Top 68 Claims analyst Jobs in Schaumburg, Il

Workers' Compensation Claims Analyst
Advocate Aurora Health —Oak Brook, IL
- $30.70 - $46.05 an hour
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
3d
Import/Export Analyst
Flex LTD —Buffalo Grove, IL
- $100,400 - $138,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Team management
- Disability insurance
- Health insurance
9d
Accounts Receivable Collections Analyst
Fortune International, LLC —Bensenville, IL
- $28 - $32 an hour
- Full-time
- Microsoft Outlook
- Mid-level
- Office
8d
Clinical Quality Analyst
Synapse Health —Skokie, IL
- $62,400 - $78,000 a year
- Weekends as needed
- Remote
- Nursing
- Mid-level
- 3 years
- Disability insurance
- Health insurance
Quick Apply
Professional Billing Insurance Follow Up Analyst
Westerkamp Group, LLC —Lisle, IL
- $18 - $27 an hour
- Full-time
- Hybrid work
- Computer literacy
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Claims Analyst - Workers Compensation
Climate Pros —Glendale Heights, IL
- Remote
- Mid-level
- Office
- 3 years
Healthcare Data Management Analyst (Hybrid)
Illinois Health and Hospital Association —Naperville, IL
- $73,942 - $92,428 a year
- Online Application
- Mid-level
- Master's degree
- SQL
7d
Business Analyst I
CorVel Corporation —Downers Grove, IL
- $60,932 - $91,106 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Analysis skills
- Health savings account
- Disability insurance
Quick Apply
Epic Analyst - Certification in EPIC PB Required!
Illinois Bone and Joint Institute LLC —Des Plaines, IL
- $92,000 - $115,000 a year
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
- Profit sharing
- Wellness program
Quick Apply
8d
Deductions Analyst
Weiman Products LLC —Gurnee, IL
- $50,000 - $60,000 a year
- Hybrid work
- Microsoft Outlook
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Pricing Analyst
Gallagher Bassett —Rolling Meadows, IL
- $57,000 - $111,000 a year
- Microsoft Access
- Mid-level
- Finance
Healthcare Data Analyst
Option Care Enterprises, Inc. —Bannockburn, IL
- $70,218.51 - $117,008.35 a year
- Full-time
- Computer Science
- Mid-level
- 3 years
- Health savings account
- Health insurance
Quick Apply
2d
Sr. Revenue Cycle Analyst
Duly Health and Care —Downers Grove, IL
- $60,000 - $128,000 a year
- Full-time
- SQL
- Analysis skills
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Healthcare Data Analyst
Option Care Health —Bannockburn, IL
- $70,218.51 - $117,008.35 a year
- Full-time
- Computer Science
- Mid-level
- 3 years
- Health savings account
- Health insurance
Sr Ability Analyst - Absence Management
The Hartford —Naperville, IL
- $48,071 - $72,107 a year
- Full-time
- Hybrid work
- Customer service
- Office
- High school diploma or GED
- Disability insurance
9d
Sr. Clinical Data Analyst
Solaris Health Holdings LLC —Westchester, IL
- $60,000 - $75,000 a year
- Full-time
- Nursing
- HIPAA
- Mid-level
- Profit sharing
- Health savings account
Quick Apply
1d
Onsite Service Desk Analyst II (Hybrid/Client Onsite)
Cortavo —Elmhurst, IL
- Full-time
- Hybrid work
- Clean driving record
- Mid-level
- Windows
- Health insurance
- Work from home
Quick Apply
Senior Technical Support Analyst
International Motors, LLC —Lisle, IL
- $69,600 - $104,400 a year
- Online Application
- Microsoft Excel
- Microsoft Outlook
- Schematics
3d
(Remote) Actuarial Analyst, Product
Fidelity Life Association —Des Plaines, IL
- $80,000 - $103,000 a year
- Call employer
- Remote
- Writing skills
- Mid-level
- Windows
- Health savings account
- AD&D insurance
Quick Apply
Ecommerce Digital Data Analyst
International Motors, LLC —Lisle, IL
- $120,000 - $180,000 a year
- Online Application
- Master's degree
- SQL
- Bachelor's degree

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claims analyst jobs near schaumburg, il

Workers' Compensation Claims Analyst

Advocate Aurora Health -
Oak Brook, IL

Apply Now

Job Details

Full-time
$30.70 - $46.05 an hour
3 days ago

Qualifications

State-specific regulations in benefits management
Regulatory compliance in claims processing
Workers' compensation insurance knowledge

Full Job Description

The Workers Compensation Claims Analyst is a critical thinker who manages claims within organizational standards and best practices. They are responsible for the adjudication of medical only claims and limited lost time workers' compensation claims. They will work closely with case managers, attorneys, and vendors. They will manage subrogation liens and negotiate claim settlements to achieve the best possible outcome and support the goals of the department.

Major Responsibilities:

Must possess analytical skills and be able to work with a sense of urgency and accuracy. Must be able to adhere to multiple state workers’ compensation rules, regulations, and laws.
Must be able to complete appropriate contacts within 24 hours of assignment, establish and maintain appropriate diary for follow-up, evaluates and determines compensability of workers’ compensation claims within the statutory period for multiple jurisdictions.
Must be able to be responsible for monitoring and controlling costs, timely documentation of the electronic claim file, claim outcome, timely reserving of files, managing subrogation and litigation, filing appropriate forms and payment of all benefits due within statutory periods and coordinates light duty as needed.
Must function as a resource to the injured teammates, leaders, and others with an interest in the claim.
Must be able to communicate claim status with the injured teammate and other parties, as necessary.
Must be able to develop action plans and strategies for prompt payment/denial of claims bringing them to a timely conclusion while providing all appropriate information. Must be able to monitor and report appropriate claims to excess carriers.
Must be able to determine what treatment is appropriate and causally related to the compensable injury and redirect treatment to network physicians as appropriate. Must be able to promptly authorize and approve related expenses of the claim.
Must be able to maintain strict confidentiality of information at all times of a sensitive nature and/or protected under state and federal law.
Must be able to develop and maintain professional customer relationships. Must be able to provide education as needed and serve as a mentor to other adjusters and stakeholders.
Must be able to provide additional support for additional projects and duties as assigned.

Education Requirements:

Adjusters license for assigned jurisdiction as required by specific jurisdiction as applicable.
Bachelor’s degree required or a combination of education and related experience.

Experience Requirements:

2-5+ years’ experience managing progressively difficult Workers Compensation lost time claims. Associates in Claims designation preferred.

Knowledge, Skills & Abilities Required:

Must be competent in workers’ compensation rules, regulations, and laws for multiple jurisdictions.
Must work with a sense of urgency and accuracy.
Evaluates and determines compensability of workers’ compensation claims within the statutory limits for multiple jurisdictions.
Must be able to work independently as well as part of a team.
Access to protected Health Information (PHI) to the extent of information necessary to do the job. Information shared only on a need-to-know basis.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Apply Now

Refine Your Search

claims analyst jobs in schaumburg, il

Workers' Compensation Claims Analyst

Import/Export Analyst

Accounts Receivable Collections Analyst

Clinical Quality Analyst

Professional Billing Insurance Follow Up Analyst

Claims Analyst - Workers Compensation

Healthcare Data Management Analyst (Hybrid)

Business Analyst I

Epic Analyst - Certification in EPIC PB Required!

Deductions Analyst

Pricing Analyst

Healthcare Data Analyst

Sr. Revenue Cycle Analyst

Healthcare Data Analyst

Sr Ability Analyst - Absence Management

Sr. Clinical Data Analyst

Onsite Service Desk Analyst II (Hybrid/Client Onsite)

Senior Technical Support Analyst

(Remote) Actuarial Analyst, Product

Ecommerce Digital Data Analyst

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