Insurance Claims Investigator

2 days ago


Springfield, Illinois, United States CoxHealth Full time

Job Summary

The Insurance Follow Up position at CoxHealth is responsible for investigating unpaid claims for physician charges. This role involves reviewing coding and medical necessity denials, processing corrections to re-file for payment, and contacting insurance companies to follow up on denied claims. The successful candidate will work to process claims within the expected time frame.

Key Responsibilities

  • Investigate and resolve unpaid claims for physician charges
  • Review coding and medical necessity denials to identify and correct errors
  • Process corrections to re-file for payment and follow up with insurance companies as needed
  • Work collaboratively with teams to ensure timely and accurate claim processing

Requirements

  • Education: High School Diploma or Equivalent
  • Experience: Preferred experience in medical billing and claims processing, with knowledge of the insurance industry and collection process
  • Skills: Excellent verbal and written communication skills, ability to work independently and collaboratively, self-starter, proficient in using computers and computer systems, and ability to multi-task and have attention to detail

About CoxHealth

CoxHealth is a leading healthcare provider in the region, recognized for its commitment to delivering high-quality patient care and exceptional employee experiences. As a CoxHealth employee, you will have access to a comprehensive benefits package, ongoing training and development opportunities, and a supportive work environment that values diversity and inclusion.



  • Springfield, Illinois, United States CoxHealth Full time

    Job SummaryThe Insurance Follow Up position at CoxHealth is responsible for investigating unpaid claims for physician charges. This role involves reviewing coding and medical necessity denials, processing corrections to re-file for payment, and contacting insurance companies to follow up on denied claims. The goal is to process claims within the expected...


  • Springfield, Illinois, United States National General Insurance Full time

    Job OverviewNational General Insurance is a leading provider of specialty personal lines insurance products. We are seeking a highly skilled and experienced Auto Field Representative to join our team. Key Responsibilities•Investigate and confirm the facts of loss for complex homeowner's claims•Determine coverage, damages, and adjust and negotiate claims...


  • Springfield, Illinois, United States Erie Insurance Full time

    Job SummaryErie Insurance is seeking a skilled Property Claims Specialist to join our team. As a key member of our Claims Department, you will be responsible for handling property claims, conducting investigations, and negotiating settlements.Key ResponsibilitiesEstablish immediate contact with policyholders and claimants to gather information and assess...


  • Springfield, Illinois, United States Erie Insurance Full time

    Job Title: Property Claims SpecialistWe are seeking a highly skilled Property Claims Specialist to join our team at Erie Insurance. As a Property Claims Specialist, you will be responsible for handling property claims, conducting investigations, and negotiating settlements.Key Responsibilities:Conduct extensive investigations into causes and origins of...


  • Springfield, Illinois, United States EAC Claims Solutions LLC Full time

    Property Desk AdjusterEAC Claims Solutions LLC is seeking a skilled Property Desk Adjuster to join our team. As a key member of our claims resolution team, you will play a crucial role in resolving significant losses, including complex property claims.Key Responsibilities:Evaluate claims forms, policies, endorsements, and carrier instructions to determine...


  • Springfield, Illinois, United States National General Insurance Full time

    Role OverviewNational General Insurance is a leading provider of specialty insurance products, offering a range of innovative solutions to meet the evolving needs of our customers.We are committed to delivering exceptional service and support to our policyholders, and we are seeking a highly skilled and experienced Auto Field Representative to join our...


  • Springfield, Illinois, United States American National Full time

    Senior Claims Specialist Opportunity American National is seeking a highly skilled Senior Claims Specialist to join our dynamic team. As a key member of our claims department, you will be responsible for handling complex property claims, conducting thorough investigations, and working closely with policyholders to ensure a fair and efficient claims...

  • Auto Claims Adjuster

    4 weeks ago


    Springfield, Illinois, United States National General Insurance Full time

    Job Title: Auto Field AdjusterWe are seeking an experienced Auto Field Adjuster to join our team at National General Insurance. As a key member of our claims team, you will be responsible for creating comprehensive estimates of damages for complex 1st and 3rd party material damage claims.Key Responsibilities:Exhibit mastery of estimating fundamentals to...


  • Springfield, Illinois, United States Zurich Insurance Company Ltd. Full time

    Job Title: Surety Senior Claims Professional AttorneyZurich North America is seeking a highly skilled Surety Senior Claims Professional (Attorney) to join our team. As a key member of our team, you will be responsible for managing a caseload of moderate to high complexity Surety claims from start through settlement and resolution. Your expertise will be...


  • Springfield, Illinois, United States American National Full time

    About the RoleAmerican National is seeking a highly skilled Senior Claims Specialist to join our dynamic team. As a key member of our claims department, you will be responsible for handling complex property claims, conducting thorough investigations, and working closely with policyholders to ensure a fair and efficient claims process.Key...


  • Springfield, Illinois, United States National General Insurance Full time

    Job Title: Auto Field Adjuster IIAt National General Insurance, we're seeking a skilled Auto Field Adjuster II to join our team. As a key member of our claims team, you'll be responsible for creating comprehensive estimates of damages for complex 1st and 3rd party material damage claims.Key Responsibilities:Exhibit mastery of estimating fundamentals to...

  • Claims Specialist

    4 weeks ago


    Springfield, Illinois, United States Kelly Services Full time

    Job OpportunityWe are seeking a skilled Claims Specialist to join our team at Kelly Services. As a Claims Specialist, you will be responsible for processing complex claims, resolving pending claims, and utilizing multiple applications simultaneously.Key Responsibilities:Investigate and process complex claimsResolve pending claims in a timely mannerProcess...


  • Springfield, Illinois, United States National General Insurance Full time

    Job Title: Auto Field AdjusterAt National General Insurance, we're seeking a skilled Auto Field Adjuster to join our team. As a key member of our claims team, you'll be responsible for creating comprehensive estimates of damages for complex 1st and 3rd party material damage claims.Key Responsibilities:Exhibit mastery of estimating fundamentals to create...


  • Springfield, Illinois, United States Zurich Insurance Group Full time

    Job Title: Surety Senior Claims Professional (Attorney)Zurich North America is seeking a highly skilled Surety Senior Claims Professional (Attorney) to join our team. This is a virtual position, allowing for a home-based office setup. The role involves managing a caseload of moderate to high complexity Surety claims from start to settlement and resolution,...

  • Claims Specialist

    3 weeks ago


    Springfield, Illinois, United States Kelly Services Full time

    Job OpportunityWe are seeking a skilled Claims Specialist to join our team at Kelly Services. As a Claims Specialist, you will be responsible for processing complex claims, resolving pending claims, and utilizing multiple applications simultaneously.Key Responsibilities:Investigate and process complex claimsResolve pending claims in a timely mannerProcess...


  • Springfield, Illinois, United States Ryder Full time

    Job Title: Senior Claims RepresentativeRyder is seeking a highly skilled Senior Claims Representative to join our team. As a key member of our risk management team, you will be responsible for handling complex and mid-to-high exposure bodily injury and property damage claims.Key Responsibilities:Investigate and adjust claims, directing outside defense...

  • Auto Claims Adjuster

    4 weeks ago


    Springfield, Illinois, United States Allstate Full time

    About the RoleWe are seeking a highly skilled and detail-oriented Field Auto Adjuster to join our team at Allstate. As a Field Auto Adjuster, you will play a crucial role in our Auto claims handling process by writing estimates directly at customer homes, repair shops, or tow yards.Key ResponsibilitiesThe Customer Service ExpertYou will live into Allstate's...

  • Auto Claims Adjuster

    4 weeks ago


    Springfield, Illinois, United States Allstate Full time

    About the RoleWe are seeking a skilled Auto Claims Adjuster to join our team at Allstate. As a Field Auto Damage Adjuster, you will play a critical role in our Auto claims handling process by writing estimates directly at customer homes, repair shops, or tow yards.Key ResponsibilitiesThe Customer Service Expert: You will live into Allstate's Claims Culture...

  • Claims Trainee

    3 weeks ago


    Springfield, Illinois, United States CorVel Corporation Full time

    Job SummaryThe CorVel University Claims Trainee is an entry-level position for individuals interested in developing a career path in claims adjudication within Workers' Compensation, Liability, or Subrogation. As a Claims Trainee, you will participate in CorVel's Claims College, internal mentorship, and on-the-job training to acquire the necessary skills to...

  • Claims Trainee

    2 weeks ago


    Springfield, Illinois, United States CorVel Corporation Full time

    Job SummaryThe CorVel University Claims Trainee is an entry-level position for those interested in developing a career path in claims adjudication within Workers' Compensation, Liability, or Subrogation. As a Claims Trainee, you will participate in CorVel Claims College, internal mentorship, and/or on-the-job programs to gain the tools needed to properly...