- Sedgwick (Dublin, OH)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Care Team Representative , Weekend **Care Team Weekend Schedules** Weekend Shifts - various shift ... include a Sat and/or Sun,and weekday shifts as well. **Entry-level, Care Team Representative ** Are you looking for an impactful job requiring no prior experience… more
- Humana (Columbus, OH)
- …with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that ... help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting...3 assists members, via phone or face to face, further/ support quality related goals. Investigates and resolves member and… more
- Cardinal Health (Columbus, OH)
- …understanding of service level goals and objectives when providing customer support . + Demonstrates ability to respond to non-standard requests from vendors ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **Job Summary** Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and ... to improve our member and provider experiences. **Job Duties** * Provide service support to members and/or providers using one or more contact center communication… more
- Graybar (Cincinnati, OH)
- Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
- nVent (Solon, OH)
- …(quote to cash). + Investigate, validate and work to resolve customer discrepancy claims and material return requests. + Work with cross functional teams to manage ... departments such as Transportation & Distribution, Product Management, Engineering, Technical Support , Sales, Planning, and Finance to facilitate a resolution prior… more
- Highmark Health (Columbus, OH)
- …established time frame, while incorporating a sound business plan strategy to support and execute recruitment efforts that include existing and prospective client ... ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with… more
- Paychex (Cincinnati, OH)
- …on fostering an inclusive and innovative culture. Our leaders are here to support your career journey; they and our dedicated employees embody the values that ... drive us to support each other, our clients, and our communities. Join...to ensure good customer relations are maintained and customer claims and complaints are resolved fairly, effectively, and in… more
- Molina Healthcare (Columbus, OH)
- JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching ... of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other… more
- CRC Insurance Services, Inc. (OH)
- …America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates ... General Liability claims affecting primary and excess policies in a fast-paced...assigned. **QUALIFICATIONS** **Required Qualifications:** The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable… more