Top 150 Insurance claims processing Jobs in Illinois

Senior Claim Benefit Specialist - Remote
CVS Health —Illinois
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
10d
HEALTH INSURANCE SPECIALIST
Law Offices of Bradley S Dworkin P C —Chicago, IL
- $21 - $23 an hour
- Full-time
- Remote
- Mid-level
- Communication skills
- Health savings account
- Health insurance
Quick Apply
Medical Benefits & Case Management Specialist (Remote)
Allied Benefit Systems —Chicago, IL
- $50,000 - $60,000 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Contracts
- Disability insurance
- Health insurance
14d
Claims Specialist -- Trucking
Spotter —Lemont, IL
- Remote
- Mid-level
- Analysis skills
- Organizational skills
- Opportunities for advancement
Quick Apply
Sr. Manager Claims (Remote)
American Medical Association —Chicago, IL
- $104,872 - $138,737 a year
- Remote
- 7 years
- Writing skills
- HIPAA
- Disability insurance
Claims & Expense Associate
Food Export Midwest & Food Export Northeast —Chicago, IL
- $45,000 - $52,000 a year
- Full-time
- Hybrid work
- Background check
- Customer service
- Research
- AD&D insurance
- Disability insurance
Quick Apply
7d
Senior Claims Research Coordinator
CVS Health —Illinois
- $46,988 - $122,400 a year
- Full-time
- Remote
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
1d
Client Service/ Data Entry
INTEGRITY INSURANCE AND FINANCIAL SERVICES —Orland Park, IL
- $50,000 - $60,000 a year
- Full-time
- Bilingual
- Computer literacy
- No experience needed
- Health insurance
- 401(k)
Quick Apply
Claims Operations Support Specialist
Starr Companies —Chicago, IL
- Full-time
- Research
- Office
- Experience equivalent to degree accepted
6d
Claims Analyst
BCS Financial Corporation —Oakbrook Terrace, IL
- $62,500 - $78,100 a year
- Full-time
- 5 years
- Office
- Analysis skills
- Dental insurance
- 401(k)
Quick Apply
6d
Casualty Claims Adjuster Hybrid
Liberty Mutual —Naperville, IL
- $57,000 - $101,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
2d
Workers Compensation Claims Analyst
Optimal Inc. —Chicago, IL
- Contract
- Customer service
- Mid-level
- High school diploma or GED
Quick Apply
Associate Claims Analyst - MNA Claims Triage
Markel Service Inc. —Chicago, IL
- $25.11 - $34.52 an hour
- Weekends as needed
- Hybrid work
- Microsoft Outlook
- Customer service
- Word processing
- AD&D insurance
- Employee stock purchase plan
Quick Apply
5d
Claims & Expense Associate
FOOD EXPORT ASSOC. —Chicago, IL
- $45,000 - $52,000 a year
- Full-time
- Customer service
- Research
- Administrative experience
Quick Apply
14d
Claims & Insurance Associate
Warrenville, IL
- $60,000 - $82,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Customer service
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Benefit Claims Examiner
Illinois Municipal Retirement Fund (IMRF) —Oak Brook, IL
- $53,369 - $58,705 a year
- Monday to Friday
- Basic math
- Mid-level
- Office
- Paid holidays
- Disability insurance
8d
Claims Assistant
Philadelphia Insurance Companies (PHLY) —Naperville, IL
- $42,800 - $47,800 a year
- Online Application
- Bilingual
- Customer service
- Computer literacy
- Health insurance
- Tuition reimbursement
7d
Claims Examiner
Midwest Operating Engineers Fringe Benefit Fund —Countryside, IL
- $33.23 an hour
- Full-time
- Anatomy knowledge
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
10h
Associate, Insurance
Invenergy —Chicago, IL
- $88,000 - $113,000 a year
- Full-time
- Spanish
- Mid-level
- Office
- Health insurance
- Dental insurance
Insurance Representative II
Endeavor Health —Warrenville, IL
- $20.69 - $30.00 an hour
- Full-time
- HIPAA
- Mid-level
- Finance
- Free parking
- Wellness program

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insurance claims processing jobs near illinois

Senior Claim Benefit Specialist - Remote

CVS Health -
Illinois

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Job Details

Full-time
$18.50 - $42.35 an hour
10 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

insurance claims processing jobs in illinois

Senior Claim Benefit Specialist - Remote

HEALTH INSURANCE SPECIALIST

Medical Benefits & Case Management Specialist (Remote)

Claims Specialist -- Trucking

Sr. Manager Claims (Remote)

Claims & Expense Associate

Senior Claims Research Coordinator

Client Service/ Data Entry

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Claims Analyst

Casualty Claims Adjuster Hybrid

Workers Compensation Claims Analyst

Associate Claims Analyst - MNA Claims Triage

Claims & Expense Associate

Claims & Insurance Associate

Benefit Claims Examiner

Claims Assistant

Claims Examiner

Associate, Insurance

Insurance Representative II

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