• Dental Network Service Representative

    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
    Highmark Health (11/14/25)
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  • Service Representative - 9:00-6:00 ET

    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
    Paychex (11/03/25)
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  • Representative , Pharmacy

    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
    Molina Healthcare (11/21/25)
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  • Remote Senior Claim Specialist - General Liability…

    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
    CRC Insurance Services, Inc. (11/11/25)
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  • Medical Director Risk Management

    OhioHealth (Columbus, OH)
    …to malpractice claims defense when requested. The person will also support the patient grievance process at GMC and RMH. **Responsibilities And Duties:** 60% ... concerns impacting OhioHealth's liability with respect to professional liability claims and incidents and the review and oversight of...This role is accountable for providing medical advice and support to the Risk Managers and OGC. This person… more
    OhioHealth (10/03/25)
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  • Customer Account Associate

    Nestle (Solon, OH)
    …is located in Cincinnati, OH.** **Key Responsibilities** Trade Auditing/Analysis (Deductions, Fines, Claims , Post-Audit Work) (40% of Role) + Support the Account ... Account Associate is a key member of the Account Management team, providing support to the Account Director and Account Managers. The primary responsibility of the… more
    Nestle (11/20/25)
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  • Account Manager - Cleveland Clinic Lutheran…

    Towne Park (Cleveland, OH)
    …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates ... on all shifts + Efficiently allocates labor resources to support service delivery + Works with the Area/District Manager...trained in safety and loss prevention procedures + Ensures claims are reported timely and accurately and cooperates with… more
    Towne Park (11/07/25)
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  • Manager, Client Services | SIU

    Sedgwick (Toledo, OH)
    …performance development plans; conducts colleague performance discussions. + Provides support , guidance, leadership and motivation to promote maximum performance. ... of experience and education required to include three (3) years as an Account Representative **OR** five (5) years adjuster experience including one (1) year in a… more
    Sedgwick (10/24/25)
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  • Commercial Manager - Pacific

    CDM Smith (Columbus, OH)
    …team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual ... Pacific region, primarily projects in California. The role will support negotiation, setup, and implementation of all contracts necessary...requirements to maintain and prosecute claims , and assist project team in managing to those… more
    CDM Smith (11/12/25)
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  • Associate Director, Small Molecule Analytical…

    Otsuka America Pharmaceutical Inc. (Columbus, OH)
    …timelines, including sample collection, storage conditions, and analytical testing, to support product development and regulatory submissions. + Author and review ... wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (08/27/25)
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