- Sedgwick (Cincinnati, OH)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Service Center Representative - Blue Ash| Cincinnati, OH (In-Office) 12pm-8pm shift with rotating ... Saturdays 10am-6pm (Open) **Service Center Representative ** **Our teams connect! We collaborate onsite 5 days...PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the… 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
- UC Health (Cincinnati, OH)
- …an inclusive, equitable and diverse place of employment. The Patient Accounting Representative will be responsible for monitoring and managing outstanding medical ... claims submitted to insurance companies. Key responsibilities include investigating...companies. Key responsibilities include investigating claim denials, resubmitting corrected claims , and appealing denied claims as needed.… more
- Molina Healthcare (Covington, KY)
- …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
- Kemper (Cincinnati, 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 payment 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
- Travelers Insurance Company (Cincinnati, OH)
- …supervision, this position is responsible for handling first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal ... claim resolution for personal or business claims of moderate severity and complexity. This position is a dedicated Claim Professional who is a first responder to… 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 ... 24 hours of notification. + 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
- Sedgwick (Cincinnati, OH)
- …of experience and education required to include three (3) years as an Account Representative **OR** five (5) years adjuster experience including one (1) year in a ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
- Prysmian Group (Highland Heights, KY)
- …provides front line support to the organization during investigation of customer claims . This requires familiarity with the related trades, tools and proper worksite ... product failure. In most instances the FSE will be the company's only technical representative on-site for an investigation. The FSE also evaluates new products as a… more
- CDM Smith (Covington, KY)
- …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
- C&W Services (Hebron, KY)
- …report and manage the corrective actions * Support Workers Compensation (WC) claims tracking, investigation, and management process * Liaise with WC Program Manager ... cabinets and fax machines. PHYSICAL DEMANDS The PHYSICAL DEMANDS described here are representative of those that must be met by an employee to successfully perform… more
- Acosta Group (Florence, KY)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more