Top 5335 Quality service representative Jobs in Illinois

Claims Representative - Remote
The Cigna Group —Illinois
- $17.75 - $26.00 an hour
- Online Application
- Remote
- Microsoft Outlook
- Research
- High school diploma or GED
- Paid holidays
- Health insurance
5d
Customer Service Representative, Behavioral Health (Shift: Mon-Fri 11:45AM-8:15PM EST)
CVS Health —Illinois
- $17.00 - $31.30 an hour
- 8 hour shift
- Remote
- Microsoft Excel
- Microsoft Outlook
- Residential
- Health insurance
- Dental insurance
2d
Inbound Contacts Representative
Humana —Illinois
- $39,000 - $49,400 a year
- 8 hour shift
- Remote
- HIPAA
- Mid-level
- Travel
- Paid parental leave
- Paid holidays
3d
Pharmacy Care Representative - Work From Home Illinois
CVS Health —Illinois
- $17.00 - $31.30 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
3d
Health & Benefits - Call Center Agent / Customer Service Representative / Support Specialist (Remote) (General Consideration)
Inspira Financial Trust, LLC —Oak Brook, IL
- $18.50 an hour
- Overtime
- Remote
- Computer literacy
- No degree
- Computer skills
- Paid training
- Health savings account
Global Customer Service Complaints Investigator Lead
bioMérieux —Lombard, IL
- $81,400 - $116,300 a year
- Microsoft Outlook
- Computer literacy
- Data analysis skills
- Commuter assistance
- Disability insurance
Quick Apply
9d
Call Center Customer Service Representative
UW Health —Rockford, IL
- $16.78 - $22.65 an hour
- Overtime
- Hybrid work
- Medical office experience
- 1 year
- Entry level
- Disability insurance
- Health insurance
4d
MDS Care Plan Coordinator (RN)
Accolade Healthcare of Pontiac —Pontiac, IL
- $83,000 - $95,000 a year
- Full-time
- Skilled nursing facility
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Outside Sale Representative - Eastern Illinois
MES Life Safety —Urbana, IL
- Up to $45,000 a year
- Full-time
- Mid-level
- US work authorization
- Communication skills
- Health savings account
- Health insurance
Quick Apply
Outside Sales Representative
Richards Building Supply —Champaign, IL
- $55,000 - $65,000 a year
- Full-time
- Hybrid work
- Mid-level
- Residential
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Roofing & Insulation Sales Representative – Residential & Commercial
Green Attic —Mount Prospect, IL
- From $75,000 a year
- Full-time
- Hybrid work
- Mid-level
- Residential
- Driver's License
Quick Apply
7d
Senior Major Gift Officer, and Director of Alumni Relations
University of Saint Mary of the Lake —Mundelein, IL
- $85,000 - $130,000 a year
- Full-time
- Microsoft Outlook
- University
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Production Shift Supervisor
ThyssenKrupp —Danville, IL
- Mid-level
- Windows
- High school diploma or GED
- Paid holidays
- Health insurance
Electrical Superintendent - High Voltage
Axial Energy Services —Decatur, IL
- Temporary
- Construction site
- Residential
- 8 years
- Relocation assistance
- Health insurance
Quick Apply
Director of Nursing
Golfview Developmental Center —Des Plaines, IL
- $85,000 - $90,000 a year
- 8 hour shift
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
JHS Math Teacher
Calvary Academy —South Holland, IL
- $47,000 - $52,000 a year
- Full-time
- Classroom
- Teaching Certification
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Construction Project Manager/Salesman
Coronet Construction —Addison, IL
- $85,000 - $105,000 a year
- Full-time
- Construction site
- Mid-level
- Residential
- Paid holidays
- Health insurance
Quick Apply
1d
Veterinary Assistant and Technician
Homestead Animal Hospital —Burbank, IL
- $17 - $24 an hour
- Part-time
- Background check
- Mid-level
- In-person
- Continuing education credits
- Health insurance
Quick Apply
North Central Behavioral Health-Crisis Counselor (Grundy, LaSalle, Fulton, Henry, McDonough, Whiteside counties)
Rosecrance Inc. —Moline, IL
- From $22 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Paid holidays
- Disability insurance
Quick Apply
11d
LPN/Medical Assistant (Full-Time)
Cancer Care Specialists of Illinois —Effingham, IL
- $19.80 - $24.50 an hour
- Full-time
- CPR Certification
- Nursing
- Medical office experience
- Paid training
- Health savings account
Quick Apply
9d

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quality service representative jobs near illinois

Claims Representative - Remote

The Cigna Group -
Illinois

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Job Details

Full-time
$17.75 - $26.00 an hour
5 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Smoking cessation program
Vision insurance
Life insurance

Qualifications

Video conferences (communication methods)

Full Job Description

Claims Representative – Remote

SUMMARY

The claims representative is responsible for manually reviewing and processing medical, supplemental, or dental claims. Claims are processed according to benefits, eligibility, and internal processes, policies, and procedures and may be completed, held for additional information/review, or denied. New claim representatives will be provided with a robust training program, which includes virtual classroom training, on-the-job learning/feedback, and gradually increasing claims per hour/quality requirements over several months. After completion of training, claim representatives must meet specific accuracy/quality, volume/claims per hour, and on production performance metrics.

$19/Hour Pay Rate

RESPONSIBILITIES

Independently research and navigate various documents and databases to accurately process claims, ensuring compliance and adherence to established guidelines.
Confirm the presence of necessary documents within submitted claims.
Validate the accuracy of medical codes provided in claim submissions.
Assess the eligibility status of claims based on established criteria.
Review and verify other insurance coverage information in submitted claim.
Evaluate authorizations provided in claim submissions for accuracy.
Analyze account benefit plans to ensure claims align with coverage and policies.
Identify discrepancies, errors, or missing information.
Utilize multiple computer applications simultaneously.
Maintain self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without close supervision.
Meet or exceed quality and productivity goals.
Identify claim processing learning opportunities by working directly with supervisors, coaches, and trainers to learn efficient and effective processing techniques and workflows.
Utilize a variety of virtual tools, including Outlook email, Cisco Webex, and similar applications, to effectively collaborate, communicate, and stay connected with colleagues and supervisors.

QUALIFICATIONS

High school diploma or equivalent
Ability to quickly learn a variety of computer applications to complete job functions,
Experience sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in Microsoft Outlook.
Knowledge of basic Microsoft Excel functions, such as filtering/sorting.
Experience in navigating multiple computer applications through the use of shortcut keys and other techniques.
Detail-oriented with experience in applying complex policy/procedure documents.
Strong organizational skills to maximize available work time. Ability to prioritize tasks to ensure job tasks are completed before deadlines.
Proven experience completing work with quality and productivity performance standards.
Experience working independently in a virtual environment preferred.
Experience with medical and insurance terminology in a professional setting preferred.
Knowledge of CPT/ICD-10 codes preferred.
Proven experience in health insurance claims processing or similar field preferred

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Apply Now

Refine Your Search

quality service representative jobs in illinois

Claims Representative - Remote

Customer Service Representative, Behavioral Health (Shift: Mon-Fri 11:45AM-8:15PM EST)

Inbound Contacts Representative

Pharmacy Care Representative - Work From Home Illinois

Health & Benefits - Call Center Agent / Customer Service Representative / Support Specialist (Remote) (General Consideration)

Global Customer Service Complaints Investigator Lead

Call Center Customer Service Representative

MDS Care Plan Coordinator (RN)

Outside Sale Representative - Eastern Illinois

Outside Sales Representative

Roofing & Insulation Sales Representative – Residential & Commercial

Senior Major Gift Officer, and Director of Alumni Relations

Production Shift Supervisor

Electrical Superintendent - High Voltage

Director of Nursing

JHS Math Teacher

Construction Project Manager/Salesman

Veterinary Assistant and Technician

North Central Behavioral Health-Crisis Counselor (Grundy, LaSalle, Fulton, Henry, McDonough, Whiteside counties)

LPN/Medical Assistant (Full-Time)

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