• Claims Team Lead

    Sedgwick (Columbus, OH)
    …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Consumer **PRIMARY PURPOSE:** To supervise the operation ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...Excellent negotiation skills * Ability to work in a team environment * Ability to meet or exceed Performance… more
    Sedgwick (09/07/24)
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  • Lead Event Specialist Part Time

    CROSSMARK (Dublin, OH)
    …as needed. * Assist Supervisor by always providing leadership and knowledge to the team . * Possesses the aptitude and ability to gain adequate knowledge of the ... and ability to proactively intercept, engage, interact, and sell product to the consumer in a positive manner. * Able to assist/perform all job responsibilities… more
    CROSSMARK (07/27/24)
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  • Member Service Representative (Unlicensed)…

    Trinity Health (Columbus, OH)
    …the Mission and Guiding Behaviors; the Member Service Representative responds to all consumer inquiries received by phone, in person or in writing regarding product ... applicable rules and audit protocols that govern all aspects consumer service activities and demonstrated ability to pass audits...with consumers to effectively meet or exceed individual and team service performance goals in a manner that is… more
    Trinity Health (08/29/24)
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  • Product Manager: Provider Data Management

    HealthEdge Software Inc (Columbus, OH)
    …**REQUIRED HOURS: Full-time.** **REQUIRED DUTIES:** + Develop the product roadmap for claims value stream and lead high-level epic planning for current ... the commercialization and organization enablement of features that the team creates. + Lead and define high-level...customers and internal stakeholders. + Work closely with UX team to build and validate the overall consumer more
    HealthEdge Software Inc (08/07/24)
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  • Business Systems Consultant

    Highmark Health (Columbus, OH)
    …systems parameters to ensure accurate managed care operations (ie enrollment & billing, claims processing, etc.). This job supports one or more analytical aspects of ... the application product life cycle, including capability enablement with cross- team dependencies within a product scope. Uses significant independent judgement and… more
    Highmark Health (06/18/24)
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  • Assistant Merchant

    Bath & Body Works (Reynoldsburg, OH)
    team members + Support alignment on product description, claims , and aesthetics + Collaborate with Commercialization Services to monitor timelines, ... influence and lead through challenges, problem-solve and build a cohesive team + Exceptional ability to enhance cooperative working relationships + Able to… more
    Bath & Body Works (09/04/24)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Columbus, OH)
    …This is a remote position reporting to Grievance and Appeals Director or MD Team Lead **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below ... The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director reviews cases of diverse… more
    Humana (08/10/24)
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