Disability Claims Examiner jobs in Chicago, IL

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)

C
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
  • 12 Days Ago
  • Apply this Job

    C
    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...
    • 10 Days Ago
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    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
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    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...
    • 13 Days Ago
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    I
    Independent Claims Adjuster ( Remote )
    • Integrity Claims Service
    • Chicago, IL CONTRACTOR
    • Integrity Claims Service is a small independent claims adjusting business expanding into several states. We only handle Property claims, no Auto or Liability. Looking for 1099 Independent contractors ...
    • 2 Days Ago
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    Commercial General Liability Claims Adjuster
    • TheBest Claims Solutions
    • Schaumburg, IL FULL_TIME
    • Our client, an A rated insurance carrier, is looking to add a Commercial General Liability Claims Adjuster to their staff. This is a desk position involving litigated and non-litigated general liabili...
    • 1 Day Ago
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    0 Disability Claims Examiner jobs found in Chicago, IL area

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    Local CDL A Driver
    • Valvoline Global Operations
    • Willow Springs, IL
    • Overview: Why Valvoline Global Operations? Valvoline Global is a worldwide leader in automotive and industrial solutions...
    • 4/25/2024 12:00:00 AM

    V
    Audiologist
    • Veterans Evaluation Services
    • Gary, IN
    • As an Audiology examiner you will conducting audiology exams and completing applicable disability benefits questionnaire...
    • 4/25/2024 12:00:00 AM

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    Bi-Lingual (Spanish) Field Nurse Case Manager
    • Eagleone Case Management Solutions
    • Chicago, IL
    • Job Description Job DescriptionEagle One Case Management Services, Inc.Job DescriptionJob Title: Medical Case Manager (B...
    • 4/24/2024 12:00:00 AM

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    RN Field Case Manager - Holidays + Weekends Off / Quarterly Bonuses
    • EagleOne Case Management Solutions
    • Chicago, IL
    • Job Description Job Description + QUARTERLY BONUSES! Eagle One Case Management Services, Inc. Job Description Job Title:...
    • 4/23/2024 12:00:00 AM

    S
    Law Director
    • State Bar Of Wisconsin
    • Chicago, IL
    • Application Deadline: Open until filled (First review of applications will be Wednesday, February 7, 2024)Salary: $53.91...
    • 4/23/2024 12:00:00 AM

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    Principal Data Scientist - Remote
    • Veradigm
    • Chicago, IL
    • Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholder...
    • 4/23/2024 12:00:00 AM

    H
    Technical Billing Specialist
    • Healthjoy
    • Chicago, IL
    • Come for the mission. Stay for the experience.Lets keep things simple: we are an unbelievably talented, hard-working, an...
    • 4/23/2024 12:00:00 AM

    E
    Bi-Lingual (Spanish) Field Nurse Case Manager
    • EagleOne Case Management Solutions
    • Chicago, IL
    • Job Description Job Description Eagle One Case Management Services, Inc. Job Description Job Title: Medical Case Manager...
    • 4/23/2024 12:00:00 AM

    Chicago (/ʃɪˈkɑːɡoʊ/ (listen), locally also /-ˈkɔː-/), officially the City of Chicago, is the most populous city in Illinois, as well as the third most populous city in the United States. With an estimated population of 2,716,450 (2017), it is the most populous city in the Midwest. Chicago is the principal city of the Chicago metropolitan area, often referred to as Chicagoland, and the county seat of Cook County, the second most populous county in the United States. The metropolitan area, at nearly 10 million people, is the third-largest in the United States, and the fourth largest in North A...
    Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
    Income Estimation for Disability Claims Examiner jobs
    $52,444 to $65,115
    Chicago, Illinois area prices
    were up 0.8% from a year ago