- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Claims Financial Recovery Coding Specialist /Medical Coding Coordinator 2 for the Financial ... coding guidelines, claims procedures, contract provisions, and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- Lincoln Financial Group (Columbus, OH)
- …73468 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... submitted claim information for payment. + Applying core knowledge of voluntary insurance products and claims processes to review questions/concerns and provide… more
- Lincoln Financial Group (Columbus, OH)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...and solutions across four core businesses - annuities, life insurance , group protection and retirement plan services. As of… more
- Trustmark (Columbus, OH)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Critical Care. **Key Accounabilities:** + Demonstrates strong understanding and performs claims handling processes and procedures related to Wellness, Hospital and… more
- Philadelphia Insurance Companies (Dublin, OH)
- …Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... Marketing Statement Philadelphia Insurance Companies, a member of the Tokio Marine...Best. Duties We are looking for a Business Solutions Specialist / Sr. Specialist to join our… more
- Randstad US (Columbus, OH)
- insurance support specialist . + columbus , ohio...+ working in a smoke free environment Skills + Claims Processing + Customer support + Customer Service + ... enjoy helping People? Join us in helping people plan and attain their different Insurance needs with one of the most recognizable companies. APPLY NOW As a… more
- Travelers Insurance Company (Columbus, OH)
- …of the scene and to provide technical advice and consultation to attorneys and claims staff associated with the loss. + Conduct research and testing, prepare reports ... (verbal and written), and to aid the claims and legal staff with the scientific aspects of...required **What Is in It for You?** + **Health Insurance ** : Employees and their eligible family members -… more
- Deloitte (Columbus, OH)
- …this role ends on July 31, 2024 Work you'll do As an OTT Insurance Transformation Specialist Master, you will bring considerable technical expertise to deliver ... Operations & Technology Transformation Specialist Master, Guidewire Data Migration - ETL Developer...working in one of the following sub service areas: Insurance Products, Underwriting, Claims , Billing & Payments,… more
- Sedgwick (Columbus, OH)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Disability Clinical Specialist **Our teams connect! We collaborate one day a week in the ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all … more
- Zurich NA (Columbus, OH)
- Senior Design/Construction Management Consulting Specialist 113183 Zurich is looking for a highly skilled **Senior Design/Construction Management Consulting ... Specialist ** within Risk Engineering and our Zurich Resilience Solutions...prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims… more
- Trinity Health (Columbus, OH)
- …**Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the ... of Nursing **About the job:** The Risk Adjustment Coding Specialist works in a team environment and is responsible...claim adjustments to Billing Department for submission of corrected claims . + Reviews Payor data for Gaps in Care… more
- Republic Finance, LLC (Groveport, OH)
- …including core values, company policies, operational procedures and compliance. Processes insurance claims , follow-ups and payments daily and maintains ... amazing benefits and perks, including health, dental, and vision insurance with employer contribution as well as paid time...for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in… more
- Republic Finance, LLC (Groveport, OH)
- …analytical skills to quickly and efficiently resolve any customer issues. Processes insurance claims , follow-ups and payments daily and maintains insurance ... amazing benefits and perks, including health, dental, and vision insurance with employer contribution as well as paid time...industry for you, apply today! As a Consumer Loan Specialist , you will be a key team member in… more
- Evolent Health (Columbus, OH)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic role that will encompass determining ... to the Associate Director, Credentialing Operations. **Collaboration Opportunities:** The Specialist , Credentialing Operations team collaborates with the Provider Data… more
- Sutherland Global Services (Columbus, OH)
- Do you have a background in medical collections, insurance follow-up, and revenue cycle management? Are you familiar with managed care contracts, contract language, ... sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or… more
- Option Care Health (Columbus, OH)
- …on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or ... responsible party when their insurance carrier fails to make payment reasonable time frame....market data. Pay Range is $16.69-$27.82 **Benefits:** -401k -Dental Insurance -Disability Insurance -Health Insurance … more
- Guardian Life (Columbus, OH)
- …The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide evaluation of ... of RTW. Serve as educational resource on vocational rehab aspect of claims . Educate parties involved in claim management regarding the extent of functional… more
- Elevance Health (Columbus, OH)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... HS diploma or equivalent and a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more