- Bon Secours Mercy Health (Cincinnati, OH)
- …Regulatory and Property/ADP, to protect the assets of the ministry by resolving those claims within the parameters of the available insurance coverages. Is the ... named in a lawsuit + Works closely with the Risk management related to claim management + Manages closely...and obtain necessary discovery information + Utilize knowledge of insurance contracts, claims investigations, and vendor management… more
- Cintas (Mason, OH)
- **Requisition Number:** 191327 **Job Description** Cintas is seeking a Claims Manager . Responsibilities include assisting Deputy General Counsel, Litigation with ... providing general oversight and management of Cintas' claims administration; assisting with insurance programs; working closely with in-house counsel and Cintas'… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …clinical and operational excellence. **Summary** Works collaboratively with the Compliance Manager on creating auditing protocols which align with Bon Secours Mercy ... review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the development of...monitors and audit protocols specific to hospital revenue cycle risk areas highlighted by the OIG, Medicare, State Medicaid,… more
- Sedgwick (Cincinnati, OH)
- …telemarketing, social media and local marketing events. + Calling on residential/commercial insurance claims adjusters & managers, attending various claims ... telemarketing, social media, local marketing events, and direct contact with property claims adjusters and manager level professionals. To engage potential… more
- Walmart (Monroe, OH)
- …process design. Interprets and evaluates compliance status reports and relevant risk management practices. Assists in the development of company policies, practices, ... management. Responds to inquiries by regulatory authorities. Consults on complex claims and settlements. Designs preventative claims management processes (for… more
- HUB International (Cincinnati, OH)
- …& casualty insurance agencies in Central Ohio, specializing in commercial insurance , risk management, surety and personal lines. Hub International is a ... Associates is seeking to add a construction focused Client Manager to their Commercial Lines team! The Construction Client...leading full-service global insurance broker and financial services firm providing … more
- Republic Finance, LLC (Springdale, OH)
- … risk analysis, making credit decisions, administering loan closings, and processing insurance claims . Your management abilities shine as you assist the ... amazing benefits and perks, including health, dental, and vision insurance with employer contribution as well as paid time...industry for you, apply to be an Assistant Branch Manager today! *Please note that this position is 100%… more
- Triversity Construction (Cincinnati, OH)
- …that recognize your contributions. * Comprehensive Coverage: Health, dental, and vision insurance for you and your family, plus access to a Flexible Spending ... (HSA). * Peace of Mind: Short-term and long-term disability insurance , supplemental coverage, and life insurance to...to your growth. About the role As a Project Manager for our Craft Force division, you will provide… more
- The Salvation Army (Cincinnati, OH)
- …the Finance Secretary. + Coordinate the sharing of information and the processing of insurance claims for SWONEKY Division including: + Property + Auto + General ... clerical work as needed, as well as administration of various risk management functions. Responsibilities Duties: + Handle information for SWONEKY mini-Council,… more
- CVS Health (Fairfield, OH)
- …flexibility as you coordinate the care of your members. + Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing ... + Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which… more
- Sedgwick (Cincinnati, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Project Manager **PRIMARY PURPOSE** : To develop and manage project assignments through ... (3) years project management, office operations management, managed care, insurance -related and/or statistical analysis experience. Supervisory experience preferred. **Skills… more
- Elevance Health (Mason, OH)
- …Auditor II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + ... Examines claims for compliance with relevant billing and processing guidelines...concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.… more
- Elevance Health (Mason, OH)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new...concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.… more
- Elevance Health (Mason, OH)
- …a designated virtual-eligible role and specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least ... formulae and creating and/or reviewing alternative settlement formulate and risk sharing models. + Responsible for recommendations on pricing, marketing,… more
- Elevance Health (Mason, OH)
- …formulae and creating and/or reviewing alternative settlement formulate and risk sharing models. + Responsible for recommendations on pricing, marketing, ... product design, claims , premium and enrollment administration of business unit. +...identify product and segment behavior to assist in the risk management of the business unit. + Provides guidance… more