- Sedgwick (Columbus, OH)
- … Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- Sedgwick (Dublin, OH)
- …claim approval, decision authority level to move the call forward, and issue resolution by phone, written correspondence and/or claims system. + Facilitates ... managers, treating physician's office, client, or others with a goal of one-call resolution . + Ensures claims files are coded correctly and that adequate… more
- Travelers Insurance Company (Cleveland, OH)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- USAA (Columbus, OH)
- …+ Partners with vendors and internal business partners to facilitate complex claims resolution . May also involve external regulatory coordination to ensure ... us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… more
- Elevance Health (Mason, OH)
- …an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Strong medical claims processing experience highly preferred. + Proficient in ... Make an Extraordinary Impact.** **Title** : Financial Operations Recovery Specialist III **Location(s):** Columbus, GA, Atlanta, GA, Mason, OH, Indianapolis,… more
- Molina Healthcare (Cleveland, OH)
- …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from… more
- Chipotle Mexican Grill (Columbus, OH)
- …mission to make better food accessible to everyone. **THE OPPORTUNITY** As the Specialist , Customer Incident, you will support the protection of the Chipotle brand ... in line with approval thresholds and policies. + Partner with third party claims administrator on cases requiring formal claims handling, providing timely,… more
- Kelly Services (Blue Ash, OH)
- Join a premiere client of Kelly! The **Remote** **Training** **Content Support Specialist ** is responsible for supporting the Commercial Education team with content ... + Become an expert in internal copy review standards ( Medical , Legal, and Regulatory review), systems, and practices. +...understand how particular statements may be supported with existing claims and evidence. + Access internal databases (eg, R&D… more
- Molina Healthcare (Cleveland, OH)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... areas of responsibility (eg, Provider Services/Provider Inquiry Research & Resolution , Provider Contracting/Provider Relationship Management). + Provides timely, accurate… more
- Molina Healthcare (OH)
- …for reviewing and resolving member & provider complaints and communicating resolution to members (or authorized) representatives in accordance with the standards ... to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research. +… more