- ITW (Troy, OH)
- …part in managing carrier relationships, resolving freight issues, including freight claims , and ensuring timely and accurate product deliveries. The Logistics ... forwarders, suppliers, and internal teams + Investigate, process, and report on freight claims and damaged goods + Coordinate logistics for trade shows + Support… more
- Sedgwick (Cincinnati, OH)
- …and/or team lead. + Communicates information to include interpretation of regulations to claims staff and determines time loss from work. + Works with risk services ... clients. **QUALIFICATIONS** + Education & Licensing: 2 years of workers compensation services or technically related experience or customer services experience or… more
- Sharecare (Columbus, OH)
- …evaluated on a case by case basis and must be approved in advance._ ** Compensation :** $22.00/hour The role of the Family Health Advocate is an exciting and ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- Sumitomo Pharma (Columbus, OH)
- …and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling + ... of advisory comments and any other interactions regarding use of promotional claims for assigned products, including pre-clearance of launch materials. + Direct and… more
- CDM Smith (Akron, OH)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...motor vehicle record as well as drug testing. **Additional Compensation :** All bonuses at CDM Smith are discretionary and… more
- Elevance Health (Mason, OH)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new...in good faith believes is the range of possible compensation for this role at the time of this… more
- Elevance Health (Mason, OH)
- …+ Trains associates on all upskilling of customer service and claims to include providing professional medical service facility correspondence, usage of ... equivalent background. **Preferred Skills, Capabilities and Experiences:** + FEP Claims or Customer Service experience highly preferred. + Strong...in good faith believes is the range of possible compensation for this role at the time of this… more
- Elevance Health (Cincinnati, OH)
- …Analytics Analyst Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to ... financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with SQL,...in good faith believes is the range of possible compensation for this role at the time of this… more
- Public Consulting Group (Columbus, OH)
- …methodologies to ensure transparency and repeatability. + Develop and implement claims -based quality metrics to assess the performance of Medicaid programs. + ... Analyze large datasets of Medicaid claims to identify trends, patterns, and insights..Collaborate with healthcare providers, policymakers, and other stakeholders to… more
- Evolent (Columbus, OH)
- …Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost drivers, utilization ... times, PMPM, trend drivers), with a working knowledge of healthcare claims and reimbursement methodologies. + Experience presenting actionable business insights to… more