- Sedgwick (Cincinnati, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Liability **PRIMARY PURPOSE:** To analyze mid- and ... higher-level general liability claims to determine benefits due; to ensure ongoing adjudication...to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and… 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
- Travelers Insurance Company (Cincinnati, OH)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. +...as mandated. + In order to progress to Claim Representative , a Trainee must demonstrate proficiency in the skills… 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 (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
- 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
- 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
- Molina Healthcare (Cincinnati, OH)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... information to providers, members, and pharmacies. + Assists with clerical services/tasks and other day-to-day operations as delegated. + Effectively communicates plan benefit information, including but not limited to, formulary information, copay amounts,… 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
- Logan A/C & Heat Services (Cincinnati, OH)
- …professionally and positively with customers, office, and all other staff as a representative of Logan Services + Maintain a professional image and standards in all ... match- Build your retirement savings + Profit sharing- Share in the company's success + Medical Claims Advocacy Team- Assistance with claims , billing, and more more
- Utilities Service, LLC (Hamilton, OH)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... methods, operation of equipment, etc. + Furnishes General Foreperson and utility representative with reports of orders completed, units of work completed, crew time,… more
- CDM Smith (Cincinnati, OH)
- …specialists when appropriate throughout the process. * Obtains the applicant representative 's agreement that all disaster-related damage was described and quantified ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more