Top 34 Claims investigator Jobs in Chicago Il

Coding Investigator Auditor - Work From Home
Health Care Service Corporation —Chicago, IL
- $55,900 - $123,500 a year
- Remote
- Microsoft Word
- Microsoft Excel
- Research
- Work from home
7d
Field Investigator (Full-Time & Part-Time) – Chicago, IL
Origin Investigations Inc —Chicago, IL
- $20 - $35 an hour
- Part-time
- Background check
- Military
- Computer literacy
Quick Apply
13d
OFFICE ASSOCIATE SS
State of Illinois —Chicago, IL
- $4,144 - $5,429 a month
- Full-time
- Background check
- Spanish
- Microsoft Excel
- Paid parental leave
- Paid holidays
1d
Investigator
Hanrahan Investigations Inc —Hillside, IL
- Part-time
- Spanish
- Computer literacy
- Writing skills
- On-the-job training
SIU Investigator - Chicago, IL
Delta Group —Chicago, IL
- $30 - $40 an hour
- Per diem
- Microsoft Outlook
- Organizational skills
- Senior level
Quick Apply
Investigator
Ethos Risk Services —Chicago, IL
- $28 - $35 an hour
- Weekends as needed
- Mid-level
- Residential
- Driver's License
- Disability insurance
- Health insurance
Quick Apply
Litigation Specialist
Warrior Insurance Network —Bedford Park, IL
- $75,000 - $100,000 a year
- Full-time
- Hybrid work
- 5 years
- Senior level
- Medical terminology
- Wellness program
- Paid holidays
Quick Apply
5d
Large Loss Contents Property Adjuster - Chicagoland, IL
Allstate —Chicago, IL
- $68,000 - $117,700 a year
- Remote
- Background check
- Writing skills
- Mid-level
- Tuition reimbursement
- Benefits from day one
Affirmative Civil Enforcement (ACE) Investigator
Contact Government Services, LLC —Hammond, IN
- $60,000 - $100,000 a year
- Full-time
- Background check
- 5 years
- In-person
- Health insurance
- Dental insurance
Quick Apply
Clinical Data Analyst
Hospital: Rush University Medical Center —Chicago, IL
- $34.61 - $51.57 an hour
- 8 hour shift
- Computer science
- Computer Science
- Writing skills
Senior Auditor
Contact Government Services, LLC —Chicago, IL
- $80,000 - $150,000 a year
- Full-time
- Hybrid work
- CPA
- 5 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Private Investigator
PhotoFax —Chicago, IL
- $22 - $27 an hour
- Overtime
- Clean driving record
- No experience needed
- High school diploma or GED
- Travel reimbursement
- Fuel card
Quick Apply
Medicaid Fraud Supervisor, Chicago or Oakbrook, 23-E-02
Office of the Illinois Attorney General —Oak Brook, IL
- $80,000 - $110,000 a year
- Full-time
- CPA
- Computer Science
- Research
Special Assistant United States Attorney
US Office of the Inspector General, USPS —Chicago, IL
- $118,984 - $182,790 a year
- Online Application
- Hybrid work
- Writing skills
- Pass drug screening
- Mid-level
- Paid holidays
- Health insurance
7d
Forensic Financial Analyst, Medicaid Fraud, Chicago, 23-E-08
Office of the Illinois Attorney General —Chicago, IL
- $299 - $653 a month
- Full-time
- Mid-level
- Microsoft Office
- 3 years
- Disability insurance
- Health insurance
Licensing Coordinator
MARSHALL INVESTIGATIVE GROUP LLC —Park Ridge, IL
- $50,000 - $58,000 a year
- Full-time
- Microsoft Outlook
- Writing skills
- Research
Quick Apply
Deputy Chief of Investigations, Medicaid Fraud
Office of the Illinois Attorney General —Chicago, IL
- $299 - $653 a month
- Full-time
- 7 years
- Driver's License
- Travel
- Disability insurance
- Health insurance
Sr Clinical Data Analyst
Hospital: Rush University Medical Center —Chicago, IL
- $38.07 - $56.73 an hour
- 8 hour shift
- Computer science
- Computer Science
- Writing skills
Surveillance Agent
Marshall Investigative Group —Chicago, IL
- $22 - $32 an hour
- Weekends as needed
- Microsoft Word
- 11+ years
- Research
Quick Apply
As Needed Field Investigator- Chicago, IL
J T Becker & Co Inc —Chicago, IL
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply

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claims investigator jobs near chicago il

Coding Investigator Auditor - Work From Home

Health Care Service Corporation -
Chicago, IL

Apply Now

Job Details

$55,900 - $123,500 a year
7 days ago

Benefits

Work from home

Qualifications

Microsoft Word
Customer communication
Microsoft Excel
Database systems
Accreditation standards (regulatory compliance area)
Health insurance policy knowledge
Research
Audit Reporting
Insurance regulation

Full Job Description

Chicago, IL Albuquerque, NM Helena, MT Richardson, TX Tulsa, OK 08/15/2026 R0055146 Compensation: $55,900.00 - $123,500.00

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position is responsible for auditing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed. Conducting research. Preparing documentation of findings and consulting with special investigation and the affordability of care area as needed. Coordinating with all departments involved in each case required such as medical director special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database.

Required Job Qualifications:

Bachelor’s degree; one year of business experience, law enforcement experience, or regulatory agency experience may substitute for each year of college.
Certified Coding Certification, or acquire within 24 months of hire
3 years of experience in claims processing operations and reporting systems, including 2 years of experience in auditing or developing computer system reports.
Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation.
Awareness of claims processes and claims processing systems.
PC proficiency to include Microsoft Word and Excel and health insurance databases.
Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings.
Organizational skills and prioritization skills

Preferred Job Qualifications:

Current AAPC Medical Coding Certification

#LI-MW2

#LI-Remote

Compensation: $55,900.00 - $123,500.00

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

To learn more about available benefits, please visit https://careers.hcsc.com/totalrewards (opens in new window)

Apply Now

Refine Your Search

claims investigator jobs in chicago il

Coding Investigator Auditor - Work From Home

Field Investigator (Full-Time & Part-Time) – Chicago, IL

OFFICE ASSOCIATE SS

Investigator

SIU Investigator - Chicago, IL

Investigator

Litigation Specialist

Large Loss Contents Property Adjuster - Chicagoland, IL

Affirmative Civil Enforcement (ACE) Investigator

Clinical Data Analyst

Senior Auditor

Private Investigator

Medicaid Fraud Supervisor, Chicago or Oakbrook, 23-E-02

Special Assistant United States Attorney

Forensic Financial Analyst, Medicaid Fraud, Chicago, 23-E-08

Licensing Coordinator

Deputy Chief of Investigations, Medicaid Fraud

Sr Clinical Data Analyst

Surveillance Agent

As Needed Field Investigator- Chicago, IL

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