- Sedgwick (Dublin, OH)
- …and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; ... coordinates investigative efforts, thoroughly reviews contested claims , negotiates return to work with or without job accommodations, and evaluates and arranges… more
- Sedgwick (New Albany, OH)
- …: **At Sedgwick,** **caring counts** **. We're a global leader in claims management, and we're looking for experienced, compassionate professionals to join us ... you'll be a trusted guide for individuals navigating complex disability claims . You'll use your expertise to assess medical documentation, determine benefits,… more
- Sedgwick (Dublin, OH)
- …physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability plan; to make ... disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking...INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to… more
- Molina Healthcare (Cincinnati, OH)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Travelers Insurance Company (Toledo, OH)
- …this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim ... resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business… more
- Sedgwick (Cincinnati, OH)
- …Saturdays: 10am-6pm **PRIMARY PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims ... specifications in assisting with questions and solving problems related to the claims application and servicing processes. + Educates and informs the customer via… more
- Sedgwick (Cincinnati, OH)
- …professional needs. **PRIMARY PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims ... specifications in assisting with questions and solving problems related to the claims application and servicing processes. + Educates and informs the customer via… more
- Molina Healthcare (Dayton, OH)
- …support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit ... Duties** * Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been… more
- Molina Healthcare (Dayton, OH)
- …Responsible for reviewing and resolving Medicare member appeals and Medicare claims in communicating resolution to members and provider (or authorized ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine Medicare appeal and claim outcomes.… more
- Leaffilter (Hudson, OH)
- …DEI Committee, Women's Committee. Position Summary: The Workers' Compensation Specialist manages claims from intake to resolution, serving as a resource and liaison ... Duties and Responsibilities: Oversee the entire lifecycle of workers' compensation claims , from initial reporting, resolution, and settlement. Serve as a primary… more