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Claims examiner Jobs in Springfield, IL

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Claims examiner • springfield il

Last updated: 4 hours ago

Forensic Financial Analyst (Medicaid Fraud) 23-E-32, Springfield

government jobsSpringfield, IL, United States
$70,000.00 yearly
Full-time +1

Chief Deputy - Attorney General.Under the direction of the Director and Chief of Investigations, a Forensic Financial Analyst will provide analysis and support to financial crime investigations tha... Show more

Area Field Manager

u haulSpringfield, IL, United States
$3,375.00–$6,074.25 monthly
Full-time

Are you a self-starter? Are you tired of being locked down in an office all day? Do you crave the flexibility to manage, plan and execute your day-to-day workload? If so, then this opportunity is t... Show more

Attorney

hennessy roach p cSpringfield, Illinois, United States
Full-time

Successful law firm seeks an attorney to defend workers' compensation and general liability cases in Illinois to join our Springfield, IL office.Salary to be commensurate with experience.Essential ... Show more

REAL ESTATE PROFESSIONS EXAMINER

illinois staffingSpringfield, IL, United States
Full-time +1

Real Estate Professions Examiner.We continually strive for a workforce that reflects the growing diversity within the State of Illinois.A variety of employee backgrounds, perspectives, ideas and ex... Show more

Account Associate - State Farm Agent Team Member

mark cortesi state farm agentSpringfield, IL, US
$45,000.00–$65,000.00 yearly
Full-time

As Account Associate - State Farm Agent Team Member for Mark Cortesi - State Farm Agent, you are vital to our daily business operations and customers’ success.You grow our agency through meaningful... Show more

Account Associate - State Farm Agent Team Member

trae covington state farm agentSpringfield, IL, US
$40,000.00–$70,000.00 yearly
Full-time

My team's mission is to help people manage the risks of everyday life, recover from the unexpected and realize their dreams.We are located in Springfield, IL and help customers with their insurance... Show more

Business Lines Senior Territory Manager

liberty mutual insurance groupSpringfield, IL, United States
Full-time

Business Lines Senior Territory Manager.We are seeking a results-driven Business Lines Senior Territory Manager to own and lead a defined geographic territory, driving profitable premium growth and... Show more

Investigator

ethos risk servicesSpringfield, IL, USA
$28.00–$38.00 hourly
Full-time
Quick Apply

ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection.At the forefront, we provide accurate data... Show more

Project Manager

wright tree serviceSpringfield, IL, United States
Full-time

Supervises a team of General Forepersons and their crews, while being responsible for the proper administration, communication and enforcement of supervisory and economic work practices such as pol... Show more

Contact Lens Tech.

gailey eye clinicSpringfield, IL, US
$17.00–$19.74 hourly
Full-time

Essential Functions and Responsibilities:.Assist MDs/ODs in performing contact lens fitting and evaluations.Educate patients on contact lens care, usage, and products.Order contacts and contact sup... Show more

Personal Lines Account Manager

gpacSpringfield, Illinois, United States
Full-time

Personal Lines Account Manager.Are you ready to take your career in the insurance industry to the next level? Do you have a passion for helping clients protect what matters most to them? If so, we ... Show more

INSURANCE PERFORMANCE EXAMINER TRAINEE

state illinoisSpringfield, IL, US
Full-time

INSURANCE PERFORMANCE EXMNR TRN (21680).Anticipated starting salary $4,747/CBA Language applies).Requires the ability to report to the work location during work hours.Anticipated Hybrid Work Schedu... Show more

Records Examiner / Analyst Supporting the FBI

fsaSpringfield, IL, US
Full-time

Eligible for 20% pay differential**.Be a part of the nationwide law enforcement initiative that removes the tools of crime from criminal organizations, depriving wrongdoers of proceeds from their c... Show more

Sr Field Adjuster

hanover insurance groupSpringfield, IL, United States
Full-time

Senior Field Property Adjuster.For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most.We live our values every day, demonstra... Show more

W2 Role: Medicaid Subject Matter Expert / Data Specialist -Remote

cloudscouts software solutionsSpringfield, IL, US
Remote
Full-time

Enterprise Data Warehouse (EDW) Medicaid Subject Matter Expert/Data Specialist.USC/genuine GC/H1B only with atleast 10+ years of experience.Provide direction, guidance and recommendations supportin... Show more

Provider Relations Representative

health care serviceSpringfield, IL, United States
$63,300.00–$114,300.00 yearly
Full-time

This position is responsible for the contracting, credentialing, and maintenance of professional provider data to support marketing, membership and network contracting across all lines of business;... Show more

Medical Billing and Coding - Entry Level Training Program

dreamboundCapital, Illinois, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

CDL A Truck Drivers

dot transportationSpringfield, IL, US
$100,000.00 yearly
Full-time

CDL A COMPANY DRIVERS DRIVERS EARN UP TO $100,000.PER YEAR DEPENDING ON LOCATION WE OFFER AN EARN TO LEARN PROGRAM!.STARTING SALARY UP TO $100,000.MPG, MVA, Referral Bonuses and More!.Touch Freight... Show more

Certified Medical Biller and Coder - Urgent Hire

express employment professionalsSpringfield, IL, US
Full-time
Quick Apply

Certified Medical Biller & Coder: Springfield, IL.Day shift | Springfield, IL | Up to $24/hour, based on experience.If you're a certified coder who likes seeing a claim through from chart note to p... Show more

 • New!

Safety Specialist

express employment springfield ilSpringfield, IL, US
Full-time

The Safety Specialist is responsible for performing safety audits, conducting incident investigations, ensuring regulatory compliance, analyzing safety data, and collaborating with maintenance team... Show more

People also ask
The cities near Springfield, IL that boast the highest number of claims examiner jobs are:
Forensic Financial Analyst (Medicaid Fraud) 23-E-32, Springfield

Forensic Financial Analyst (Medicaid Fraud) 23-E-32, Springfield

government jobsSpringfield, IL, United States
30+ days ago
Salary
$70,000.00 yearly
Job type
  • Full-time
  • Part-time
Job description

Chief Deputy - Attorney General

Under the direction of the Director and Chief of Investigations, a Forensic Financial Analyst will provide analysis and support to financial crime investigations that help identify fraud and related criminal offenses. The Forensic Financial Analyst will compile, analyze, and/or audit complex financial records to support investigations and prosecutions. They will act as a liaison with financial institutions to facilitate records requests and productions; be responsible for reviewing and analyzing multiple sources of information and data; conduct open-source searches to obtain necessary information and records; build financial profiles to identify criminal offenses, trends, and patterns; document investigation activities; and compile and analyze data material, including but not limited to financial and tax records, invoices, complaint data, digital media, contracts, and grant related information.

The Forensic Financial Analyst will provide input to affidavits and subpoenas, recommend possible investigative steps, and testify in court regarding financial examination of records. Additionally, they will maintain databases, prepare summary exhibits, and reports in support of their testimony; participate in strategic planning sessions with investigators, fraud investigative groups, and task forces; and be responsible for creating analytic reports, summaries, graphs and charts for use in investigations.

This position requires a Bachelor's or an advanced degree in accounting, criminal justice, finance, economics, applied statistics or related field and three years of related work experience in a law enforcement setting, financial analysis, and/or auditing. A Certified Fraud Examiner (CFE) Certification or studying towards, is preferred. The ability to demonstrate strong leadership, judgment, and problem-solving skills is required. This position also requires a working knowledge of i2 Analyst's Notebook, Bank Scan, and Microsoft products; an ability to demonstrate criminal intelligence analysis; and strong technological skills. Attendance, flexibility, outstanding written and communication skills, and the ability to build and maintain satisfactory working relationships with other agencies and OAG employees is required.

Knowledge of the health care industry and medical coding concepts (CPT, ICD-9/10, DRGs, HCPCS) and/or experience analyzing health care claims data is preferred.

Position requires in office attendance.

We offer a complete benefits package to full-time employees including health care, dental, vision, retirement, deferred compensation plans, flexible spending accounts, life insurance, long-term disability, holidays, vacation, and sick leave. Part-time employees who work an average of 20 hours per week over the course of a year, receive benefits on a pro-rated basis.

As an employee of the Illinois Attorney General's Office, you'll have access to many great benefits. Join the legal team responsible for protecting the public interest of the state and the people of Illinois!

  • Health and Dental insurance along with free Vision insurance*
  • Pension Benefits through the State Employees'; Retirement System
  • Disability coverage
  • Deferred Compensation: supplemental retirement savings program-457k
  • Commuter Savings Program: pre-tax transportation program
  • Flexible Spending: Medical and Dependent pre-tax savings program
  • Health Savings Account
  • Life insurance benefit: free with option to purchase additional (up to 8 x your annual salary) at low cost. Spouse and child life insurance available
  • Employee Assistance Program through ComPsych
  • Holidays: 13 1/2 paid
  • Vacation days: minimum of 12 days, maximum of 27 days, prorated
  • Personal days: 4 annually
  • Floating Holiday: 1 annually
  • Sick days: 1 per month
  • For attorneys, office provided Continuing Legal Education
  • Semi-monthly payroll

*Health and Dental cost ranges: for single: $120.00 - $322.00 monthly; for family: $292.00 - $665.00 monthly

For more information on benefits: visit cms.illinois.gov/benefits/stateemployee.html