- Sedgwick (Dublin, OH)
- …reviews, and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... contract requirements, and quality standards. + Acts as second level of appeal...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Evolent (Columbus, OH)
- …for the culture. **What You'll Be Doing:** Job Description **Analyst, Integration Quality ** Integration testing in the healthcare ecosystem requires complete end to ... test execution + Consult with the manage and report risk , issues, and decisions with the lead / manager...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Travelers Insurance Company (Cleveland, OH)
- …and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and...external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse… more
- Ricoh Americas Corporation (Parma, OH)
- …corrective actions. + Collaborates with other functional areas to resolve product quality claims ; administers the returned merchandise process and/or product ... MANAGER I, QUALITY , ADDITIVE MANUFACTURING POSITION PROFILE The Manager of...+ Utilizes methods such as Lean, Six Sigma, and risk management tools to monitor and drive process improvement… more
- Sedgwick (Columbus, 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 ... - Liability **PRIMARY PURPOSE:** To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims… more
- Sedgwick (New Albany, 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 ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… 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 ... state, military, and company-specific leaves, accommodations, disability and statutory claims . Provides excellent customer service displaying care and empathy to… 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 ... Galleria Officentre Southfield MI 48034 **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures… more
- Sedgwick (New Albany, 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 ... 12650 Ingenuity Dr Orlando FL 32826 **PRIMARY PURPOSE:** To process claims and determine accommodation options following written guidelines and procedures pursuant… 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 ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more