical claims; analyzing and optimizing bill review procedures and systems; and leading a team of experienced medical bill review auditors, nurse auditors, med-legal nurse, negotiators and related staff in an environment of continual performance improvement.Here's What You'll Be DoingAct as Operations S

We're looking to hiring a rock star sales executive to oversee sales in various regions across the country (Northeast, Southeast, West Coast, and Midwest). We want talented individuals who are driven, intelligent, and looking to bring their ideas to the table to push Rising to the next level. If you're looking for a strong company that's competitive and always growing within the healthcare industry, then keep reading, because this may just be the job for you!Here's What You'll Be DoingWork with

Join the Rising Medical Solutions Team for your chance to make your mark in the world of client implementation! Rising is looking for a leader who can use their broad skills spanning from client management to BA to further our mission in the medical cost containment field. Rising prides itself on progressive development and exceptional customer service, so join our team if you're looking to up your game!Provide planning and leadership on projects and client integrations to both internal and exte

USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.Responsibilities-

Our partner is seeking an Appeals Analyst in Chicago, IL, responsible for monitoring and tracking appeals within the Cost Containment program. The role involves reviewing and documenting appeals, as well as coordinating with business partners for resolution.Responsibilities:- Independently review and analyze appeals related to the Cost Containment programs. - Evaluate Summary Plan Documents to determine appeal validity. - Review, analyze, and document notes in the QicLink System. - Audit heal

Our client is seeking a remote Claims Liaison in Chicago, IL. The RRT Liaison will play a crucial role in managing communications, adjustments, and the closure of claims through applications with outside vendors, specifically Blue Cross Blue Shield and Anthem.Responsibilities:- Review daily production reports and adjustment reports from Anthem to ensure timely closure of claims and adjustments. - Process adjustment claims for both Anthem and Blue Cross Blue Shield. - Send adjustment requests t

A client in Chicago, IL, is seeking candidates for a Claims Specialist position, with the option to work remotely. The Claims Specialist will be responsible for the handling of adjustments received from various departments timely. Examine claim calculations for adjustment and claimant's history to determine accuracy.Responsibilities:- Handling repricing adjustments. - Managing group exception referrals. - Collaborating with other claim department personnel to assess Rapid Response Team referra

Our partner is looking for a Data Reconciliation Auditor position in Chicago, IL. This role involves evaluating and analyzing claims data, ensuring accuracy in batch loads, reporting error trends, and managing various batch/claim related processes and projects.Responsibilities:- Communicate and coordinate with internal staff involved in the audit process. - Engage with external vendors regarding workflow/batch processes. - Report errors/missed batches to the Management team daily for timely co

Our partner is currently seeking a remote Manager, Data Operations based in Chicago, IL. The role involves overseeing the implementation, integration, management, and delivery of data interchange with Pharmacy Benefit Managers (PBMs). The position encompasses daily operations, maintenance of PBM-related processes, and ensuring robust quality standards.Responsibilities:- Manage day-to-day operations and inquiries related to RxClaims data. - Review, prioritize, and assist with reported discrepanc

Our partner is seeking a Medical Plan Building Analyst based in Chicago, IL for a remote role. The role involves accurately analyzing plan documents and maintaining group set-up in the Qiclink System. The position requires proficiency in Excel and Word programs, as well as experience with Microsoft Access. Applicants should possess comprehensive experience in building and coding medical, dental, and vision plans, along with a minimum of 5 years' experience on the Qiclink system.Responsibilities:

Our partner is currently seeking a Medical Stop Loss Underwriter III for a remote position based in Chicago, IL. The Underwriter III will play a crucial role in analyzing current and historical claim data for prospective and renewal clients. We are looking for a goal-oriented and analytical individual with strong audit, risk management, and problem-solving skills. The Underwriter will collaborate with the sales and marketing team and maintain external relationships with broker and stop loss carr

Reserv is a Series A-stage insurtech incubating cutting-edge AI and automation technology focused on bringing efficiency and simplicity to insurance claims by redefining claims adjusting. Founded by insurtech veterans with deep experience in SaaS and digital claims and venture-backed by Bain Capital and Altai Ventures Reserv began operations in May 2022 and has rapidly expanded. About the roleAs the Chief of Staff, you will report directly to the founder amp; CEO of Reserv to develop and execute

Foresight Risk and Insurance Services, Inc. ("Foresight") is looking for a Commercial Insurance Underwriter with construction experience based on the East Coast. We are seeking all levels of Underwriters (Associate Underwriters, Underwriter, Senior Underwriters amp; Executive Underwriters) and title and compensation will be defined according to your experience. You will be responsible for maintaining our portfolio of commercial clients and underwriting new and renewal business with guidance from

Foresight Risk and Insurance Services, Inc. (Foresight) is looking for a Vice President of Broker Relations with a long-standing history working with brokers and agents in Commercial Insurance. This role is all about forging relationships, the sales management of assigned brokers/producers, generating multi-million dollar program submissions over time, and developing key relations with the territory’s agents and brokers. The role involves setting in motion sales plans and driving the necessary s

Join our team and help us work to make lives better! Together!Rising Medical Solutions is looking for career oriented professionals that want to utilize their skills and expertise to help injured workers obtain optimal medical and vocational outcomes as they recover from their work injury. Medical case management involves working closely with multiple stakeholders, including healthcare providers, employers, insurance companies, claims professionals, and other Rising team members. Rising case man

The Nurse Auditor will maximize client’s savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization and erroneous charges. This position will provide outstanding customer service to clients by giving them the information they need to determine case value based on evaluation of medical records and medical billing statements.Core Responsibilities include:- Audit medical and billing records to determine

We're looking for individuals that want the freedom of working remotely helping injured workers at different businesses in your area handle workplace First Aid. Think Uber, but for treating workplace injuries at businesses near you. Monday - Friday, 8am-5pm.We're looking for CNAs, Physical Therapists, LVNs, RNs, Nurses, EMTs and more. A medical background is preferred, but not required. All users will go through a training module to understand how to treat under the OSHA guidelines of First Aid

As our Utilization Review Nurse, you will coordinate and perform all aspects of Worker's Compensation, auto, and general liability claims for medical management activity (IME/Peer Review, UR) to ensure optimum medical care service delivery, utilization of resources, and cost-effectiveness. The UR Nurse will also provide professional nursing expertise to the Medical Bill Review group as needed.Core Responsibilities include:- Perform all aspects of the Utilization Review Process - Review records

As a Business Application Analyst, you are responsible for the administration, solution design and delivery, and support for the applications under the Business Applications umbrella. You'll make sure that the processes needed for a business to function and succeed are running smoothly, acting as a technical point of contact to fix application and systems issues, as well as generating documentation and training materials.Core Responsibilities include:- Provide support for business users on enter

**Must be located within the Chicagoland area**Risk Strategies is a top national specialty insurance brokerage and risk management firm assisting organizations and individuals to simplify the process of protecting assets, offering benefits and minimizing liability. With a national footprint of over 150 offices and approximately 4000 employees across the US amp; Canada, we were ranked the 9th Largest Privately Owned Broker in the US last year. Since 2018, we thrive on our passion to be ranked a B