- Robert Half Accountemps (Cincinnati, OH)
- …a healthcare client with an immediate need for a skilled full-time OR part-time Medical Claims Specialist . As a full-time OR part-time Medical Claims ... , you will be supporting the submittal of medical claims to both Government and Commercial insurance payers as...appeals. We are offering a role in the Medical Claims located west of downtown Cincinnati. After a period… more
- First Student (Cincinnati, OH)
- …daily. Proactively investigate, evaluate, and negotiate resolution of assigned Liability claims in accordance with established best practices and assure claims ... are handled within granted autonomy limits. The adjuster will primarily manage claims valued under $750k, including claims that are in litigation. **Major… more
- AIG (Cincinnati, OH)
- …insurance experience and to develop the staff into AIG's next generation of claims adjusters, underwriters, operations specialist , etc. You must have a strong ... of products to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the most trying… more
- AIG (Cincinnati, OH)
- …+ Accurate and consistent policy interpretation. What we're looking for + Basic specialist knowledge in (LoB) technical claims topics; + Policy language skills ... About the role Will handle a portfolio of Liability claims of lower complexity claims from coverage enquiry through legal liability assessment (where relevant)… more
- Robert Half Accountemps (Cincinnati, OH)
- …are offering a unique opportunity in the healthcare industry for a Denials Specialist located in Cincinnati, Ohio. This role involves reviewing and managing billing ... in a timely manner, taking appropriate actions to resolve claims * Check claims submitted for accuracy...Minimum of 3 years of experience as a Denials Specialist or in a similar role * Proficiency in… more
- Elevance Health (Cincinnati, OH)
- **eCOB Specialist I** **Location** : Hybrid, within 50 miles of an Elevance Health pulse point. **Hours:** Monday - Friday, an 8 hour shift between 6 am - 6 pm The ... **eCOB Specialist I** is responsible for researching and investigating other...identify the correct formulas in order to adjudicates impacted claims , using multiple COB Formulas for the various product… more
- J&J Family of Companies (Cincinnati, OH)
- Senior Regulatory Affairs Specialist (Robotics & Digital Solutions) - Ethicon, Inc. - 2406181478W **Description** Robotics & Digital Solutions, part of the Johnson & ... Johnson Medtech Surgery, is recruiting for a **Senior Regulatory Affairs Specialist ** _. The preferred location for this role is within a commutable distance 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 ... to resolve problems and troubleshoot client issues with invoices, claims and delivery of service. + Collaborate with HUB...will help you reach your goals through risk services, claims management, and compliance support. And this gives you… more
- Walgreens (Cincinnati, OH)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Air National Guard Units (Blue Ash, OH)
- Summary This National Guard position is for a IT SPECIALIST (SYSADMIN), Position Description Number D1687000 and is part of the OH 123 Air Control Squadron, Ohio Air ... required to support the ACS Weapon System. Responsibilities As a IT SPECIALIST (SYSADMIN), GS-2210-11, you will perform the following duties: Receives information on… more
- HNTB (Blue Ash, OH)
- …and databases + Consults with the project team or client/owner related to potential claims , claims avoidance, and claims support. + Prepares reports and ... performance dashboards for a variety of project controls metrics, analyzes data and creates and/or participates in client presentations. + Develops and maintains project risk register. Escalates project risks and partners with the project team to create and… more
- Gilead Sciences, Inc. (Cincinnati, OH)
- …of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist , Oncology, you are responsible for representing Gilead's products and ... and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office… more
- Sedgwick (Cincinnati, OH)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer DRP Auto QA Specialist - Estimating Experience Required **PRIMARY PURPOSE:** To assess, promote and ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- HUB International (Cincinnati, OH)
- …days/week with flexibility to work remotely 1 day/week. The Talent Acquisition Specialist (TAS) will act as a strategic, full lifecycle recruiting business partner; ... network of experts who will help you reach your goals through risk services, claims management, and compliance support. And this gives you the peace of mind that… more
- Sedgwick (Cincinnati, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Compliance Specialist Sr, GRC **PRIMARY PURPOSE** **:** To advance the IT Compliance ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- Sedgwick (Cincinnati, OH)
- …to develop labor market surveys. + Maintains professional communication with the claims examiners to provide timely updates and promote the necessary plan for ... preferred. Certified Rehabilitation Counselor (CRC) and/or Certified Disability Management Specialist (CDMS) Certification required. **Experience** Six (6) years of… more
- ASRC Industrial Services (Cincinnati, OH)
- …Regional Corporation (ASRC), an Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an ANC, EQM is a ... may also perform as a waste Transportation & Disposal Coordinator or Regulatory Specialist in support of other PMs from time to time. Responsibilities: + Manage,… more