NewPhysician Office Specialist, Campus Care, Ohio University OhioHealthPhysician Office Specialist, Campus Care, Ohio UniversityAthens, OHProvides general office and clerical support for office as assigned by Office Supervisor and or Manager, to include but not limited to: faxing documentation to referring physician offices, completion of disability forms, FMLA forms, Attorney request letters for reports, patient record releases, Industrial C-9s, C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. Primary responsibilities include but are not limited to: answering phones utilizing a computerized system, directing calls appropriately, scheduling patient appointments in the electronic medical record (EMR) system, data entry of patient information and insurance verification, providing support to staff members as assigned.
Casualty Claims Specialist First Chicago Insurance Company (FCIC)Casualty Claims SpecialistCincinnati, OHFull timeThey 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.
Cambridge WC Claims Specialist (Pn: 20068440) State of OhioCambridge WC Claims Specialist (Pn: 20068440)Cambridge, OHcalculator, printer, copier, fax, phone); communication skills (e.g., listening, writing, reading, phone etiquette); use of internet; Ability to: define problems, collect data, establish facts, & draw valid conclusions; read & understand medical reference manuals & reports, gather, collate, & classify information about data, people, or things; respond to sensitive inquiries from & contacts with injured workers, employers, providers or their representatives, & the public; answer routine & technical inquiries from injured workers, employers, medical providers & public ; make proper referrals (within agency & external sources) ; diffuse potentially volatile situations; present information to others; work with a team; use International Classification of Diseases (ICD) coding manuals/system ; generate properly formatted business correspondence; read and understand compensation payment plan screens , interpret Cognos reports*. Major Worker Characteristics: Knowledge of: workers' compensation laws, policies & procedures ; eligibility criteria & procedures used for processing workers' compensation claims ; English grammar & spelling; oral & written business communication; public relations ; addition, subtraction, multiplication, division, fractions, decimals & percentages; interviewing techniques; internet search engines & navigation; medical terminology; medical diagnosis coding ; Industrial Commission processes ; claims reserving ; Skill in: operation of a personal computer; typing; use of Microsoft Office software (e.g., Outlook, Word, Excel, Access, PowerPoint); use of BWC-specific software (e.g., Workers' Compensation Claims Management System, Intrafin, FMS fraud system)*; operation of office machinery (e.g.
Claims Specialist Global Channel ManagementClaims SpecialistMason, OhioMaintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner. Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests).
Senior Claims Specialist, Environmental Claims MSIG HoldingsSenior Claims Specialist, Environmental ClaimsCincinnati, OhioRemoteThe ideal candidate brings deep expertise in environmental law, coverage interpretation, and litigation management, with the ability to develop and execute thoughtful resolution strategies while effectively communicating with internal leadership and external stakeholders. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks.
Commercial Lines Claims Specialist AAA Mid-AtlanticCommercial Lines Claims SpecialistCincinnati, OH$26–$28.50 / hourAt ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
Claims Specialist GeneDX LLCClaims SpecialistCincinnati, OHRemote$34–$37 / hourWith over 20 years of expertise in diagnosing rare disorders and diseases, and pioneering work in the identification of new disease-causing genes, our commitment to genetic disease detection, discovery, and diagnosis is based on sound science and is focused on enhancing patient care. Through both internal research efforts and global collaborations, we have identified and published hundreds of new disease-gene relationships and developed novel tools for genomic data analysis.
P&C Insurance Claims Specialist Kesner Insurance Agency, IncP&C Insurance Claims SpecialistLima, OH$18–$20 / hourNotify producers and/or management of severe losses or reserves over $20,000, and provide quarterly updates for clients with severe and/or frequent losses. Provide prompt, courteous same-day service to all clients, and advise insureds and claimants on the process required for loss settlement.
NewRemote Senior Claims Specialist - National Claim Services CRC Insurance Services, LLCRemote Senior Claims Specialist - National Claim ServicesOHRemoteGeneral Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group, we're committed to supporting every aspect of teammates' well-being - physical, emotional, financial, social, and professional. CRC Group also offers generous paid time off programs, including company holidays, vacation and sick days, new parent leave, and more.
Claims Specialist/Senior Claims Specialist Great American Insurance Group (DBA)Claims Specialist/Senior Claims SpecialistCincinnati, OHMid-Continent Group, a subsidiary of Great American, based in Tulsa, Oklahoma, specializes in commercial casualty coverages with an emphasis on general liability for the construction, energy, and difficult-to-place business in other industries. Manage a portfolio of complex, high-value commercial general liability and auto claims across the U.S. Lead investigations, evaluate coverage and liability, and drive resolution strategies.
Bodily Injury Claims Specialist Auto-Owners Insurance CoBodily Injury Claims SpecialistLima, OHThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Property Claims Specialist Field Western Reserve GroupProperty Claims Specialist FieldAvon, OhioEstimates losses directly or working with consultants, independent adjusters and other experts to assess building, personal property, business income, heavy equipment, and other damages that can include losses which may range from moderate to large loss levels. The position requires the individual to apply common sense, understanding, reasoning and sound educated judgement coupled with sound Claims training and experience to properly evaluate and analyze claims for recommended action within assigned authority levels.
Commercial Auto/Garage Claims Specialist Universal Shield Insurance GroupCommercial Auto/Garage Claims SpecialistDublin, OhioUniversal Shield Insurance Group offers an industry-competitive benefits package, including health insurance with a company-contributed HSA, dental insurance, vision coverage, short term disability insurance, long term disability insurance, AD&D insurance, Employee Assistance Program (EAP), and other lifestyle and family-friendly and work/life balance benefits. Universal Shield Insurance Group (and its member companies - Universal Fire & Casualty Insurance Company (www.ufcic.com) and Shield Indemnity Inc (www.shieldindemnity.com)) has an opening for an experienced Commercial Casualty Claims Adjuster.
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistColumbus, OhioSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Claims - HQ Work Comp Specialist I Cincinnati Financial CorporationClaims - HQ Work Comp Specialist IFairfield, OH$45,000–$65,000 / yearShare your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person. If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges, and develop your skills, then Cincinnati may be the place for you.
Claims - No-Fault Litigation Specialist I - IV Cincinnati Financial CorporationClaims - No-Fault Litigation Specialist I - IVFairfield, OH$60,000–$95,000 / yearShare your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person. The No-Fault Unit is currently seeking a litigation specialist to handle and supervise auto med pay and PIP features of Casualty claims.
Bodily Injury Claims Specialist Auto-Owners Insurance CompanyBodily Injury Claims SpecialistColumbus, OhioThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Claims Healthcare Specialist Global Channel ManagementClaims Healthcare SpecialistMason, OhioMaintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner. Claims Healthcare Specialist duties: Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance.
Claims Reporting Specialist II Cincinnati Financial CorporationClaims Reporting Specialist IIFairfield, OH$45,000–$53,000 / yearsuperior time management skills to maintain own workflow, juggle multiple reports simultaneously, meet strict deadlines, and avoid fines/penalties. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person.
Claim Specialist - WCCS Deployed State FarmClaim Specialist - WCCS DeployedCincinnati, OH$59,059.65–$82,000 / yearPhysical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!