- Trinity Health (Columbus, OH)
- …Type:** Full time **Shift:** **Description:** Remote position - Seeking Claims processing with Medical Insurance Minimum of 5 years experience ... **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the… more
- Trustmark (Columbus, OH)
- …to our colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, ... Care (LTC), Disability and Critical Care. Key Accountabilities + Identifies claims that need additional reviews, initiates and implements the appropriate reviews.… more
- HomeSafe Alliance (Columbus, OH)
- …trends and performance. + Identify and resolve challenges and issues related to claims processing . + Perform other duties as assigned **Qualifications:** + ... **Title:** Claims Manager (HHG/Military Move) **_HomeSafe Alliance_** is the...are more innovative, more resilient, and safer. Benefits: + Medical , Dental and Vision Insurance . + Paid… more
- HomeSafe Alliance (Columbus, OH)
- …and working together, we are more innovative, more resilient, and safer. Benefits: + Medical , Dental and Vision Insurance . + Paid time off (PTO) Three weeks ... **Title:** Claims Adjuster (SCA) HHG/Military Move **_HomeSafe Alliance_** is...are carefully managed to protect personal information. Benefits: + Medical , Dental and Vision Insurance . + Paid… more
- Sedgwick (Columbus, OH)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to join… more
- Sedgwick (Columbus, OH)
- …growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims &… more
- Sedgwick (Columbus, OH)
- …line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management… more
- Sedgwick (Columbus, OH)
- …while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a diverse portfolio of ... cyber claims , including various Professional Liability claims , for various insurance company clients +...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Humana (Columbus, OH)
- …Bilingual (Spanish / English) (see Language Proficiency Testing below) + Prior claims processing experience + Overpayment experience + Financial recovery ... + The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in the resolution of claims… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or technically ... difficult environmental claims ; to provide resolution of highly complex nature and/or... and legal actions. + Analyzes applicable complex liability insurance coverage and policies + Negotiates claim settlement up… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Liability **PRIMARY PURPOSE** : To analyze complex or ... technically difficult general liability claims to determine benefits due; to work with high...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Adjuster - Liability - Cerritos, California - We require adjusters with ... experience **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims… more
- Sedgwick (Columbus, OH)
- …total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative, Auto **PRIMARY PURPOSE** : To analyze and process low to… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner, Bodily Injury **PRIMARY PURPOSE** : To analyze and process ... complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- Molina Healthcare (Columbus, OH)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... sources. **Preferred Qualifications:** + Experience with Medicaid + Experience with medical claims , authorization, and membership data + Advanced proficiency… more
- Sedgwick (Columbus, OH)
- …while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a diverse portfolio of ... Professional Liability claims for various insurance company clients +...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability 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 ... Description Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine...from each qualified appointment. + Submits qualified submissions for processing to Underwriter in complete form with a request… more
- Molina Healthcare (Columbus, OH)
- …years of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of ... Tricare, Pharmacy, etc.) + Experience with UNET, Comet, Macess/CSP, or other similar claims processing systems. + Demonstrated ability to use MS Excel/Access… more
- Walmart (Columbus, OH)
- …and resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible ... by assisting the pharmacist in the prescription fulfillment process; processing third party insurance claims ...happier mind, body, and wallet! - Health benefits include medical , vision and dental coverage - Financial benefits include… more
- Highmark Health (Columbus, OH)
- …quality business solutions. Communicate effectively to explain technical benefits, application of medical policy, and claims processing capabilities and ... matter expert in strategy development for new strategic programs. + Research claims processing problems, perform initial problem identification and resolution… more