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Insurance Claim Review Jobs in Chicago, IL (NOW HIRING)

AIG

Third-Party Claims Analytics Lead/Insurance

Chicago, IL · On-site

$125K - $138K/yr

Review eBilling data to help identify performance metrics which assist Claim leads in the selection ... Minimum Experience / Qualifications 8+ years prior experience leading engagements with insurance ...

Endeavor Health

Insurance Representative II

Skokie, IL · On-site

$20.69 - $30/hr

... insurance claim process, maximizing reimbursements, and providing top-notch support to patients and insurance providers. What you will do: * Review and process insurance claims for accuracy ...

NorthShore

Insurance Representative II

Warrenville, IL · On-site

$20.69 - $30/hr

... insurance claim process, maximizing reimbursements, and providing top-notch support to patients and insurance providers. What you will do: * Review and process insurance claims for accuracy ...

NorthShore

Insurance Representative II

Skokie, IL · On-site

$20.69 - $30/hr

... insurance claim process, maximizing reimbursements, and providing top-notch support to patients and insurance providers. What you will do: * Review and process insurance claims for accuracy ...

TVG-Medulla, LLC

AR Claim Status Specialist

Oak Brook, IL

$20.50 - $27/hr

Submit electronic insurance claims accurately and within established filing requirements * Review electronic claim reports for errors and correct and resubmit rejected claims * Conduct timely ...

TVG-Medulla, LLC

AR Claim Status Specialist

Oak Brook, IL · On-site

$20.50 - $27/hr

Submit electronic insurance claims accurately and within established filing requirements * Review electronic claim reports for errors and correct and resubmit rejected claims * Conduct timely ...

TVG-Medulla, LLC

AR Claim Status Specialist

Oak Brook, IL · On-site

$20.50 - $27/hr

Submit electronic insurance claims accurately and within established filing requirements * Review electronic claim reports for errors and correct and resubmit rejected claims * Conduct timely ...

Chubb

Claim Adjuster

Chicago, IL · On-site

Conduct eligibility claim review by evaluating claim submission and comparing to policy benefits ... Insurance/Claims Experience * Windows based PC Knowledge * Bilingual in Spanish and English a plus ...

Brightwing

Claims Specialist Onsite/Hybrid

Bolingbrook, IL · Hybrid

$35 - $40/hr

The Position is also responsible for conducting claim audits/reviews, identifying loss trends and ... Attend and participate in internal and external continuing education related to liability insurance ...

Brookfield

Senior Claims Account Manager

Chicago, IL · On-site

Lead audits, claim reviews, large loss reviews, and stewardship discussions, ensuring findings are ... of insurance and claims settlement principles, practices and procedures. Experience conducting ...

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All JobsInsurance Claim Review JobsInsurance Claim Review Jobs in Chicago, IL

Insurance Claim Review information

See Chicago, IL salary details

$13

$24

$44

How much do insurance claim review jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for insurance claim review in Chicago, IL is $24.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $26.49 per hour, depending on experience, location, and employer.

What is insurance claim review?

Insurance claim review is the process by which insurance companies evaluate claims submitted by policyholders to determine their validity and the extent of coverage. Claims reviewers carefully examine documentation, such as medical records, police reports, or repair estimates, to ensure all policy requirements are met. This process helps prevent fraud, ensures claims are paid accurately, and maintains the integrity of the insurance system. Claim reviewers may also communicate with claimants, request additional information, or work with other professionals to make informed decisions.

What are the key skills and qualifications needed to thrive as an insurance claim review specialist?

To thrive as an Insurance Claim Review Specialist, you typically need a strong understanding of insurance policies, claims processes, and relevant regulations, often backed by a degree in business, finance, or a related field. Familiarity with claims management software, document management systems, and sometimes certifications such as AIC (Associate in Claims) are commonly required. Attention to detail, analytical thinking, and effective communication are critical soft skills for evaluating claims and interacting with policyholders. These skills ensure accurate, timely, and fair claim resolutions that uphold company standards and customer satisfaction.

What are some common challenges faced in an insurance claim review role, and how can they be managed effectively?

One of the most common challenges in Insurance Claim Review is managing a high volume of claims while maintaining accuracy and compliance with regulatory standards. Claims can often be complex, requiring careful analysis of policy terms, medical or incident documentation, and communications with policyholders or third parties. Effective time management, attention to detail, and strong communication skills are essential. Collaborating closely with other departments, such as underwriting and legal, can also help resolve ambiguous cases more efficiently. Ongoing training and keeping up with changes in industry regulations further support success in this role.

What is the difference between Insurance Claim Review vs Insurance Adjuster?

AspectInsurance Claim ReviewInsurance Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires licensing and adjuster certifications
Work EnvironmentOffice-based, reviewing claims remotely or on-siteFieldwork, inspecting damages, meeting clients
Employer & Industry UsageInsurance companies, third-party claims servicesInsurance companies, independent adjusting firms
Search & Comparison IntentUnderstanding claim review roles, job dutiesAssessing damage, settling claims

Insurance Claim Review professionals focus on evaluating and verifying insurance claims, often working in an office setting. Insurance Adjusters, on the other hand, inspect damages firsthand and negotiate settlements. Both roles require insurance-related certifications but differ in work environment and responsibilities.

What are popular job titles related to Insurance Claim Review jobs in Chicago, IL?

For Insurance Claim Review jobs in Chicago, IL, the most frequently searched job titles are:

What job categories do people searching Insurance Claim Review jobs in Chicago, IL look for?

The top searched job categories for Insurance Claim Review jobs in Chicago, IL are:

Insurance Claim Review jobs near you
Infographic showing various Insurance Claim Review job openings in Chicago, IL as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $50,359 per year, or $24.2 per hour.

Insurance Denials Coordinator

Urology Centers of Alabama

Homewood, IL • On-site

$52 - $70/hr

Other

Posted 4 days ago

Job description

Job DetailsPosition Summary

The Insurance Denials Coordinator is responsible for managing, analyzing, and resolving insurance claim denials to ensure timely reimbursement and optimize revenue cycle performance. This role works closely with insurance carriers, providers, billing teams, coding specialists, and patients to research denied claims, identify root causes, submit appeals, and ensure compliance with payer requirements and regulatory guidelines.

Essential Duties and Responsibilities
  • Review and investigate denied, rejected, or underpaid insurance claims.
  • Identify denial trends, root causes, and opportunities for process improvement.
  • Prepare and submit first-level and second-level appeals within payer deadlines.
  • Gather supporting documentation required for appeals, including medical records, authorizations, and physician notes.
  • Contact insurance carriers to obtain claim status updates and resolve claim discrepancies.
  • Collaborate with coding, billing, clinical, and registration departments to correct claim issues.
  • Monitor denial work queues and prioritize accounts based on aging and financial impact.
  • Track appeal outcomes and reimbursement activity.
  • Ensure compliance with payer policies, Medicare, Medicaid, and commercial insurance guidelines.
  • Maintain accurate documentation of claim activity and communications within billing systems.
  • Analyze recurring denial patterns and recommend corrective action plans.
  • Provide monthly denial reports and key performance indicators (KPIs) to management.
  • Assist with revenue recovery initiatives and special projects.
  • Stay current on insurance regulations, coding updates, and reimbursement changes.
QualificationsQualificationsEducation
  • High School Diploma or GED required.
  • Associate's degree in Healthcare Administration, Business Administration, Medical Billing and Coding, or related field preferred.
Experience
  • 2-5 years of experience in medical billing, claims processing, denial management, or revenue cycle operations.
  • Experience working with Medicare, Medicaid, and commercial insurance payers preferred.
  • Experience with electronic health records (EHR) and practice management systems preferred.
Knowledge, Skills, and Abilities
  • Strong understanding of healthcare reimbursement methodologies.
  • Knowledge of CPT, HCPCS, ICD-10, and medical billing processes.
  • Understanding of insurance claim adjudication and appeal procedures.
  • Proficiency with medical billing software and Microsoft Office Suite.
  • Strong analytical and problem-solving skills.
  • Excellent written and verbal communication skills.
  • Ability to interpret Explanation of Benefits (EOBs) and Remittance Advice documents.
  • Strong organizational and time-management skills.
  • Ability to meet productivity and collection goals.
  • Attention to detail and accuracy.
  • Ability to work independently and collaboratively within a team environment.
Physical Requirements
  • Prolonged periods of sitting and computer use.
  • Ability to communicate effectively by phone and email.
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