- 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 ... 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
- Medical Mutual of Ohio (OH)
- …Ohio residents preferred. Seeking candidates with dental experience._** **Responsibilities** ** Claims /Customer Care Specialist I** + Utilizing multiple systems, ... service via inbound call queues. + Performs other duties as assigned. ** Claims /Customer Care Specialist II** + Utilizing multiple systems, applications, and… more
- Molina Healthcare (Columbus, OH)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... to contracting ( benefit and provider), network management, credentialing, prior authorizations, fee...authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding… more
- Philadelphia Insurance Companies (Dublin, OH)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist - Commercial Property to join our team! SUMMARY: Investigate, evaluate and ... more complex first and third party commercial property insurance claims . JOB RESPONSIBILITIES: Evaluates each claim in...sexual orientation and/or any other status protected by law. Benefits : We offer a comprehensive benefit package,… more
- Zurich NA (Columbus, OH)
- Marine Claims Senior Claims Specialist 125273 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- USAA (Cincinnati, OH)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… more
- KPH Healthcare Services, Inc. (Maumee, OH)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible parties via phone, email, and written… more
- Molina Healthcare (Cleveland, OH)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits , subrogation, and… more
- Deloitte (Dayton, OH)
- …will end on August 29th, 2025. Work you'll do + Lead employee benefits diagnostic/planning studies, especially in pharmacy + Provide subject matter expertise on the ... program offering and cost management solutions + Own the process of preparing benefits plan design and pricing studies + Implement competitive vendor search and… more
- Elevance Health (Mason, OH)
- **Financial Operations Recovery Specialist Lead** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration ... is granted as required by law. The **Financial Operations Recovery Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments… more