- Highmark Health (Columbus, OH)
- …is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk adjustment.** **ESSENTIAL RESPONSIBILITIES** + ... or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 - 3 years in the Health… more
- Morley (Columbus, OH)
- …queues are time sensitive **_Nice to Have_** + Experience in medical claims reimbursements or medical billing + Conversant in health insurance industry terminology ... help desk + Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will) services **_About Morley_** Our… more
- Ohio Machinery Co (Broadview Heights, OH)
- …Warranty Analysts, providing leadership and support for the processing of warranty claims specific to repair orders within the Truck Group Service departments. + ... will oversee the entire Truck Group warranty process, including submitting claims , organizing receipts, communicating variances, and resolving variances to the… more
- Ford Motor Company (Brook Park, OH)
- …position ** In this position you will act as a Lead for Warranty claims linked to CEP engines. You will work cross functionally with different departments across ... + Understand and drive key external indicators (R/1000) + Support analysis of ECB claims and verbatims + Assist teams in customer problem solving + Link and help… more
- Sedgwick (Cincinnati, OH)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Cardinal Health (Columbus, OH)
- …team to ensure timely and accurate resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement ... workflows. + Serve as the point of escalation for complex or high-dollar claims . + Stay current with payer policy changes, compliance regulations, and industry best… more
- Cardinal Health (Columbus, OH)
- …to patient care + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange + Understands life cycle of ... primary and secondary claims + Maintains front office support relationship + Takes incoming calls from insurance carriers and patients + Regular attendance and… more
- Sedgwick (Dublin, OH)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Elevance Health (Cincinnati, OH)
- …Analytics Analyst Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to ... and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with SQL, SQL Server,… more
- Highmark Health (Columbus, OH)
- …August 2016. + Experience in Provider Data Management, Customer Services or Claims . + Microsoft office experience (ie Word, Excel, PowerPoint, etc.) **Preferred** + ... File systems. + Experience with the Customer Service inquiry system or claims processing concepts. **Knowledge, Skills and Abilities** + Good written and verbal… more
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