Claims Resolution Specialist

Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed...

Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical nec Specialist, Processing, Senior, Claims, Retail, Healthcare, Medical

The City of Columbus Department of Human Resources is seeking an experienced Workers Compensation claims specialist. The individual in this role will be responsible for the administration and management of the Citys Injury Leave (salary continuatio Claims Specialist, Benefits, Worker, Compensation, Claims, Analyst, Administrative

* Investigate, evaluate, estimate, and process property claims primarily requiring in-person contact and on-site inspections. * Climb roofs and perform other field-based inspections. * Obtain and maintain all applicable adjusters licensing. * Maintain open lines of communication with agents, sales representatives, marketing and underwriting personnel who...

Elevance Health eCOB Specialist III COLUMBUS , Georgia Apply Now Schedule: 1-2 days per week in the office (Hybrid 1) Location: This position will work on a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The Coordination of Benefits Specialist III is responsible for...

Technical SpecialistDümmen Orange is a leading global breeder and propagator of flowers and plants, offering an impressive patented portfolio of crops and varieties to growers, wholesalers and retailers around the world.Globally accessible and locally embedded, Dümmen Orange continues to be close to its customers and business partners and helps them grow....

Technical SpecialistDümmen Orange is a leading global breeder and propagator of flowers and plants, offering an impressive patented portfolio of crops and varieties to growers, wholesalers and retailers around the world.Globally accessible and locally embedded, Dümmen Orange continues to be close to its customers and business partners and helps them grow....

Job DescriptionJob DescriptionJob descriptionAbout us: Schottenstein Roofing is a leading provider of roofing and exterior services in the Columbus, OH area. We take pride in delivering high-quality roofing and exterior restoration solutions to our valued customers. Our commitment to excellence, customer satisfaction, and innovation has positioned us as a...

POSITION PURPOSE AND EXPECTATION: As Logistics Specialist you will be responsible for the successful coordination of all Lovisa freight moving in and out of Canada, United States, and Mexico- including daily contact with all freight and logistics service providers, across air, sea, and land channels, with a focus on delivery performance into stores, delivery...

Put your Insurance Experience to work – FROM HOME! At WAHVE, we value significant insurance experience and want to revolutionize the way people think about phasing into retirement by offering qualified candidates the opportunity to continue their career working from home. As we say – retire from the office but not from work. Our unique platform provides...

Job DescriptionJob DescriptionSUMMARYThis Billing Specialist position is responsible for correcting, completing, and processing service claims for all payer types. He / She is also required to generate reports from both the billing system and the clearinghouse system in accordance with established procedures. This person has public contact of a limited...

Specialist, Customer Incident (24015372) Description CULTIVATE A BETTER WORLD Food served fast does not have to be a typical fast-food experience. Chipotle has always done things differently, both in and out of our restaurants. We are changing the face of fast food, starting conversations, and directly supporting efforts to shift the future of farming and...

Provider Escalations Analyst Location: The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. *Hours: Monday - Friday 8:00 - 5:00 pm ET The Provider Escalations Analyst is responsible for Provider Issues Resolution (PIR) escalations across all lines of business and is responsible for the resolution of provider...

Position Title: IT Service Desk SpecialistLocation: 4343 Easton Commons Columbus OHDuration:6 months ContractPay rate: $21/hr. on w2.The Service Desk Agent is the first point of contact for the users who call our IT Service Desk. While providing the highest level of customer service, the Service Desk Agent answers incoming calls, tracks all information in a...

Position Title: IT Service Desk SpecialistLocation: 4343 Easton Commons Columbus OHDuration:6 months ContractPay rate: $21/hr. on w2.The Service Desk Agent is the first point of contact for the users who call our IT Service Desk. While providing the highest level of customer service, the Service Desk Agent answers incoming calls, tracks all information in a...

Position Title: IT Service Desk SpecialistLocation: 4343 Easton Commons Columbus OHDuration:6 months ContractPay rate: $21/hr. on w2.The Service Desk Agent is the first point of contact for the users who call our IT Service Desk. While providing the highest level of customer service, the Service Desk Agent answers incoming calls, tracks all information in a...

Overview: OH residents only   Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion!?   Who we are With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses,...

Job Description Our client is seeking a P&C licensed, dedicated, and proactive Personal Lines CSR to join their team. Benefits Competitive salary: $40-50K Comprehensive benefits package Professional development opportunities and training. Supportive and inclusive work environment. Qualifications High school diploma or equivalent P&C License Basic...

```Job Overview:We are seeking an experienced Information Technology Specialist to join our team. As an IT Specialist, you will be responsible for managing and maintaining our company's technology infrastructure. This is a critical role that requires strong technical skills and the ability to troubleshoot and resolve complex IT issues.Responsibilities:-...

Job Overview:We are seeking an experienced Information Technology Specialist to join our team. As an IT Specialist, you will be responsible for managing and maintaining our company's technology infrastructure. This is a critical role that requires strong technical skills and the ability to troubleshoot and resolve complex IT issues.Responsibilities:-...