Top 71 Insurance claims processing Jobs in Chicago, Il

Sr. Manager Claims (Remote)
American Medical Association —Chicago, IL
- $104,872 - $138,737 a year
- Remote
- 7 years
- Writing skills
- HIPAA
- Disability insurance
Claims Analyst
Arrive Logistics —Chicago, IL
- $58,000 - $72,000 a year
- Full-time
- Remote
- Customer service
- 3 years
- Finance
- Paid parental leave
- Paid holidays
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 Specialist -- Trucking
Spotter —Lemont, IL
- Remote
- Mid-level
- Analysis skills
- Organizational skills
- Opportunities for advancement
Quick Apply
Patient Accounts Insurance Coordinator - Sign on Bonus
Endodontic & Periodontic Associates. LTD —Homewood, IL
- $18 - $22 an hour
- Full-time
- Private practice
- Medical office experience
- Office
- Profit sharing
- Paid holidays
Quick Apply
IL-Woodridge Senior Insurance Agent & Leadership Opportunity Life, Health & Medicare | Independent Agent | Uncapped Income
AMERICAN SENIOR BENEFITS LLC —Woodridge, IL
- $50,000 - $100,000 a year
- Full-time
- Mid-level
- Mentoring
- Recruiting
- Flexible schedule
Licensed Insurance Agent - Chicago North
Kemper Insurance —Chicago, IL
- Full-time
- Background check
- 18 years or older
- Pass drug screening
- Paid training
- Employee stock purchase plan
Quick Apply
Licensed Insurance Agent - Chicago South
Kemper Insurance —Chicago, IL
- Full-time
- Background check
- 18 years or older
- Pass drug screening
- Employee stock purchase plan
- Disability insurance
Quick Apply
Claims Operations Support Specialist
Starr Companies —Chicago, IL
- Full-time
- Research
- Office
- Experience equivalent to degree accepted
6d
Licensed Insurance Sales Representative (Remote)
Jacob Morgan - Farmers Insurance —Chicago, IL
- $5,000 - $10,000 a month
- Full-time
- Remote
- HIPAA
- Mid-level
- Analysis skills
- Dental insurance
- Paid time off
Quick Apply
Senior Casualty Claims Specialist - Central Time Zone
Liberty Mutual —Chicago, IL
- $61,000 - $126,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
2d
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
Claims Specialist
Berkley —Chicago, IL
- $100,000 - $150,000 a year
- Full-time
- Office
- Bachelor's degree
- Senior level
- Profit sharing
- Health insurance
Hospital Insurance Collections Rep.-Full-time
Community First Medical Center —Chicago, IL
- Full-time
- Medical office experience
- Research
- Mid-level
- Free parking
- Health savings account
Quick Apply
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
IMH Insurance Verifier, Full Time - Days
UChicago Medicine —Harvey, IL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Claims & Expense Associate
FOOD EXPORT ASSOC. —Chicago, IL
- $45,000 - $52,000 a year
- Full-time
- Customer service
- Research
- Administrative experience
Quick Apply
14d
MEDICAL CLAIMS MANAGER
Local 4 SEIU Health & Welfare Fund —Chicago, IL
- Hybrid work
- 7 years
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
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
12h

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insurance claims processing jobs near chicago, il

Sr. Manager Claims (Remote)

American Medical Association -
Chicago, IL

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Job Details

$104,872 - $138,737 a year

Benefits

Disability insurance

Qualifications

Staff supervision
Confidential information handling
HIPAA compliance
Team leadership
Writing skills
Presentations for conferences or internal meetings
HIPAA
Medical claims processing software
High school diploma or GED
Team development
ICD-9
ICD-10
HCPCS
Managing insurance claims teams
Medical terminology

Full Job Description

Sr. Manager Claims (Remote)

FL, IL, IN and WI

AMA Insurance (AMAI) offers life, health and disability insurance at affordable and exclusive rates to help doctors achieve a healthy and secure financial future. AMAI is part of the American Medical Association (AMA), a nonprofit, and the nation's largest professional Association of physicians. We are a unifying voice and powerful ally for America's physicians, the patients they care for, and the promise of a healthier nation. To be part of the AMA is to be part of our Mission to promote the art and science of medicine and the betterment of public health.

At AMA, our mission to improve the health of the nation starts with our people. We foster an inclusive, people-first culture where every employee is empowered to perform at their best. Together, we advance meaningful change in health care and the communities we serve.

We encourage and support professional development for our employees, and we are dedicated to social responsibility. We invite you to learn more about us and we look forward to getting to know you.

We have an opportunity for a remote Sr. Manager Claims on our AMA Insurance team. This role will manage AMA Insurance Claims Department by establishing claims polices and managing all claims related data, processes and procedures for AMA Insurance. Responsible for the timely and accurate processing of claims, ensuring adherence to all carrier requirements and federal/state regulations.. Serves as Agency subject matter expert and primary point of contact for all claims related functions; working closely with internal and external business partners. Responsible for process improvement and the development and utilization of key processing metrics. Manages team of claims processors.

RESPONSIBILITIES:

Compliance

Ensures AMAI remains in compliance with all claims related processing; must adhere to all carrier and/or state regulatory requirements with regards to timeliness, accuracy, and payments.
Leads annual carrier claims audits for Agency. This includes gathering files/information, communicating findings, and working directly with carrier audit team to resolve implement any required changes. Communicates findings with Agency senior management.
Responsible for periodic regulatory updates required on a state level. Collaborates with Legal to understand changes and then responsible for updating processes.
Responsible for accurately calculating benefits, benefit periods and interest calculations associated with claims payments as defined by carrier requirements.
Manages the internal AMAI claims review program; develops AMAI response on Claims reviews, complaints, and appeals; includes necessary research and coordinating with Legal and Leadership as needed.
Develops and implements processing changes as needed.

Claims Workflow Management

Responsible for the development, implementation and management of procedures and workflows to ensure AMAI meets all claims handling and compliance requirements throughout the entire claim life cycle.
Performs workload balancing daily based on incoming claims volumes and staff capacity.
Continually reviews team performance metrics to identify any process or quality gaps based on claims department goals and carrier Service Level Agreements.
Develops claims data reporting and workflow monitoring reports as needed to gain deeper insight into processing performance; results to drive process improvements.
Leads Claims and Customer Service team response when handling complex customer service matters.
Manage error resolution process (ex. issues with data file transfers), coordinating between AMAI IT and vendors (as needed) to identify, fix, and if needed, update processes to prevent errors from recurring.

Relationship Management

Act as a primary contact on claims related topic with partner carriers claims and compliance departments (including management teams); serves as an internal subject matter expert in both AMAI processes and claims regulations.

Manages the relationships with claims process vendors; includes negotiating terms/pricing, leading problem resolution with vendor and/or AMAI IT; coordinating updates to processes, and providing expert opinions.

Staff Management

Lead, mentor, and provide management oversight for staff.
Responsible for setting objectives, evaluating employee performance, and fostering a collaborative team environment.
Responsible for developing staff knowledge and skills to support career development.

May include other responsibilities as assigned

REQUIREMENTS:

1. Bachelor's degree preferred or equivalent work experience and HS diploma/equivalent education required.

2. 7+ years experience in health claims management.

3. Experience in people management required; able to attract and develop talent. Proven claims experience with multiple products including Medicare Supplement, major medical, hospital indemnity, life and disability insurance required.

4. Expert knowledge of medical terminology, ICD-9/ICD-10 codes, CPT/HCPCS and revenue codes required.

5. In-depth understanding of claims systems and electronic processing of medical claims (HIPAA ANSI 5010 electronic transactions) and imaging systems required.

6. Excellent organizational skills and attention to detail with the ability to manage multiple priorities and meet deadlines.

7. Ability to make sound judgments using strong critical thinking, analytical, research and problem-solving skills.

8. Demonstrated sense of discretion when handling confidential information.

9. Ability to effectively present information and respond to questions from staff, management, plan participants and business partners, using excellent verbal and written communications skills including creating and writing reports, business correspondence and procedure manuals.

This role is an exempt position, and the salary range for this position is $104,872 - $138,737. This is the lowest to highest salary we believe we would pay for this role at the time of this posting. An employee’s pay within the salary range will be determined by a variety of factors including but not limited to business consideration and geographical location, as well as candidate qualifications, such as skills, education, and experience. Employees are also eligible to participate in an incentive plan. To learn more about the American Medical Association’s benefits offerings, please click here.

We are an equal opportunity employer, committed to diversity in our workforce. All qualified applicants will receive consideration for employment. As an EOE/AA employer, the American Medical Association will not discriminate in its employment practices due to an applicant’s race, color, religion, sex, age, national origin, sexual orientation, gender identity and veteran or disability status.

THE AMA IS COMMITTED TO IMPROVING THE HEALTH OF THE NATION

Apply Now

Refine Your Search

insurance claims processing jobs in chicago, il

Sr. Manager Claims (Remote)

Claims Analyst

Associate Claims Analyst - MNA Claims Triage

Claims Specialist -- Trucking

Patient Accounts Insurance Coordinator - Sign on Bonus

IL-Woodridge Senior Insurance Agent & Leadership Opportunity Life, Health & Medicare | Independent Agent | Uncapped Income

Licensed Insurance Agent - Chicago North

Licensed Insurance Agent - Chicago South

Claims Operations Support Specialist

Licensed Insurance Sales Representative (Remote)

Senior Casualty Claims Specialist - Central Time Zone

Claims & Expense Associate

Claims Specialist

Hospital Insurance Collections Rep.-Full-time

HEALTH INSURANCE SPECIALIST

Medical Benefits & Case Management Specialist (Remote)

IMH Insurance Verifier, Full Time - Days

Claims & Expense Associate

MEDICAL CLAIMS MANAGER

Claims Examiner

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