- Sedgwick (Seven Hills, OH)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process low ... to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...+ Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files… more
- Sedgwick (Cleveland, OH)
- …Fortune Best Workplaces in Financial Services & Insurance Service Center Representative **PRIMARY PURPOSE** **:** To provide excellent service to callers regarding ... for multiple lines of business; to expedite the claims application process and provide detailed claim notes on...assisting with questions and solving problems related to the claims application and servicing processes. + Educates and informs… more
- Molina Healthcare (Cleveland, OH)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes...2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working… more
- Graybar (Cleveland, OH)
- Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims + Keep management informed of local competition and market conditions +… more
- nVent (Solon, OH)
- …(quote to cash). + Investigate, validate and work to resolve customer discrepancy claims and material return requests. + Work with cross functional teams to manage ... customer back orders and lead time inquiries, including working with Planning and Manufacturing to determine accurate shipping dates. + Resolution of price discrepancies identified at the time of order. + Answer inquiries received via phone and email, often by… more
- Molina Healthcare (Cleveland, OH)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- Molina Healthcare (Cleveland, OH)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- Molina Healthcare (Cleveland, OH)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... necessary information to providers, members and pharmacies. * Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. * Effectively communicates plan benefit information, including but not limited to: formulary… more
- Sedgwick (Cleveland, 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
- CDM Smith (Cleveland, OH)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...above. This pay range is a good faith estimate representative of all experience levels for this position based… more
- Sysco (Cleveland, OH)
- …HR processes (eg coordinate and conduct new associate orientation, unemployment claims processes, onboarding and exit interviews, transitional return to work, leave ... correctness, or creativity). **Physical Demands:** + The physical demands described here are representative of those that must be met by an employee to successfully… more
- Acosta Group (Cleveland, OH)
- …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
- Towne Park (Cleveland, OH)
- …- 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and ... PHYSICAL DEMANDS** _The_ **_working conditions and physical demands_** _described here are representative of those that must be met by an associate to_… more