Investigator Ethos Risk ServicesInvestigatorAkron, OHFull timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeOHEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Senior Sales Executive Taylor OswaldSenior Sales ExecutiveCleveland, OhioVision Requirements : specific vision abilities required by this job include: close vision (clear vision at 20 inches or less); distance vision (clear vision at 20 feet or more); color vision (ability to identify and distinguish colors); peripheral vision (ability to observe an area that can be seen up and down or to the left and right while eyes are fixed on a given point); depth perception (three-dimensional vision, ability to judge distances and spatial relationships); ability to adjust focus (ability to adjust the eye to bring an object into sharp focus). Teamwork : balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests; able to build morale and group commitments to goals and objectives; supports everyone's efforts to succeed.
Senior Sales Account Executive, BPO / CX Solutions (US) Compass Experience Labs LLCSenior Sales Account Executive, BPO / CX Solutions (US)OHRemoteYou'll sell into a broad set of verticals including financial services, food & beverage,, hospitality, healthcare, retail, and e-commerce so curiosity and the ability to quickly learn a new industry's language are essential. Self-directed learner who proactively closes knowledge gaps and turns new industry knowledge into practical, high-quality work.
Auto Liability Claim Representative The Travelers CompaniesAuto Liability Claim RepresentativeIndependence, OH$67,000–$110,600 / yearOne-year bodily injury liability claim handling experience or comparable liability claim handling experience, or successful completion of Travelers Claim Representative training program is required. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
New Business Sales Representative Rumpke Consolidated Companies IncNew Business Sales RepresentativeAkron, OHExperience & Knowledge Needed for Position: Two (2) years outside business-to-business sales experience preferred, with a proven track record of success. Attend meetings regularly with management to review weekly sales activities, progress on goals, and status of prospective customers.
New Business Sales Representative RumpkeNew Business Sales RepresentativeBroadview Heights, OHExperience & Knowledge Needed for Position: Two (2) years outside business-to-business sales experience preferred, with a proven track record of success. Attend meetings regularly with management to review weekly sales activities, progress on goals, and status of prospective customers.
Pharmacy Intern Giant EaglePharmacy InternPainesville, OhioModel excellent patient care by respecting, engaging and enthusiastically meeting or exceeding all patient needs including processing orders in person and by phone, directing patients to products and merchandise and referring appropriate questions concerning prescriptions and over the counter medicine to the pharmacist. Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time Program.
Pharmacy Intern - Cedar Avenue Giant Eagle (Intern License Required) Giant Eagle IncPharmacy Intern - Cedar Avenue Giant Eagle (Intern License Required)Cleveland, OHModel excellent patient care by respecting, engaging and enthusiastically meeting or exceeding all patient needs including processing orders in person and by phone, directing patients to products and merchandise and referring appropriate questions concerning prescriptions and over the counter medicine to the pharmacist. Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time Program.
NewLarge Loss Risk Adjuster Allstate Insurance CompanyLarge Loss Risk AdjusterOH$85,000–$145,075 / yearBodily Injury Claims, Case Management, Client Counseling, Commercial Insurance Claims, Complex Claims, Complex Litigation, Conflict Management, Conflict Resolution, Homeowners Claims, Homeowners Insurance Claims, Industry Trend Analysis, Injury Assessment, Insurance Claims, Large Loss Claims, Litigation, Litigation Management, Personal Injury Claims, Problem Solving, Time Management, Torts. Works with Product, Protection, Law, and Claims on new products introduced to the Field and the sales force, and develops Claim Bulletins to provide new forms and/or endorsements that impact claim handling practices.
NewPrior Authorization Pharmacy Technician Shields Health SolutionsPrior Authorization Pharmacy TechnicianCleveland, OH$20–$22 / hourPharmacy Technician • Certified Pharmacy Technician (CPhT) • Patient Support Advocate • Prior Authorization Specialist • Medication Access • Specialty Pharmacy • Patient Assistance Programs • Insurance Verification • Claims Adjudication • Financial Assistance • Pharmacy Operations • Healthcare Support • Medication Adherence • Patient Advocacy . Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms.
Healthcare Administrative Assistant Wisen HRHealthcare Administrative AssistantCleveland, OhioLocation : Nationwide opportunities available Job Overview : Job Overview : The Healthcare Administrative Assistant provides essential administrative support in a medical office or clinic setting. This role includes tasks such as scheduling appointments, managing patient records, and assisting with billing and insurance claims.
Client Service Administrator - Group Benefits OswaldClient Service Administrator - Group BenefitsCleveland, OhioCoordinates meetings with practice team members assigned to specific clients to review business activity and action points; schedules meetings with members of various internal departments such as Business Development, Marketing Analysis, Benefits Analytics, Health Management Services, and outside vendors to meet the service needs of the client. Job Summary : Responsible to provide internal support to an account management team for an assigned book of business; collaborates with sales and service staff by account, interfaces with clients and carriers, maintains records, and performs other general administrative duties.
QA & Compliance Senior Specialist Westfield Insurance CoQA & Compliance Senior SpecialistWestfield Center, OHProvide focused QA oversight for AI-enabled functionality used in claims, including reviewing outputs, identifying issues, and ensuring appropriate governance and controls are in place. This role will report to the VP, Specialty Claims Compliance and will be responsible for supporting Specialty Claims through quality assurance, compliance oversight, claims governance, and operational reporting activities.
Attorney Repped Bodily Injury Adjuster (EHBI) Allstate Insurance CompanyAttorney Repped Bodily Injury Adjuster (EHBI)OH$53,500–$77,800 / yearThis includes confirming the facts of loss for complex automobile accidents, determining coverage, liability, and damages, and negotiating settlements within assigned authority limits. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
NewPharmacy Tech Sam's Club Sam's EastPharmacy Tech Sam's ClubBrooklyn, Ohio10250 BROOKPARK RD, BROOKLYN, OH 44130-1106, United States of America Walmart and its subsidiaries are committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job. Minimum Qualifications: Meets all state requirements to work as a Pharmacy Technician, such as minimum age, qualification, registration, certification, and/or licensure when required by the State Board of Pharmacy.
Payer Healthcare Data Scientist, Manager PricewaterhouseCoopers LLPPayer Healthcare Data Scientist, ManagerCleveland, OH$99,000–$232,000 / yearPreference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. Within our Operations practice, you will be at the forefront of modernizing payer systems, working directly with clients to deliver impactful solutions that enhance efficiency and drive innovation in the health services sector.
Auto Adjuster I, II or Sr. Allstate Insurance CompanyAuto Adjuster I, II or Sr.OH$50,000–$74,350 / yearAuto Collision (Inactive), Auto Collision Repair, Auto Insurance, Auto Insurance Claims, Automobile Accidents, Automobile Liability, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, De-Escalation, Insurance Administration, Insurance Claims, Insurance Coverage, Insurance Policies, Investigative Skills, Multitasking, Negotiation, Task Organization, Time Management. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Casualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistCleveland, OHThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
Auto Physical Damage Claim Representative Associate The Travelers CompaniesAuto Physical Damage Claim Representative AssociateIndependence, OH$45,400–$74,900 / yearThis position focuses on developing your skills and knowledge to successfully manage personal and business insurance damage claims involving various types of automobiles as well as heavy equipment, mobile equipment, and property damage. As an Associate Claim Rep, Auto Damage, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.