- Sedgwick (Cincinnati, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | Blue Ash, OH (Hybrid) Are you looking ... some of the world's best brands? + Apply your representative knowledge and experience to adjudicate complex customer ...representative knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Elevance Health (Cincinnati, OH)
- **Title: Claims Representative I** **Location:** This position will work a remote model. Ideal candidates will live within 50 miles of one of our PulsePoint ... locations. The ** Claims Representative I** is responsible for successfully completing the required basic training. Able to perform basic job functions with help… more
- Elevance Health (Mason, OH)
- ** Claims Representative I (Health & Dental)** **Location:** Must live within 50 miles of the Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, ... FL, Tampa, FL Chicago, IL, or Columbu, GA PulsePoints. The ** Claims Representative I** is responsible for successfully completing the required basic training.… more
- UC Health (Cincinnati, OH)
- …an inclusive, equitable and diverse place of employment. The Patient Accounting Representative bills claims electronically, check for unpaid claim status, post ... cash, pursue self pay cash collections, scan documents, request medical records and/or provide customer service. About Us About the Team more
- Bon Secours Mercy Health (Cincinnati, OH)
- …of Primary Function/General Purpose of Position** Effectively and efficiently manages liability claims , including hospital and employed physician claims , as well ... Regulatory and Property/ADP, to protect the assets of the ministry by resolving those claims within the parameters of the available insurance coverages. Is the BSMH … more
- Planate Management Group LLC (Covington, KY)
- …agencies, all over the world. We are seeking a highly experienced QA/QC Representative to join our team and perform Construction Management Services (CMS). This role ... and safety compliance. + Excellent analytical skills to assess contractor claims and performance. + Proficiency in maintaining thorough documentation and reporting… more
- Elevance Health (Cincinnati, OH)
- **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 ... miles of one of our PulsePoint locations. The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and prior… more
- Elevance Health (Mason, OH)
- **Customer Care Representative I** **Location:** This is a hybrid position and onsite training will be required for the first 10 weeks. We are hiring for specific ... clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Customer Care Representative I** is responsible for acting as a trusted advisor and… more
- NRG Energy, Inc. (West Chester, OH)
- …to our customers' faces every day. **Job Summary:** The Customer Service Representative will support the operational business needs by communicating with and ... customers. + Ensures that good customer relations are maintained, and that customer claims and complaints are resolved fairly, effectively and in accordance with the… more
- Kemper (Springdale, OH)
- …Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + Appropriately keeping records, accounting for money ... collected, and processing paperwork. **Our agents are expected to:** + Increase the agency size + Build strong working relationships with customers + Devote whatever time is necessary to fulfill the responsibilities of the position + Commit to ongoing… more
- UC Health (Cincinnati, OH)
- …standard Operating Departmental Procedures to pursue prompt billing of Hospital claims for assigned financial classes and Payors. Responsible for collaborating with ... other departments to drive payer collections, communicating process issues and improvements to the Patient Account Lead. About Us About the Team more
- Molina Healthcare (Cincinnati, OH)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- Cushman & Wakefield (Cincinnati, OH)
- …that tenants and vendors comply with insurance requirements and coordinate all claims , as required KEY COMPETENCIES 1. Communication Proficiency (oral and written) ... in varying weather conditions. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully… more