- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of ... claims . Ensures that claims are settled in...claims . Ensures that claims are settled in a timely fashion and in...of claimants. Keeps meticulous notes and records for each claim . + Manages a caseload of various types of… more
- Prime Therapeutics (Columbus, OH)
- …MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties as assigned. + ... Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the...terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred. + Bachelor's degree preferred. + Prefer… more