- CVS Health (Columbus, OH)
- …every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity ... use multiple systems and screens to obtain and record claim information - Review claims information to...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Travelers Insurance Company (Columbus, OH)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- CRC Insurance Services, Inc. (OH)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage with insurance carriers to ... general liability policies and exposures for both property damage and bodily injury claims . **General Description of Available Benefits for Eligible Employees of… more
- Molina Healthcare (Columbus, OH)
- …7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- AAA Mid Atlantic (Cincinnati, OH)
- …parties when a claim is processed with carrier, providing accurate and timely claim information. + Continuously monitor claims until claims are closed by ... are looking for someone who will + Manage the claims reporting process for agency clients. + Report ...maintain records in the agency management system by documenting claim actions in accordance with established procedures. + Follow… more
- Zurich NA (Columbus, OH)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- CenterWell (Columbus, OH)
- …a part of our caring community and help us put health first** The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims ... analyze data and provide financial support. Humana is seeking a Patient Finance Specialist that will work on the behalf of Humana customers, develop relationships… more
- Sedgwick (Columbus, OH)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- Elevance Health (Columbus, OH)
- …Specialist II** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments and claim corrections. May do all or some of ... **Financial Operations Recovery Specialist II** **Onsite Requirement:** **Virtual;** This role enables...the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim… more
- Molina Healthcare (Dayton, OH)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits , subrogation, and… more
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