- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult surety and surety bond claims ; to provide resolution of highly complex nature and/or...resolution of highly complex nature and/or high exposure surety claims ; to coordinate case management within Company standards, industry… more
- Lincoln Financial Group (Columbus, OH)
- …73278 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... administering, processing, and adjudicating Accident, Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training to develop… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** **The Default FHA Claims Specialist II will work under moderate supervision, be responsible for ... preparing, filing, and following up on FHA claims timely and accurately according to insurer/investor guidelines. Performs...to $23.00/hr.** **What you'll do:** + Prepare and file claims for two or more primary loan types timely… more
- MetLife (Dayton, OH)
- …Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and ... will provide exemplary customer service by processing group disability claims in a timely and accurate fashion. Key Responsibilities:...based on the provisions of the policy. * Claim Specialist Trainees will be routinely evaluated for increases in… more
- 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
- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... for claim or reconsideration. Required QualificationsRequired 2+ years of Medical claims processing experience Familiar with ICD and CPT coding Ability to… 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
- National General Insurance Company (OH)
- …Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: + Handles investigation ... regarding all aspects of advanced auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority +… more
- Medical Mutual of Ohio (OH)
- …quarterly on-site requirement in Brooklyn, OH_** **Responsibilities** **Business Systems Specialist I** Works with management, external vendors, and Information ... impacts for business requirements. Drives change by creating viable solutions to Claims and Customer Care. . Works independently with Information System Development… more
- Medical Mutual of Ohio (Cleveland, OH)
- …remote; Cleveland, Ohio area residents preferred._** **Responsibilities** **Client Accounting Specialist I** + **Conducts weekly and monthly invoicing of ... self-administered groups- claims , administrative fees, stop loss premium, commissions, manual invoice...etc.** + **Performs other duties as assigned.** **Client Accounting Specialist II** + **Conducts weekly and monthly invoicing of… more
- Travelers Insurance Company (Independence, OH)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... and our business partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely coverage… 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
- Sedgwick (Columbus, OH)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Insight Global (Mason, OH)
- Job Description An Employer in the Mason, OH area is seeking a Data Entry Specialist for a contract role. This person will be helping support a large vision ... and be responsible for keeping record of second pass claims . This is a very individual role where metrics...individual will be responsible for processing up to 120 claims /day. We are a company committed to creating diverse… 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
- Chipotle Mexican Grill (Columbus, OH)
- Specialist , Customer Incident (24015372) Description CULTIVATE A BETTER WORLD Food served fast does not have to be a typical fast-food experience. Chipotle has ... to make better food accessible to everyone. THE OPPORTUNITY As the Specialist , Customer Incident, you will respond to Customer Incidents received primarily from… more
- UIC Government Services and the Bowhead Family of Companies (Dayton, OH)
- **Overview** FISCAM BUSINESS SPECIALIST (AFSAC): Bowhead seeks a FISCAM Business Specialist to support the AFSAC contract located in Dayton, OH. This position ... other protected characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- ArcBest (Medina, OH)
- …support our values-driven culture. Currently, we are looking for an Asset-Light Safety Specialist to join the ArcBest team. As an Asset-Light Safety Specialist , ... duties and projects, as assigned. As an Asset-Light Safety Specialist , you will be a member of the ArcBest...you will be a member of the ArcBest Expedite Claims & Risk team in Medina, Ohio. Your hours… more