• OSS Coordinator

    Sedgwick (Columbus, OH)
    …Services & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; ... internal and external logins and the applicable security access for the company's claims management systems by determining the validity for incoming requests and… more
    Sedgwick (10/03/25)
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  • (Remote) EDI Support Specialist - Casualty

    Sedgwick (Columbus, OH)
    …and change logs and JURIS EDI technical mapping; existing workers' compensation claim systems , workers compensation adjuster job functions, client parameter ... change logs and applies them to the technical EDI mapping in JURIS identifying system defects and managing escalation and resolution with the EDI IT team. + Responds… more
    Sedgwick (11/06/25)
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  • Account Manager - Cleveland Clinic Lutheran…

    Towne Park (Cleveland, OH)
    …client satisfaction objectives. **DUTIES AND RESPONSIBILITIES** **_Financial and Business Systems Management_** + Understands and drives business metrics and ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
    Towne Park (11/07/25)
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  • Valet Drivers - Hilton Hotel - Downtown Cleveland…

    Towne Park (Cleveland, OH)
    …. The Guest Service Associate /Valet is responsible for providing ... to guests in an attentive, friendly and efficient manner. The Guest Service Associate is responsible for parking and retrieving guest vehicles in a prompt yet… more
    Towne Park (11/20/25)
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  • Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (Dayton, OH)
    …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... + Documents appropriately all case related information in the case management system in an accurate manner, including storage of case documentation following SIU… more
    Molina Healthcare (11/24/25)
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  • Physician Office Specialist

    OhioHealth (Columbus, OH)
    …office associate , ensures appropriate phone coverage using a computerized system . 5. Provides general office and clerical support for office as assigned ... C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. 6. Works Industrial claims in the electronic medical record system , to include but not… more
    OhioHealth (11/18/25)
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  • Underwriting Specialist OR Executive Underwriter-…

    Zurich NA (Cincinnati, OH)
    …of business to increase product density with the account. + Update required systems with details of broker/client visits and account status within specified time ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience… more
    Zurich NA (10/31/25)
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  • Certified Pharmacy Technician-Pharmacy Dept.- St…

    Bon Secours Mercy Health (Warren, OH)
    …Operation Processing Prescriptions Dispensing Prescriptions Robotic Dispensing Systems Prioritization Performance Improvement Packaging Medications Insurance ... information from an electronic health record or prescription processing computer system . Ensuring the accurate charge and credit functions related to medication… more
    Bon Secours Mercy Health (11/13/25)
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  • Managing Director, Actuarial Services

    Evolent (Columbus, OH)
    …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more
    Evolent (10/21/25)
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  • Lead Investigator, Special Investigative…

    Molina Healthcare (Cincinnati, OH)
    …abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare ... the Medicaid and Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems more
    Molina Healthcare (11/21/25)
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