• Liability Litigation Claims Examiner

    Sedgwick (Cincinnati, OH)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Litigation Claims Examiner | Premise Liability & Litigation Experience Required Are ... some of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer ...examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
    Sedgwick (06/29/25)
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  • Claims Examiner - Workers…

    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 ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**PRIMARY PURPOSE OF THE ROLE:** To analyze Workers Compensation claims on behalf of our valued clients to determine… more
    Sedgwick (07/15/25)
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  • Claims Examiner Workers Comp…

    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 ... PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving… more
    Sedgwick (06/29/25)
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  • Claims Examiner , Auto (Commercial…

    Sedgwick (Columbus, OH)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Auto (Commercial Trucking Bodily Injury) **PRIMARY PURPOSE** : ... analyze and process **complex auto and commercial trucking transportation claims ** by reviewing coverage, completing investigations, determining liability and… more
    Sedgwick (08/01/25)
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  • RN Crisis Care Triage

    Sedgwick (Columbus, OH)
    …the claim. + Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in injured worker status ... + Maintains ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case Manager arrives onsite. + Adheres… more
    Sedgwick (07/25/25)
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  • Claims Team Lead, Auto (BI + Liability)

    Sedgwick (Toledo, OH)
    …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
    Sedgwick (07/26/25)
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  • Specialist, Configuration Oversight

    Molina Healthcare (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 ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
    Molina Healthcare (07/18/25)
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  • OSS Coordinator

    Sedgwick (Dayton, OH)
    …& Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to ... within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and operational expense… more
    Sedgwick (07/04/25)
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  • FEMA Disaster Management Accountant

    CDM Smith (Cincinnati, OH)
    …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...such as CPA (Certified Public Accountant), CFE (Certified Fraud Examiner ), or CFF (Certified in Financial Forensics). **EEO Statement:**… more
    CDM Smith (08/01/25)
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  • SIU Specialist - Pharmacy Tech - Remote in…

    Prime Therapeutics (Columbus, OH)
    …Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the ... or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously working… more
    Prime Therapeutics (06/24/25)
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