- Sedgwick (New Albany, OH)
- …combination of education and experience required. One (1) year of benefits or claims management experience preferred. **Skills & Knowledge** * Excellent oral and ... on the ADA, state, and/or client requirements. Processes ADA claims ensuring compliance with duration control guidelines,...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Molina Healthcare (OH)
- **Job Summary** This position is responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with ... forecast funding needs, and evaluate ROI on the covered benefits and its management + Oversees vendor performance, compliance , and satisfaction, with a focus… more
- Travelers Insurance Company (Cleveland, OH)
- …cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance ... external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse...(CFA) by adhering to quality standards. + Utilizes diary management system to ensure that all claims … more
- Sedgwick (Toledo, OH)
- …combination of education and experience required to include three (3) years of claims management experience at an advanced technical level, and two (2) ... activity to the Quality team. + Identifies and advises management of trends, problems, and issues, as well as...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Walmart (Wintersville, OH)
- …process design Interprets and evaluates compliance status reports and relevant risk management practices Assists in the development of company policies ... to support training initiatives Explains relevant processes and procedures to contractors Risk Management Possesses Knowledge of Risk management… more
- CVS Health (Columbus, OH)
- …+ Maintains accurate and complete documentation of required information that meets risk management , regulatory, and accreditation requirements. + Protects the ... + May assist in the research and resolution of claims payment issues. Supports the administration of the hospital...the hospital care, case management and quality management processes in compliance with various laws… more
- Towne Park (Canton, OH)
- …+ Ensures claims are reported timely and accurately and cooperates with the Risk Management department to resolve claims + Consistently follows the ... metrics and performance measurements to ensure effectiveness, high performance and compliance . + Demonstrates the ability to improve the financial performance and… more
- Sedgwick (Dublin, OH)
- … management for all locations/offices within an area. + Establishes and ensures compliance to best practices, claims management services standards, state ... Licenses as required. **Experience** Ten (10) years Workforce Absence claims management experience or or equivalent combination...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Dublin, OH)
- …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. Ensures that on-going claim management is within company service standards and industry best...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- CDM Smith (Akron, OH)
- …project team in developing and maintaining a project risk register. Claim management : Early support for claims and disputes on the project. Identify ... clauses. Support provided to the project teams on contract compliance for key projects, as well as managing and...including management and tracking of such correspondence. Risk Management : Support the project teams in… more