Top Tech Jobs & Startup Jobs in Chicago, IL

Manage non-complex liability and medical-only claims under supervision: receive and validate claims, confirm coverage, set reserves, authorize payments within limits, communicate status to stakeholders, adhere to client/carrier guidelines, and escalate complex files to senior staff.

Manage complex workers' compensation claims end-to-end: investigate compensability, set reserves, coordinate case management and return-to-work, handle subrogation and litigation, negotiate settlements, report to carriers, and maintain regulatory compliance while delivering strong customer service.

Manages client success for CorVel’s CareIQ ancillary healthcare service by onboarding and training clients, aligning customer requirements with operational capabilities, providing service-level reporting and insights, resolving issues, and coordinating across product, operations, sales, and account management teams. Serves as a subject-matter expert, supports implementations, maintains regulatory knowledge, and ensures an optimized customer experience.

Contribute to corporate information security by assessing designs, selecting controls, performing threat modeling and vulnerability management, supporting risk and vendor assessments, and advising engineering teams on secure solutions and governance.

Prepare, review, and submit Workers' Compensation EDI FROI and SROI filings using vendor platforms. Analyze claim data, interpret state-specific EDI implementation guides and reporting rules, resolve transaction errors/rejects, monitor compliance with deadlines, communicate with internal stakeholders, and ensure HIPAA and regulatory compliance.

Lead end-to-end product management for PBM, Ancillary Benefit Management, and specialty network offerings. Define roadmap, ensure regulatory and contractual compliance, drive profitability and client metrics, coordinate cross-functional stakeholders, streamline operations, support RFP/pricing, and launch/optimize products to align with business objectives.

The Claims Specialist manages lower-level workers' compensation claims, ensuring validity, compensability, and communication with clients while working under supervision.

The Data Scientist II will design, build, and deploy machine learning models and data products, translating business problems into data-driven solutions, while collaborating with various stakeholders and ensuring reliable, production-ready outcomes.

Supervise hospital bill audit nurses, ensuring accurate audits and compliance with regulations. Foster team collaboration and handle auditor inquiries while maintaining productivity standards.

The Appeals Representative analyzes appeals in accordance with policies and guidelines, communicates with providers, and ensures timely completion of appeals while adhering to industry standards.