- CVS Health (Columbus, OH)
- …and every day. **Position Summary** As a Product Liability Litigation Adjuster, Risk Management, you will be responsible for managing lawsuits and overseeing outside ... and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all… more
- Walmart (Hamilton, OH)
- …Partners in collaborative efforts with other investigative entities Monitors safety and risk controls within a facility by ensuring an effective safety program is ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Travelers Insurance Company (Columbus, OH)
- …Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to ... Accountants Professional Liability (APL) and Real Estate Professional Liability (RPL) claims and litigation against various types of accounting and real estate… more
- Evolent (Columbus, OH)
- …primarily focused on performing medical economics analysis in support of complex risk -based contract development and will partner with stakeholders of various levels ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Zurich NA (Columbus, OH)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft...North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is… more
- Walmart (Wintersville, OH)
- …process design Interprets and evaluates compliance status reports and relevant risk management practices Assists in the development of company policies practices ... records work with workers compensation case managers for investigation of claims Asset Protection Security Possesses knowledge of Asset protection policies practices… more
- CDM Smith (Akron, OH)
- … mitigation strategies. Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on ... to subcontractor notices, including management and tracking of such correspondence. Risk Management: Support the project teams in identifying and evaluating project… more
- Molina Healthcare (Cleveland, OH)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** The AVP, Risk Adjustment Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of ... integrity of enterprise revenue, and enabling the organization's overall risk adjustment strategy. Knowledge/Skills/Abilities + Responsible for encounters accuracy &… more
- Molina Healthcare (OH)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more