- Sedgwick (Columbus, OH)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more
- Sedgwick (Columbus, OH)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead | Auto Liability...projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles… more
- Sedgwick (Columbus, OH)
- …targeted solutions and provide added technical guidance and oversight. To evaluate insurance claims and loss complaints for coverage applicability, draft ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL...AN IDEAL CANDIDATE?** Are you an experienced attorney or examiner with a strong background in insurance … more
- Sedgwick (Columbus, OH)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of ... accredited college or university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner . Familiar with CPT, DRG and resources… more
- Sedgwick (Columbus, OH)
- …policies within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and ... or GED required. Associate degree preferred. **Experience** Two (2) years of claims management or insurance experience or equivalent combination of education… more
- Molina Healthcare (Cincinnati, OH)
- …+ At least five (5) years' experience working in a Managed Care Organization or health insurance company + Minimum of two (2) years' experience working on ... the Medicaid and Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems… more
- Molina Healthcare (OH)
- …working knowledge of Local, State & Federal laws and regulations pertaining to health insurance , investigations & legal processes (Commercial insurance , ... higher) **Preferred Experience** + 2+ years of experience working in the group health business preferred, particularly within claims processing or operations. +… more