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Insurance Reviewer Jobs in Illinois (NOW HIRING)

Springfield Clinic

Insurance Reviewer II

Springfield, IL · On-site

$18.22 - $26.42/hr

The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment from third-party payors and reporting to management on observed trends and issues. Job ...

State of Illinois

RULES REVIEWER

Springfield, IL · On-site

$6.4K - $8.4K/mo

RULES REVIEWER - 90094 Skill Option: None Bilingual Option: None Salary: Anticipated Starting ... Competitive Group Insurance benefits including health, life, dental and vision plans. * Pension ...

State of Illinois

RULES REVIEWER

Springfield, IL · Hybrid

$6.4K - $8.4K/mo

RULES REVIEWER - 90094 Skill Option: None Bilingual Option: None Salary: Anticipated Starting ... Competitive Group Insurance benefits including health, life, dental and vision plans. * Pension ...

Aaa-the-Auto-Club-Grou

Insurance Agent

Joliet, IL · On-site

$57K - $62K/yr

Insurance Reviews & Policy Execution: Conduct comprehensive insurance reviews to assess risk, identify coverage gaps, recommend appropriate solutions, and quote, bind, and issue policies in ...

New

Aaa-the-Auto-Club-Grou

Insurance Agent

Joliet, IL

$57K - $62K/yr

Insurance Reviews & Policy Execution: Conduct comprehensive insurance reviews to assess risk, identify coverage gaps, recommend appropriate solutions, and quote, bind, and issue policies in ...

New

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Insurance Reviewer information

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$10

$28

$47

How much do insurance reviewer jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for insurance reviewer in Illinois is $28.96, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $35.38 per hour, depending on experience, location, and employer.

What does an insurance reviewer do?

An Insurance Reviewer is responsible for evaluating insurance claims, policies, and related documents to ensure compliance with company and regulatory guidelines. They review submitted claims to determine their validity, check for completeness and accuracy, and may communicate with policyholders or healthcare providers for additional information. Insurance Reviewers help prevent fraud, reduce errors, and ensure that claims are processed fairly and efficiently. Their work is crucial in maintaining the integrity and cost-effectiveness of an insurance company's operations.

What are the key skills and qualifications needed to thrive as an insurance reviewer, and why are they important?

To thrive as an Insurance Reviewer, you need strong analytical skills, attention to detail, and a solid understanding of insurance policies and regulations, often supported by relevant experience or a degree in business or finance. Familiarity with claims management systems, insurance software, and sometimes certifications like AINS (Associate in General Insurance) are typically required. Excellent communication, problem-solving abilities, and organizational skills help you manage cases efficiently and interact with clients or colleagues. These competencies ensure accurate claim assessments, compliance with industry standards, and high-quality customer service.

What are some common challenges faced by insurance reviewers and how can they be addressed?

Insurance Reviewers often encounter challenges such as interpreting complex policy language, managing high volumes of documentation, and staying updated with frequently changing regulations. To address these, many reviewers develop strong organizational skills, utilize specialized software to streamline document management, and participate in ongoing training or professional development. Collaborating closely with underwriters, claims adjusters, and legal teams also helps ensure accurate and timely policy assessments, reducing the risk of errors.

What are popular job titles related to Insurance Reviewer jobs in Illinois?

For Insurance Reviewer jobs in Illinois, the most frequently searched job titles are:

What job categories do people searching Insurance Reviewer jobs in Illinois look for?

The top searched job categories for Insurance Reviewer jobs in Illinois are:

What cities in Illinois are hiring for Insurance Reviewer jobs?

Cities in Illinois with the most Insurance Reviewer job openings:

Insurance Reviewer jobs near you
Infographic showing various Insurance Reviewer job openings in Illinois as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 24% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $60,234 per year, or $29 per hour.

Insurance Reviewer II

Springfield, IL • On-site

Springfield Clinic
Health Care and Social Assistance • 1 - 5K employees

6.7

Company rating: 6.7 out of 10

Based on 59 frontline employees who took The Breakroom Quiz

532nd of 895 rated healthcare providers

People enjoy working here

Recommended by parents

Respectful managers

Learn more about Springfield Clinicexternal

$18.22 - $26.42/hr

Full-time

Re-posted 3 days ago

Job description


The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment from third-party payors and reporting to management on observed trends and issues.
Job Relationships
Reports to the Insurance Review Supervisor
Principal Responsibilities
Handle all phone calls and messages received specific to designated insurance area.
Update registration screens when requested by patients or as necessary.
Review and process all designated insurance vouchers received, rebilling charges not paid and processing adjustments as needed utilizing websites or telephone as necessary.
Process all secondary billing as requested by patients or defined by procedure.
Distribute incoming insurance mail received and respond to all audits, inquiries and additional information requests.
Process corrections/adjustments as necessary to correct the patient's invoice.
Process designated insurance reviews when requested to obtain additional payments on claims utilizing websites or telephone as necessary.
Analyze and process front-end system edits for correct physician productivity and billing of claims.
Analyze and process back-end system edits for correct registration and billing of claims.
Analyze and process claims denied through clearinghouse.
Investigate and process claims in the insurance work files and/or on the insurance reports.
Must report all incidents to immediate Supervisor or Manager.
Assist with special projects and assignments as directed.
Must attend in-services and training relevant to position.
Perform other job duties as assigned.
Confidentiality required.
Comply with the Springfield Clinic incident reporting policy and procedures.
Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
Provide excellent customer service and adhere to SC Way customer service philosophy.
Education/Experience
High School graduate or GED required.
Previous experience in a medical billing office required.
Knowledge, Skills and Abilities
Working knowledge of medical terminology preferred.
Working knowledge of CPT and ICD-9 coding preferred.
Computer, typing and calculator skills required.
Must be able to work individually or on a team.
Working Environment
Office environment, sitting for long periods
PHI/Privacy Level
HIPAA1

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