- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process.- Insures all compliance requirements are satisfied and all… more
- 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 ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- Lincoln Financial Group (Columbus, OH)
- …73193 **The Role at a Glance** We are excited to bring on a highly motivated Life Claims Specialist to staff our ever-growing claims organization. As a Life ... responsible for the investigation, evaluation, interpretation, and payment or denial of life claims . You will leverage sound and impartial claim judgments by… more
- Lincoln Financial Group (Columbus, OH)
- …at a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. As an LTD Claims ... and reviewing medical records and making timely and ethical claim determinations. You'll complete a thorough training program that...and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when… more
- Lincoln Financial Group (Columbus, OH)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...and reviewing medical records, and making timely and ethical claim determinations. You'll complete a thorough training to develop… more
- Lincoln Financial Group (Columbus, OH)
- …to staff our ever-growing claims organization. As a Short Term Disability Claims Specialist , you will be responsible for conducting initial and ongoing ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- Lincoln Financial Group (Columbus, OH)
- … Specialists to staff our ever-growing claims organization. As a Leaves Claims Specialist , you will be responsible for administering and managing leave ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- Lincoln Financial Group (Columbus, OH)
- …multiple diagnoses and claim factors. + You will analyze and process claims by investigating and obtaining a wide range of complex information. You will apply ... to bring on a **Long Term Disability (LTD) Technical Specialist II** to our Group Protection Organization in a...will be responsible for managing highly complex Long-Term Disability claims for a variety of customers. These claims… more
- Sedgwick (Columbus, OH)
- …and/or the claims system regarding documentation required to process a claim , required time frames and claim status. + Communicates clearly and ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Remote Housing Specialist Schedule: Monday-Friday 10a-7pm EST **PRIMARY PURPOSE** **:** To expedite… more
- Abbott (Columbus, OH)
- …and FreeU (https://www.abbott.com/corpnewsroom/strategy-and-strength/college-degree-for-free-its-possible-with-freeu.html) education benefit - an affordable and ... in **Columbus, OH** currently has an opportunity for a **Regulatory Affairs Specialist ** **.** As an individual contributor, the function of a Regulatory Affairs… more
- Army National Guard Units (Columbus, OH)
- Summary This National Guard position is for a IT SPECIALIST (CUSTOMER SUPPORT), Position Description Number D2526P01 and is part of the OH G6, Ohio Army National ... Guard. As an IT Customer Support Specialist , the incumbent is responsible for providing Tier II...the needs of the assignment. Experience preparing documentation on cost/ benefit studies where is involved summarizing the material and… more
- Prime Therapeutics (Columbus, OH)
- …drives every decision we make. **Job Posting Title** Lead Rebate Billing Specialist **Job Description Summary** Oversee daily operations as outlined by management. ... to assure proper follow up is completed to expedite claims and ensure proper payment. **Job Description** + Lead...by 8% depending on applicant location. To review our Benefits , Incentives and Additional Compensation, visit our Benefits… more
- Sedgwick (Worthington, OH)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Software Developoment Specialist Sr **PRIMARY PURPOSE** : To develop, maintain, test and debug ... with most aspects of the application including reports, parameters, claims management, intake services, carrier/client interfaces and vendor/business partner… more
- Sedgwick (Columbus, OH)
- …Loved Workplace(R) Forbes Best-in-State Employer Provider Network Negotiation Specialist **PRIMARY PURPOSE** **:** To negotiate fee-for-service ancillary contracts ... a healthcare management environment including provider contracting, servicing and benefit interpretation preferred. Two (2) years supervisory experience preferred.… more
- Option Care Health (Dublin, OH)
- …will be terminated. **Job Description Summary:** Hiring Range From $18The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- Republic Finance, LLC (Groveport, OH)
- …monthly bonus that averages $8,000 annually! In addition, we offer amazing benefits and perks, including health, dental, and vision insurance with employer ... for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in...our appreciation for our employees with by offering great benefits and competitive pay and rewarding performance! Job responsibilities… more
- Republic Finance, LLC (Groveport, OH)
- …monthly bonus that averages $8,000 annually! In addition, we offer amazing benefits and perks, including health, dental, and vision insurance with employer ... industry for you, apply today! As a Consumer Loan Specialist , you will be a key team member in...our appreciation for our employees with by offering great benefits and competitive pay and rewarding performance! Job responsibilities… more
- Sutherland Global Services (Columbus, OH)
- …sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or ... Communicating with insurance plans and researching health plans for benefits and types of coverage + Reviewing contracts and...PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language… more
- HNTB (Columbus, OH)
- …and databases + Consults with the project team or client/owner related to potential claims , claims avoidance, and claims support. + Prepares reports and ... design build, public private partnership) **Additional Information** Click here for benefits information: HNTB Total Rewards Click here to learn more about… more
- Bath & Body Works (Columbus, OH)
- Senior Specialist , HR Employment Compliance Brand: Bath & Body Works Location: Columbus, OH, US Location Type: Hybrid Job ID: 0477Y Job Area: Human Resources ... Gingham Nation, where we invest in our associates through competitive compensation, benefits , and development opportunities, so they can continue to be their best… more