Disability Claims Examiner jobs in Illinois

Disability Claims Examiner reviews, evaluates and processes disability insurance claims according to procedure and practice. Examines claims material to ensure insurance coverage and validity. Being a Disability Claims Examiner has contact with agents, claimants, and policy holders. Typically requires a bachelor's degree or its equivalent. Additionally, Disability Claims Examiner typically reports to a supervisor/manager. To be a Disability Claims Examiner typically requires 0-2 years of related experience. Works on projects/matters of limited complexity in a support role. Work is closely managed. (Copyright 2024 Salary.com)

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Claims Examiner
  • Christian Brothers Services
  • Romeoville, IL FULL_TIME
  • Position Information

    Title:
    Claims Examiner

    Posted:
    08/16/2023

    Salary:

    Description:


    Our Health Benefit Services Division has a full-time opening for a Claims Examiner. This position is responsible for the timely and accurate adjudication of claims in accordance with established procedures and provisions of the benefit plans.

    Christian Brothers Services is a not-for-profit comprised of cooperative programs providing administrative and managerial services to Catholic organizations. We offer a competitive benefits package!


    Qualifications:


    Responsibilities:

  • Examine medical/dental/vision claims with responsibility for efficient, accurate evaluation of data and initiation of benefit payment.


  • Follow up/follow through on pended claims by evaluating all new and existing supporting documentation for determination of benefits within one week of receipt.


  • Collaborate with the Customer Care department to resolve phone inquiries about claims within 24 to 48 hours for urgent issues and one week for standard issues.


  • Communicate via telephone or email with members, employers, care providers, and service providers regarding status/circumstances for the resolution of claims.


  • Exercise good judgment and in a timely manner when determining escalation of a claim to a Claims Team Lead, Supervisor or internal nurse review (HCR).


  • Perform other claim department duties related to adjudication as assigned


  • Help identify any system of workflow performance issues


  • Twice daily monitoring of individual and departmental workload through computerized reports



  • Qualifications:

  • High School diploma

  • minimum of two to five years' claim adjudication experience in a PPO environment


  • Skills:

  • Good analytical skills and a working knowledge of medical coding and terminology


  • previous Trizetto processing system experience helpful


  • Must be familiar with standard concepts, practices, and procedures related to medical billing


  • Familiar with MS applications, including Word, Excel, and basic webpage navigation


  • Accurate calculator skills and a minimum typing speed of 40 wpm required


  • Must be self motivated, dependable, and detail oriented with excellent communications and problem solving skills



Contact Information

Contact:
Human Resources

Address:
1205 Windham Parkway
Romeoville, IL 60446
  • 13 Days Ago

  • P
    Claims Examiner
    • Partnered Staffing - Kelly Services
    • Jacksonville, IL FULL_TIME
    • Company DescriptionAt Kelly Services, we work with the best. Our clients include 99 of the Fortune 100 TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best tale...
    • 1 Month Ago

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    Senior Claims Examiner - Liability
    • Crawford & Company
    • Zurich, IL OTHER
    • Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on m...
    • 11 Days Ago

    B
    AVP, Sr. Claims Examiner
    • Berkley
    • Chicago, IL OTHER
    • Company Details At Berkley Alliance Managers, we offer innovative coverage and risk management solutions for our brokers and policyholders. We have a passion for offering fresh ideas and relevant insu...
    • 1 Month Ago

    U
    Claims Examiner or Associate Claims Examiner- Property Oak Brook IL
    • USLI
    • Brook, IL FULL_TIME
    • The ideal claims team member will be an analytical and creative problem solver with the ability to hone in on key issues for coverage, liability and damage evaluation. Our claim examiners are assertiv...
    • 14 Days Ago

    K
    Senior Commercial General Liability Claims Examiner
    • KING'S INSURANCE STAFFING LLC
    • Scottsdale, IL FULL_TIME
    • Our client, an A-rated Insurance Carrier, is seeking to add a Senior Commercial General Liability Claims Specialist. This person would be responsible for directly handling moderate to complex litigate...
    • 1 Month Ago

    U
    High School ELA Teacher
    • Uncommon Schools
    • Rochester, NY
    • Company Description Uncommon Schools is a nonprofit network of high-performing, public charter schools providing an outs...
    • 4/26/2024 12:00:00 AM

    U
    High School ELA Teacher
    • Uncommon Schools
    • Boston, MA
    • Company Description Uncommon Schools is a nonprofit network of high-performing, public charter schools providing an outs...
    • 4/26/2024 12:00:00 AM

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    Claims Adjuster - Auto Claims
    • GSFSGroup
    • Houston, TX
    • LIVING OUR VALUES All associates are guided by Our Values. Our Values are the unifying foundation of our companies. We s...
    • 4/26/2024 12:00:00 AM

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    ENGINEERING TECHNICIAN
    • U.S. Pacific Fleet
    • Bremerton, WA
    • Summary This is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be...
    • 4/26/2024 12:00:00 AM

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    ENGINEERING TECHNICIAN
    • U.S. Pacific Fleet
    • Coffeyville, KS
    • Summary You will serve as an ENGINEERING TECHNICIAN in the PEARL HARBOR NAVAL SHIPYARD AND IMP DETACHMENT GUAM of PEARL ...
    • 4/26/2024 12:00:00 AM

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    ELECTRONICS MECHANIC LEADER (EXPERT)
    • U.S. Pacific Fleet
    • Joint Base Pearl Harbor-Hickam, HI
    • Summary You will serve as an Electronics Mechanic Leader (Expert) in the PEARL HARBOR NSY AND IMF. You will serve as an ...
    • 4/26/2024 12:00:00 AM

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    Physician Assistant
    • Loyal Source Government Services
    • Medford, OR
    • Do you have a passion for helping America’s heroes? If so, Loyal Source has an exciting opportunity for you to give back...
    • 4/25/2024 12:00:00 AM

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    Short Term Disability Claims Examiner I, II or Sr - Remote
    • USAble Life
    • Little Rock, AR
    • * Short Term Disability Claims Experience Required* When it comes to making a meaningful difference in the lives of our ...
    • 4/22/2024 12:00:00 AM

    Illinois (/ˌɪlɪˈnɔɪ/ (listen) IL-ih-NOY) is a state in the Midwestern and Great Lakes region of the United States. It has the fifth largest gross domestic product (GDP), the sixth largest population, and the 25th largest land area of all U.S. states. Illinois is often noted as a microcosm of the entire United States. With Chicago in northeastern Illinois, small industrial cities and immense agricultural productivity in the north and center of the state, and natural resources such as coal, timber, and petroleum in the south, Illinois has a diverse economic base, and is a major transportation hu...
    Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
    Income Estimation for Disability Claims Examiner jobs
    $51,144 to $63,501