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
Sr. Manager Claims (Remote)
American Medical Association —Chicago, IL
- $104,872 - $138,737 a year
- Remote
- 7 years
- Writing skills
- HIPAA
- Disability insurance
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
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
Compliance Coordinator
Midwest Insurance Company —Springfield, IL
- $48,000 - $55,000 a year
- Full-time
- Hybrid work
- Background check
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Licensed Insurance Professional
Powell State Farm Agency Inc —Mount Pulaski, IL
- $32,000 - $50,000 a year
- Full-time
- Bilingual
- HIPAA
- Mid-level
- Paid time off
- 401(k) matching
Quick Apply
Account Executive I
Health Care Service Corporation —Downers Grove, IL
- $56,900 - $85,300 a year
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Bachelor's degree
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
Reinsurance Director
CNA Insurance —Chicago, IL
- $97,000 - $189,000 a year
- Full-time
- Hybrid work
- Experience equivalent to degree accepted
- Senior level
- Leadership
Licensed Insurance Agent - Chicago North
Kemper Insurance —Springfield, IL
- Full-time
- Background check
- 18 years or older
- Pass drug screening
- Employee stock purchase plan
- Disability insurance
Quick Apply
Licensed Insurance Agent - Chicago North
Kemper Insurance —Waukegan, IL
- Full-time
- Background check
- 18 years or older
- Pass drug screening
- Employee stock purchase plan
- Disability insurance
Quick Apply
Licensed Insurance Agent - Chicago North
Kemper Insurance —Peoria, IL
- Full-time
- Background check
- 18 years or older
- Pass drug screening
- Employee stock purchase plan
- Disability insurance
Quick Apply
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
Claims Specialist -- Trucking
Spotter —Lemont, IL
- Remote
- Mid-level
- Analysis skills
- Organizational skills
- Opportunities for advancement
Quick Apply
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
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
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
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
Senior Claims Specialist I
Liberty Mutual —Hoffman Estates, IL
- $67,000 - $126,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
13d

I want to receive the latest job alert for insurance claims processing in illinois

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Senior Claim Benefit Specialist - Remote

CVS Health -
Illinois

Apply Now

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

Sr. Manager Claims (Remote)

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

Patient Accounts Insurance Coordinator - Sign on Bonus

Compliance Coordinator

Licensed Insurance Professional

Account Executive I

Licensed Insurance Agent - Chicago North

Licensed Insurance Agent - Chicago South

Reinsurance Director

Licensed Insurance Agent - Chicago North

Licensed Insurance Agent - Chicago North

Licensed Insurance Agent - Chicago North

Senior Claims Research Coordinator

Claims Specialist -- Trucking

Casualty Claims Adjuster Hybrid

Licensed Insurance Sales Representative (Remote)

Claims & Insurance Associate

Claims Analyst

Senior Claims Specialist I

I want to receive the latest job alert for insurance claims processing in illinois

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected