- Travelers Insurance Company (Cleveland, OH)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
- CVS Health (Columbus, OH)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Sedgwick (Columbus, OH)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
- CVS Health (Columbus, OH)
- …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( ... and/or RX claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. This person will also… 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 ... 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
- 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 ... prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage… more
- Philadelphia Insurance Companies (Dublin, OH)
- …member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist - Auto to join our team. JOB SUMMARY Investigate, evaluate and settle ... more complex first and third party commercial insurance auto claims . JOB RESPONSIBILITIES + Evaluates each claim ...auto claims . JOB RESPONSIBILITIES + Evaluates each claim in light of facts; Affirm or deny coverage;… more
- Cognizant (Columbus, OH)
- …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...* Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or… more
- Sedgwick (Dublin, OH)
- …exposure claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Makes independent claim determinations, based on the information received, to approve complex ... clearly and professionally with claimant and client on all aspects of the claims process including claim approval, decision authority level to move the… more
- Elevance Health (Mason, OH)
- **Financial Operations Recovery Specialist III** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... is granted as required by law The **Financial Operations Recovery Specialist III** is responsible for the discovery, validation, recovery, and adjustments… more