- Towne Park (Cleveland, OH)
- …for all functions of the job - 100%** **QUALIFICATIONS** **Education:** + Associate 's degree or equivalent degree preferred **Required Licensure, Certification, ... and may be subject to a specific plan or program terms. **SUMMARY** The Associate Manager is responsible for ensuring high levels of client, customer and … more
- System One (Cincinnati, OH)
- …Time Zone. Our client is currently seeking a California Claim Operations Associate to support our growing Claims Operations department. This is a work ... Job Title: Claims Operations Associate Location: Remote Type:...operations support experience is required + California workers' compensation claims experience is preferred + Must be… more
- Sedgwick (Cincinnati, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Associate | Blue Ash, OH Are you looking for an impactful ... for an enthusiastic candidate to fill a Workers Compensation Associate position. Ideal candidates will thrive in a collaborative...with claimant, client and appropriate medical contact. + Ensures claim files are properly documented and claims … more
- Sedgwick (Seven Hills, OH)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Workers Compensation - Hybrid - Negaunee, MI or Seven ... claim action/processing with claimant, client and appropriate medical contact. + Ensures claim files are properly documented and claims coding is correct. +… more
- NTT DATA North America (Columbus, OH)
- …of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Medical Claims Processing Associate ** to work for our end client and their team. **Long ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Molina Healthcare (Cleveland, OH)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of ... claims . Ensures that claims are settled in...Education** HS Diploma or GED **Required Experience** 1-3 years ** Preferred Education** Associate degree or equivalent combination… more
- CVS Health (Columbus, OH)
- …and/or RX claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. This person will also ... apply all cost containment measures to assist in the claim adjudication process. + Perform claim re-work...and interpersonal skills. + Previous experience with DG system claims processing. **Education** + Associate 's degree or… more
- Molina Healthcare (Columbus, OH)
- …updates/changes within claims processing system . + Experience using claims processing system (QNXT). ** PREFERRED EDUCATION:** Bachelor's Degree or ... equivalent combination of education and experience ** PREFERRED EXPERIENCE:** 3+ years Healthcare Claims Adjudication **PHYSICAL DEMANDS:** Working environment is… more
- Molina Healthcare (OH)
- … EDUCATION:** Bachelor's Degree or equivalent combination of education and experience ** PREFERRED EXPERIENCE:** 6+ years previous claims adjusting and customer ... services experience Experience in QNXT, Salesforce, Claims Viewer, Claim Shark, PEGA, Cotiviti, ECHO, CEMs Edifecs **PHYSICAL DEMANDS:** Working environment is… more
- Zurich NA (Columbus, OH)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more