- Sedgwick (Cincinnati, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Representative | TX, AZ, UT, KS jurisdictions & Licensing required ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze **General Liability** claims on behalf of our valued clients to determine… more
- Elevance Health (Mason, OH)
- ** Claims Representative I** **Location** - **Virtual** : This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law. The ** Claims Representative I** is responsible for successfully completing the required basic training.… more
- UC Health (Cincinnati, OH)
- …inclusive, equitable and diverse place of employment. The Patient Accounting Representative bills claims electronically, verifies insurance and registration for ... patients, process, and mail paper claims . The Billing and Claims Team works several different professional billing work queue types in Epic. Candidates must be… more
- Sedgwick (Cincinnati, OH)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Service Center Representative - Blue Ash| Cincinnati, OH (In-Office ) 12pm -8pm or 3pm-11pm shift ... with rotating Saturdays 10am-6pm (Open) **Service Center Representative ** **Our teams connect! We collaborate onsite 5 days...PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the… more
- Sedgwick (Cincinnati, OH)
- …Fortune Best Workplaces in Financial Services & Insurance Service Center Representative | Cincinnati, OH (In-Office) 12pm-8pm shift with rotating Saturdays 10am-6pm ... PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the... for multiple lines of business; to expedite the claims application process and provide detailed claim notes on… more
- Elevance Health (Mason, OH)
- **Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law._ The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- Graybar (Cincinnati, OH)
- Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
- Molina Healthcare (Covington, KY)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- Molina Healthcare (Covington, KY)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- Molina Healthcare (Covington, KY)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... necessary information to providers, members and pharmacies. * Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. * Effectively communicates plan benefit information, including but not limited to: formulary… more
- Paychex (Cincinnati, OH)
- …prescribed guidelines to ensure good customer relations are maintained and customer claims and complaints are resolved fairly, effectively, and in accordance with ... Paychex policies and procedures. Responsibilities + Delivers quality service to Paychex clients via phone, email, chat, and other avenues + Follows up on outstanding items to issue completion in compliance with established Service Level Agreements + Uses… more
- UC Health (Cincinnati, OH)
- …patient's identity, gathering demographic and contact information, setting up accident claims , obtaining signatures on hospital documents and including consent forms ... and financial responsibility, collecting copays, scanning patient documents, completing registration work queues, and verifying insurance details. Completes required MSP and Advance Directives questionnaires for all appropriate patients. It is essential to… more
- Sedgwick (Cincinnati, OH)
- …of experience and education required to include three (3) years as an Account Representative **OR** five (5) years adjuster experience including one (1) year in a ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
- CDM Smith (Covington, KY)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...above. This pay range is a good faith estimate representative of all experience levels for this position based… more
- Stantec (Cincinnati, OH)
- …community. Your Opportunity Stantec is seeking an individual to act as an Owner's Representative , Project Manager for the design and construction of a mix of higher ... K-12 schools or commercial expansion or renovation projects as an Owner's Representative . Managing the approved scope, budget and schedule are of utmost importance.… more
- Utilities Service, LLC (Cincinnati, OH)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... methods, operation of equipment, etc. + Furnishes General Foreperson and utility representative with reports of orders completed, units of work completed, crew time,… more
- Utilities Service, LLC (Cincinnati, OH)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... methods, operation of equipment, etc. + Furnishes General Foreperson and utility representative with reports of orders completed, units of work completed, crew time,… more
- O'Neal Industries, Inc. (Cincinnati, OH)
- …system + Responsible for the resolution of routine quality matters, damage claims or paperwork discrepancies with incoming material and coordinates rejected material ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- JBS USA (Cincinnati, OH)
- …cross-functionally with other members of the business unit sales team, transportation teams, claims and more! Our ideal candidate will live in the Cincinnati, OH ... at some point to other facilities, to attend Company events, or as a representative of the Company in other situations. Unless otherwise specified in this posting,… 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 ... high-quality results. **Key Responsibilities** + Serve as a client-facing representative , building and maintaining strong customer relationships. + Manage… more