- Molina Healthcare (Cleveland, OH)
- …rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate ... for Monthly Governance and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations based on data and industry… more
- Sedgwick (Cincinnati, OH)
- …Adjuster - Mid Atlantic Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address most ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Insight Global (Cincinnati, OH)
- …develop and support various projects, coordinate and design studies to support product claims , and ensure all product claims comply with global regulations. ... conduct update meetings to ensure team alignment and write defensives about product claims . Preferred candidates will have the ability to assess risk based on… more
- Sedgwick (Dublin, OH)
- …Establishes FMLA and other unpaid state, military, and/or company-specific leave claims ; tracks and codes documentation in accordance with internal workflow ... processes. + Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations. +… more
- Sedgwick (Toledo, OH)
- …in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking ... methodology, and claims operating systems + Excellent oral and written communication,...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Travelers Insurance Company (Columbus, OH)
- …and providing expertise in adjusting large, complex business property claims in excess of $100,000, including business interruption losses. Adjusting/co-adjusting ... large business insurance property claims while applying technical expertise and experience. This job...You Do?** + CLAIM HANDLING: + Adjusting/co-adjusting complex property claims with an anticipated exposure in excess of $100K.… more
- Sedgwick (Cincinnati, OH)
- …and triage as necessary. + Enters demographics and UR information into claims or clinical management system; maintains data integrity. + Obtains all necessary ... service in medical field preferred. Workers compensation, disability and/or liability claims processing experience preferred. **Skills & Knowledge** + Knowledge of… more
- Molina Healthcare (Columbus, OH)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. + Assist in design and development… more
- Molina Healthcare (OH)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes. **JOB QUALIFICATIONS** **Required… more
- Baker Construction (Monroe, OH)
- …required for assisting in the effective implementation of risk management, insurance, claims and CIP policies and procedures. The **Risk Coordinator I** collaborates ... team members, company safety and operations personnel, insurance company claims representatives, insurance brokers, and other vendors **Roles and Responsibilities**… more