- Sedgwick (Columbus, OH)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... line of business preferred. **Experience** Six (6) years of claims management experience or equivalent combination of...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Zurich NA (Columbus, OH)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our ... + Ensure regular communication with clients, brokers, business units, and senior claims management . + Proactively manage and resolve high-severity injury … more
- Sedgwick (Dublin, OH)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... Workplaces in Financial Services & Insurance Advocacy Coordination Team Specialist **PRIMARY PURPOSE** **:** Actively researches, resolves, and administers escalated… more
- Travelers Insurance Company (Cleveland, OH)
- …internal and/or external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants, and ... (CFA) by adhering to quality standards. + Utilizes diary management system to ensure that all claims ...diary management system to ensure that all claims are handled timely. At required time intervals, evaluate… more
- Chipotle Mexican Grill (Columbus, OH)
- …preferred. + 1-3 years of experience in restaurant operations, customer service, or risk / claims management required. + ServSafe Certification preferred. + ... mission to make better food accessible to everyone. **THE OPPORTUNITY** As the Specialist , Customer Incident, you will support the protection of the Chipotle brand… more
- Molina Healthcare (Dayton, OH)
- …Condition Categories) Risk Adjustment Model + Background in supporting risk adjustment management activities and clinical informatics + Experience with ... codes are reported accurately to maintain compliance and to minimize risk and denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts… more
- Evolent (Columbus, OH)
- …mission. Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support ... Adjustment coding team members, including coding support specialists. + Provides leadership, management , and ongoing training to Risk Adjustment coding support… more
- Nestle (Solon, OH)
- …the organization, you are empowered to challenge the status quo, embrace risk -taking, and pioneer new ideas. Our supportive and collaborative environment encourages ... you?** You will lead recipe creation, re-formulation, rapid prototyping, and management of vendor relationships/interactions. You will work hands-on with our Pilot… more
- Prime Therapeutics (Columbus, OH)
- …systems, particularly those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + ... drives every decision we make. **Job Posting Title** Business Intelligence Specialist - Sacramento, California market **Job Description** Delivers against business… more
- Cleveland Clinic (Independence, OH)
- …healthcare organizations in the world. As a Corporate Compliance Coding/Billing Specialist , you will support the Office of Corporate Compliance by maintaining ... regulations, and identifying revenue cycle compliance risks-such as potential False Claims Act exposures-to protect the organization. This role offers professional… more