- Sedgwick (Columbus, 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
- Philadelphia Insurance Companies (Dublin, OH)
- …by AM Best. The Surety Claims team is growing and looking for a Surety Claims Specialist to join our team! This person will have the opportunity to handle a ... wide array of claims from performance bond claims , litigation management, payment bond & commercial surety claims . A typical day will include the following:… more
- Adecco US, Inc. (Dublin, OH)
- …click on Apply Now and don't forget to upload your resume!** **Responsibilities:** The Claims Specialist works on the full range of claims , correspondence, ... ensure the satisfaction of the goals and priorities of the team. The Claims Specialist also does their part to meet expectations of internal and external clients… more
- Elevance Health (Columbus, OH)
- ** Claims Data Reporting Specialist Senior** **Location:** Middletown, NY; Columbus, GA; Indianapolis, IN; Richmond, VA; Grand Prairie, TX (preferred). This role ... and adaptable workplace. Alternate locations may be considered. The **Reporting Specialist Senior** is responsible for researching and collecting data for complex… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Molina Healthcare (Columbus, 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
- CVS Health (Columbus, OH)
- …handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Travelers Insurance Company (Columbus, OH)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... Practices. Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage … more
- CVS Health (Columbus, OH)
- …day. **Position Summary** In this position, the senior Claim Benefit Specialist (OPS) reviews, researches and adjudicates complex, sensitive, and/or specialized ... processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works to research and… more
- Sedgwick (Columbus, 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
- Sedgwick (Marysville, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Specialist **Our teams connect! We collaborate onsite and have a hybrid work ... as applicable to line-of-business preferred. **Experience** Four (4) years of claims management experience or equivalent combination of experience and education… more
- HNTB (Columbus, 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 (Columbus, 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 (Columbus, 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
- Sedgwick (Columbus, OH)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Vocational Specialist **PRIMARY PURPOSE** **:** To develop and provide vocational services as ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Carrington (Columbus, OH)
- …completes the Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition ... the set-up bankruptcy filings, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition Fee notices, Payment… more
- Trinity Health (Columbus, OH)
- …lives of our patients and communities. **Position Purpose:** + Physician Coding Specialist I will assign the appropriate Evaluation & Management (E/M) and diagnostic ... ICD) codes to individual patient health information for data retrieval, analysis and claims processing for the Mount Carmel Medical Group (MCMG). The coding … more
- CDM Smith (Columbus, 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 (Columbus, 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
- Actalent (New Albany, OH)
- Actalent is hiring an Employee Service Specialist for a permanent role supporting all incoming requests for our internal employees and technical consultants. The ... Employee Service Specialist (ESS) is responsible for ensuring Actalent's technical consultants...off-boarded properly. + Manage the Unemployment Process to include claims and hearings. + Partner with our Worker's Compensation… more