Claims Processor – COB

🔥 14 hours ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $30 - $35 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Huron

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2002

🏥 Healthcare

📦 Logistics

📣 Marketing

Healthcare • Logistics • Marketing

Huron Consulting Group is a global consultancy that provides a wide range of services including strategy, operations, advisory, digital, technology, and analytics solutions to various sectors such as healthcare, education, energy, and financial services. Huron helps organizations navigate complex challenges and drive growth through tailored solutions and innovative strategies. The company employs a team of experts dedicated to delivering high-impact solutions that address the unique needs of each client, focusing on areas such as managed services, outsourcing, and leadership development.

📋 Description

• Manually review, evaluate, and process healthcare claims within the Facets platform • Research and resolve complex claim scenarios involving benefits, plan provisions, payment rules, and supporting documentation • Process Coordination of Benefits (COB) and/or ITS Home/Host claims • Validate primary and secondary payer responsibility • Identify claim discrepancies and determine appropriate resolutions • Document claim-processing decisions accurately • Apply established policies, procedures, and client-specific requirements • Meet quality and productivity expectations • Escalate claims issues, system concerns, or processing trends when additional review is required • Collaborate with team members and client stakeholders to support timely and accurate claim resolution

🎯 Requirements

• Current and hands-on experience as a Facets Claims Examiner • Advanced working knowledge of Facets claims processing (not Configuration) • Demonstrated experience manually processing healthcare claims, including complex and exception-based scenarios • Current experience manually processing Coordination of Benefits (COB) or ITS Home/Host claims • Ability to analyze claim details, benefit information, and supporting documentation • Strong attention to detail and critical-thinking skills • Commitment to quality • Ability to work effectively in a production-oriented, deadline-driven environment • Clear written and verbal communication skills • Must be a U.S. Citizen • Must be available for a W2 hourly contract; H-1B, C2C, and 1099 candidates are not considered

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • 401(k) plan with a generous employer match • Employee stock purchase plan • Paid Time Off • Paid parental leave • Adoption assistance • Wellness Program with free annual health screenings and coaching • Bank at work • On-site workshops • Ongoing programs recognizing major employee life events