- Molina Healthcare (Cleveland, OH)
- …and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree or ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
- Sedgwick (Columbus, OH)
- …or university preferred . Preferred certifications include Six Sigma, Associate in Claims (AIC), and/or Chartered Property Casualty Underwriter (CPCU). ... & Insurance (Remote) Manager Global Service Delivery Operations - Casualty Claims **PRIMARY PURPOSE** **:** Manages the global service delivery partnership, which… more
- Towne Park (Canton, OH)
- …external business communications including reports, memos, letters, and e-mails **QUALIFICATIONS** + Associate 's degree preferred and a minimum of two (2) years ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- Sedgwick (Dayton, OH)
- …& Licensing** High School diploma or GED required. Associate degree preferred . **Experience** Two (2) years of claims management or insurance experience ... & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to… more
- Travelers Insurance Company (Columbus, OH)
- …Will Our Ideal Candidate Have?** + **College degree in STEM related field.** + ** Associate Actuarial Credential preferred .** + **Strong PC skills (MS Office) and ... will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate...B&SI reserving team embraces innovative methods, such as advanced claim level models, you'll play a key role in… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Associate Actuary, Valuation is responsible for estimates of short term and long term reserves ... required for unpaid claim liability, active life reserves, and other actuarial items...for monthly, quarterly, and annual financial statement reporting. The Associate Actuary, Valuation work assignments involve moderately complex to… more
- Molina Healthcare (Cincinnati, OH)
- …License, Certification, Association** Active and unrestricted Pharmacy Technician Certification ** Preferred Education** Associate degree ** Preferred ... Services, pharmacies, and health plan providers in resolving member prescription claim , prior authorization, or pharmacy services access issues. + Articulates… more
- Robert Half Accountemps (Cincinnati, OH)
- …finance-related tasks as required. Requirements * High school diploma or equivalent required; associate degree preferred . * Minimum of 2 years of recent ... from ERAs, EOBs, and manual checks to patient accounts. * Ensure daily claim batching and deposits are completed and reconciled with bank deposits. * Verify… more
- Molina Healthcare (Dayton, OH)
- …**Required Experience** 1-3 years of call center or customer service experience ** Preferred Education** Associate degree ** Preferred Experience** + 3-5 ... pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for strategically ... Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc.… more