- Sedgwick (Columbus, OH)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a ... Claims Examiner at Sedgwick, you'll have the...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- Sedgwick (Columbus, OH)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans.... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Auto Bodily Injury (Litigation Required) **PRIMARY PURPOSE** : ... FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly… more
- Sedgwick (Columbus, OH)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...required. Bachelor's degree from an accredited college or university preferred . + Professional certification as applicable to line of… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of ... of claimants. Keeps meticulous notes and records for each claim . + Manages a caseload of various types of...Education** High School or GED **Required Experience** 3-5 years claims processing required ** Preferred Education** Bachelor's Degree… 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...Procures all medical records and statements that support the claim . + Makes recommendations for further investigation or resolution.… more
- Prime Therapeutics (Columbus, OH)
- …CPT/HCPS/Revenue codes, insurance terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred . + Bachelor's degree preferred . + ... Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the… more
- Sedgwick (Columbus, OH)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… 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
- Sedgwick (Dublin, OH)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles,...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more