• Liability Claims Representative

    Sedgwick (Columbus, OH)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
    Sedgwick (10/31/24)
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  • Claims Representative I…

    Ryder System (Columbus, OH)
    …small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. **ESSENTIAL FUNCTIONS** Investigates, ... to medium exposure 3rd party property damage and cargo claims pursued against Ryder Ensures the most appropriate and...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
    Ryder System (01/15/25)
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  • Care Team Representative , Part-Time…

    Sedgwick (Dublin, OH)
    …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Care Team Representative , Part-Time Weekday **Part-Time Weekday Positions** 18 Hours a Week Training ... is done by remote video, and training days are Mon thru Wed,...Memphis TN, Southfield MI, Orlando FL.** **Entry-level, Care Team Representative ** Are you looking for an impactful job requiring… more
    Sedgwick (12/18/24)
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  • Utilization Management Representative II

    Elevance Health (Columbus, OH)
    **Utilization Management Representative II** **Location:** This is a remote position but candidates should live within 50 miles of one of our PulsePoint ... locations. The **Utilizations Management Representative II** is responsible for managing incoming calls, including...impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides… more
    Elevance Health (01/25/25)
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  • Grievances & Appeals Representative II

    Humana (Columbus, OH)
    …and other associates who have been assigned different case types. This position is permanent Remote /Work at Home. Work hours are Monday - Friday (8 - 4:30 with a ... and/or Service Read Only + Previous experience in medical claims processing + Previous inbound call center or related...+ Prior experience with Medicare + Experience with the Claims Administration System (CAS) + Ability to manage large… more
    Humana (01/28/25)
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  • HR Compliance Specialist - REMOTE

    Ryder System (Columbus, OH)
    …reporting; I-9 compliance; Pre-employment services; Unemployment Insurance claims ; Immigration Services; Leave Administration; Workplace Accommodations; Drug ... to the established policies and procedures, and established governance process. REMOTE work from HOME **Essential Functions** + Experience completing Federal and… more
    Ryder System (01/27/25)
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  • Health Care Navigator - Evernorth Heath Services…

    The Cigna Group (Columbus, OH)
    …have a background in customer service or experience in healthcare, specifically benefits and claims processing, you might be the perfect fit to join our team as a ... Care Navigator Representative . As a Care Navigator, you'll proactively support customers and help them understand their Cigna Healthcare medical plans and educate… more
    The Cigna Group (01/28/25)
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  • Senior Payment Integrity Analyst

    HealthEdge Software Inc (Columbus, OH)
    …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
    HealthEdge Software Inc (01/15/25)
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  • Senior Manager, Product Operations

    HealthEdge Software Inc (Columbus, OH)
    …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
    HealthEdge Software Inc (12/20/24)
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  • Business Consultant

    HealthEdge Software Inc (Columbus, OH)
    …issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite ... of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working...None **Work Environment:** The physical demands described here are representative of those that must be met by an… more
    HealthEdge Software Inc (12/18/24)
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  • Network Engineer

    HealthEdge Software Inc (Columbus, OH)
    …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... and deliver excellent software and services to our customers._ **Geographic Responsibility:** Remote but ideal candidate would live within the driving distance to… more
    HealthEdge Software Inc (11/27/24)
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