- Trinity Health (Columbus, OH)
- …Type:** Full time **Shift:** **Description:** Remote position - Seeking Claims processing with Medical Insurance Minimum of 5 years experience ... **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the… more
- Trustmark (Columbus, OH)
- …to our colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, ... Care (LTC), Disability and Critical Care. Key Accountabilities + Identifies claims that need additional reviews, initiates and implements the appropriate reviews.… more
- HomeSafe Alliance (Columbus, OH)
- …trends and performance. + Identify and resolve challenges and issues related to claims processing . + Perform other duties as assigned **Qualifications:** + ... **Title:** Claims Manager (HHG/Military Move) **_HomeSafe Alliance_** is the...are more innovative, more resilient, and safer. Benefits: + Medical , Dental and Vision Insurance . + Paid… more
- Sutherland Global Services (Columbus, OH)
- …or customer facing position. This is a data entry position where you will be processing medical claims per the specific client requirements. Claims ... as a Claims Examiner: + Work independently, processing claims via data entry for 90%...to Sutherland + Health or health insurance claims experience + Knowledge of medical terminology… more
- HomeSafe Alliance (Columbus, OH)
- …and working together, we are more innovative, more resilient, and safer. Benefits: + Medical , Dental and Vision Insurance . + Paid time off (PTO) Three weeks ... **Title:** Claims Adjuster (SCA) HHG/Military Move **_HomeSafe Alliance_** is...are carefully managed to protect personal information. Benefits: + Medical , Dental and Vision Insurance . + Paid… more
- Sedgwick (Columbus, OH)
- …growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims &… more
- Sedgwick (Columbus, OH)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to join… more
- Sedgwick (Columbus, OH)
- …line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management… more
- HomeSafe Alliance (Columbus, OH)
- …met and repayment of claim payments are recovered quickly. + Address and file claims with any agent, insurance company, or military office with information and ... **Title:** Assistant Claims Manager (Military Move) **_HomeSafe Alliance_** is the...are carefully managed to protect personal information. Benefits: + Medical , Dental and Vision Insurance . + Paid… more
- Sedgwick (Columbus, OH)
- …while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a diverse portfolio of ... cyber claims , including various Professional Liability claims , for various insurance company clients +...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or technically ... difficult environmental claims ; to provide resolution of highly complex nature and/or... and legal actions. + Analyzes applicable complex liability insurance coverage and policies + Negotiates claim settlement up… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Liability **PRIMARY PURPOSE** : To analyze complex or ... technically difficult general liability claims to determine benefits due; to work with high...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Adjuster - Liability - Cerritos, California - We require adjusters with ... experience **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims… more
- Sedgwick (Columbus, OH)
- …total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process low… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner (Auto) **PRIMARY PURPOSE** : To analyze and process complex auto ... and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. **ESSENTIAL… more
- Molina Healthcare (Columbus, OH)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... sources. **Preferred Qualifications:** + Experience with Medicaid + Experience with medical claims , authorization, and membership data + Advanced proficiency… more
- Sedgwick (Columbus, OH)
- …while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a diverse portfolio of ... Professional Liability claims for various insurance company clients +...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Molina Healthcare (Columbus, OH)
- …years of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of ... Tricare, Pharmacy, etc.) + Experience with UNET, Comet, Macess/CSP, or other similar claims processing systems. + Demonstrated ability to use MS Excel/Access… more
- CVS Health (New Albany, OH)
- …business requirements into technical requirements for building automation capabilities. CPT codes, medical policy, claims processing knowledge and other ... potential corrective actions. Fundamental Components: + Utilize analytical reports involving claims and appeals data to identify issues. + Coordinate with cross… more
- Elevance Health (Columbus, OH)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more