- 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
- Travelers Insurance Company (Independence, OH)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . 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
- AIG (Cincinnati, OH)
- …to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims using a wealth of ... As a CID Manager, you will be responsible for managing a staff of Claim Intake Assistants, Segmentation Technicians and Segmentation Specialist as well as… 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 ... or eClinicalWorks. * Understanding of EOB - Explanation of Benefits , Claim Denials, and Denial Codes *...handling electronic health records * Experience in Appeals and Claim Administration for managing and resolving patient claims… 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 ... Experience in effectively following up on recommendations from technical claims audits and continuous claim handling improvement;...work with claims stakeholders to effectively direct claims strategy. #LI-CY1 Enjoy benefits that take… more
- Robert Half Accountemps (Cincinnati, OH)
- …handling appeals and claim administration * Experience in working with medical claims and medical denials * Ability to write effective appeal letters for medical ... unique opportunity in the healthcare industry for a Denials Specialist located in Cincinnati, Ohio. This role involves reviewing...processes for a healthcare facility, with a focus on claim denials and appeals. The employment type for this… 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
- Elevance Health (Cincinnati, OH)
- …laws and contracts. Accountable for end-to-end functionality on every Coordination of Benefits (COB) function including reconciliation of claim , membership and ... **eCOB Specialist I** **Location** : Hybrid, within 50 miles...the company's membership system components with investigation results for claim coordination. + Ensures correct forms are provided to… 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
- 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
- Robert Half Finance & Accounting (Strongsville, OH)
- …located in Strongsville, Ohio, United States. The role is focused on Compensation & Benefits Specialist functions, providing an opportunity to work in a dynamic ... Dayforce, HRMS, and About Time software. * Demonstrated skills in Benefit Functions, Claim Administration, Compensation Administration, and Compliance. *… 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
- Robert Half Accountemps (Fairfield, OH)
- …medical industry located in Cincinnati, Ohio, for a Medical Payment Poster Specialist . This position involves understanding and executing various billing functions, ... claim administration, and working with the EHR system. The...a contract. Responsibilities: * Accurately interpret EOB's (Explanation of Benefits ) and post payments accordingly. * Understand and manage… more
- Bon Secours Mercy Health (Youngstown, OH)
- …are recognized for clinical and operational excellence. **_Senior Patient Access Specialist - Emergency Department - St Elizabeth Youngstown Hospital_** **THIS IS ... balances and offering payment plan options The Patient Access Specialist is expected to adhere to Mercy Health policies...and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of… more
- HUB International (Cincinnati, OH)
- …_Our Client Specialist position a great starting point within our benefits consulting team, where you will be responsible for client relationship management, ... | HORAN offers a competitive compensation package, a comprehensive benefits package and the opportunity to get involved in...to resolve problems and troubleshoot client issues with invoices, claims and delivery of service. + Collaborate with HUB… 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
- 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
- Motion Recruitment Partners (Dublin, OH)
- IT Project Management Specialist Sr Dublin, OH **Hybrid** Contract Our client is looking for a IT Project Management Specialist Sr on a 11-month contract in ... OH. Join over 20,000 employees at this global company specializing in technology-enabled claims and risk management solutions. You will be part of a culture that… more