Top 267 Insurance specialist 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
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
Regional Production Specialist Sr, Excess & Surplus Lines
Lexington Specialty Insurance Agency, Inc. —Chicago, IL
- $125,000 - $173,000 a year
- Email
- Office
- Analysis skills
- Senior level
- Health insurance
Quick Apply
VP, Account Executive, Professional & Cyber Solutions
The Baldwin Group —Chicago, IL
- $150,000 - $175,000 a year
- Full-time
- Office
- Bachelor's degree
- Team management
Escrow Insurance Specialist II
Heartland Bank and Trust Company —Springfield, IL
- $20.04 - $28.06 an hour
- Full-time
- Mid-level
6d
Older Adults Benefits Specialist
North Shore Senior Center —Northfield, IL
- $50,000 - $53,000 a year
- Full-time
- Master of Social Work
- Adults
- Mid-level
- Mileage reimbursement
- Health savings account
Quick Apply
Licensed Allstate CSR / Onboarding Specialist
Brent Jablonski Agency —Fox Lake, IL
- $40,000 - $65,000 a year
- Full-time
- Mid-level
- Office
- 1 year
- Health insurance
- Paid time off
Quick Apply
1d
Business Development Specialist
PASONA N A, INC. —Schaumburg, IL
- $70,304 - $95,000 a year
- Full-time
- Mid-level
- Office
- Analysis skills
RSVP - W2 Life Insurance Specialist - Remote - Hiring Event
Insurance Supermarket Inc. —Illinois
- $38,500 - $180,000 a year
- Full-time
- Computer literacy
- Mid-level
- Communication skills
- Health insurance
- Paid time off
Insurance Restoration Specialist
Feldco Factory Direct —Rosemont, IL
- $40,000 - $100,000 a year
- Weekends as needed
- Mid-level
- Office
- Communication skills
- AD&D insurance
- Paid holidays
Quick Apply
Insurance Collections / Revenue Cycle Specialist
MidAmerica Orthopaedics S.C. —Mokena, IL
- Full-time
- Anatomy knowledge
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Licensed Sales Professional (LSP) - IL
Allstate —Illinois
- $36,000 - $100,000 a year
- Full-time
- In-person
- Communication skills
- Entry level
Underwriting Specialist OR Executive Underwriter - E&S Property
Zurich Insurance Company Ltd. —Chicago, IL
- $75,000 - $165,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
- Flexible schedule
10d
Funeral Planning Sales & Education Professional - NORTHEAST IL
Directors Investment Group —Huntley, IL
- Full-time
- Sales
- Mid-level
- Microsoft Office
- Health insurance
- 401(k) matching
Quick Apply
Crop Specialist
South Central FS, Inc. —Humboldt, IL
- $50,000 - $75,000 a year
- Extended hours
- Background check
- Hazmat Endorsement
- Pass drug screening
- Paid holidays
- Health insurance
Licensed Lead Generation Specialist – Remote - IL
The Ihaza Insurance Agency —Illinois
- $500 - $750 a month
- Part-time
- Remote
- Mid-level
- Business development
- Communication skills
- Paid time off
Quick Apply
1d
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
Multi-Line Claim Specialist
CCMSI —Chicago, IL
- $80,000 - $90,000 a year
- Hybrid work
- Spanish
- Writing skills
- Mid-level
- Paid holidays
- Disability insurance
Multi-Line Claim Specialist
CCMSI —Chicago, IL
- $80,000 - $90,000 a year
- Full-time
- Hybrid work
- Spanish
- Writing skills
- Mid-level
- Paid holidays
- Disability insurance
Benefit Verification Specialist
Retina Institute of Illinois —Huntley, IL
- $21.43 - $22.43 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
- Health savings account
- AD&D insurance

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insurance specialist 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

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 specialist jobs in illinois

Senior Claim Benefit Specialist - Remote

HEALTH INSURANCE SPECIALIST

Regional Production Specialist Sr, Excess & Surplus Lines

VP, Account Executive, Professional & Cyber Solutions

Escrow Insurance Specialist II

Older Adults Benefits Specialist

Licensed Allstate CSR / Onboarding Specialist

Business Development Specialist

RSVP - W2 Life Insurance Specialist - Remote - Hiring Event

Insurance Restoration Specialist

Insurance Collections / Revenue Cycle Specialist

Licensed Sales Professional (LSP) - IL

Underwriting Specialist OR Executive Underwriter - E&S Property

Funeral Planning Sales & Education Professional - NORTHEAST IL

Crop Specialist

Licensed Lead Generation Specialist – Remote - IL

Licensed Insurance Professional

Multi-Line Claim Specialist

Multi-Line Claim Specialist

Benefit Verification Specialist

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