- Sedgwick (Cincinnati, OH)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within company standards, industry… more
- Reyes Holdings (Fairfield, OH)
- …professional development and career progression Position Responsibilities: + The Claims Specialist performs general administrative tasks, including processing ... duties, and collect and prepare information for various operational reports + Claims Specialists are responsible for interacting with internal and external customers… more
- Molina Healthcare (Cincinnati, OH)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... overpayment notification and supporting documentation such as explanation of benefits, claims and attachments. + Maintains and reconciles department reports for… more
- Sedgwick (Cincinnati, OH)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr. (Repair Solutions) **PRIMARY PURPOSE:** To review all estimates and ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...next round, a recruiter will be in touch. \#claimsexaminer # claims _As required by law, Sedgwick provides a reasonable… more
- HNTB (Blue Ash, OH)
- …management, document control and project management information systems. The Project Controls Specialist I assists with reporting on cost controls and schedules for ... databases + Consults with the project team or client/owner related to potential claims , claims avoidance, and claims support. + Supports the preparation of… more
- CDM Smith (Cincinnati, OH)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **Job Summary** The Specialist , Pharmacy Operations is responsible for the oversight of delegated services, implementation of new products and ... remediate as required + Review protocols for accuracy and compliance. Includes: Claims , Network, Digital, etc. + Support internal/external audits + Monitoring state… more
- CDM Smith (Cincinnati, OH)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (Cincinnati, OH)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- Prysmian Group (Highland Heights, KY)
- …variety of specialty markets. Reporting to the Market Manager, the Product Specialist is accountable for managing elements of pricing strategy, working capital, and ... customer satisfaction programs, among other responsibilities. The Product Specialist will work cross-functionally with Sales, Supply Chain, Engineering, Procurement,… more
- Molina Healthcare (Cincinnati, OH)
- …timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- Molina Healthcare (Cincinnati, OH)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of… more
- HUB International (Cincinnati, OH)
- …the answer is yes, we have the perfect opportunity for you._ _Our Client Specialist position a great starting point within our benefits consulting team, where you ... and vendor partners to resolve problems and troubleshoot client issues with invoices, claims and delivery of service. + Collaborate with HUB Benefit Consultants to… more
- Prysmian Group (Highland Heights, KY)
- …(Make Your Mark!) **Team Overview and Job Responsibilities** This Inside Sales Specialist role is within Prysmian North America's Industrial Specialties Wire Harness ... product knowledge through internal and/or external training's + Process customer returns and claims in a timely manner and initiate corrective action if necessary +… more
- Molina Healthcare (Cincinnati, OH)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
- Molina Healthcare (Cincinnati, OH)
- …processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's ... Degree **Preferred Experience** * Six years proven analytical experience within an operations or process-focused environment. * Previous audit and/or oversight experience. To all current Molina employees: If you are interested in applying for this position,… more
- Prysmian Group (Highland Heights, KY)
- …various Specialty markets as needed by the business + Process customer returns and claims in a timely manner and initiate corrective action if necessary + Provide ... back-up assistance and coverage for other teams as required + Interface with various departments within the company, including Shipping, Scheduling, Quality, Manufacturing, Credit, Finance, Engineering, and Product Management, in order to meet the needs of the… more
- Acosta Group (Florence, KY)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **Qualifications** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Sedgwick (Cincinnati, OH)
- …professional needs. **PRIMARY PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims ... specifications in assisting with questions and solving problems related to the claims application and servicing processes. + Educates and informs the customer via… more
- Insight Global (Cincinnati, OH)
- …develop and support various projects, coordinate and design studies to support product claims , and ensure all product claims comply with global regulations. ... to consumer data focus groups to gather insights. The specialist will also conduct update meetings to ensure team...to ensure team alignment and write defensives about product claims . Preferred candidates will have the ability to assess… more