WC Claims Specialist (Pn: 20068419, 20069075, 20069133 & 20069204) State of OhioWC Claims Specialist (Pn: 20068419, 20069075, 20069133 & 20069204)Columbus, 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.
NewRevenue Cycle Representative Ohio State University PhysiciansRevenue Cycle RepresentativeColumbus, Ohio$18.20–$27.29 / hourFull timeWith 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, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. Duties and Responsibilities include: Reviews, verifies, obtains and corrects patient demographics and insurance information, medical diagnosis, laboratory and other diagnostic services information, hospital service, applicable dates, required authorizations and certifications, signatures, and other information related to preparation and processing of insurance bills, and eligibility of coverage.
Medical Billing Specialist Equitas HealthMedical Billing SpecialistColumbus, OH$23.56–$32.98 / hourWith 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. This encompasses going beyond giving and receiving instructions and includes but is not limited to (a) performing work activities requiring interacting or speaking with others, and (b) responding appropriately to constructive feedback or suggestions for improvement from a supervisor.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OWesterville, OH$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Claims Consultant, Life Sciences CNA Financial CorpClaims Consultant, Life SciencesWesterville, OH$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Epl, Private & NFP D&O CNA Financial Corp.Complex Claims Consultant - Epl, Private & NFP D&OWesterville, OH$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Senior Claims Adjuster I - Workers Compensation Liberty Mutual Holding Company IncSenior Claims Adjuster I - Workers CompensationColumbus, OHRemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state s tort laws as normally acquired through a bachelor s degree (or equivalent training) plus 3 to 5 years directly related work experience.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionColumbus, Ohio$63,089.65–$90,000 / yearFull timeCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 43015 43016 43017 43026 43035 43036 43040 43047 43061 43065 43066 43077 43081 43082 43085 43119 43123 43126 43201 43202 43203 43204 43205 43206 43207 43209 43210 43211 43212 43213 43214 43215 43219 43220 43221 43222 43223 43224 43228 43229 43230 43231 43235 43240. Physical 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.
Claims Director - Professional Liability CRC Insurance Services, LLCClaims Director - Professional LiabilityOH$140,000–$200,000 / yearPlease review the following job description: The position is responsible for maintaining active oversight of open claims and/or incident reports, driving regular communication with carrier claims departments and adjusters, and ensuring significant claim developments are promptly communicated to Negley management and underwriting personnel. The position is expected to dig into open files, challenge claim handling when appropriate, identify issues requiring escalation, and maintain continuous visibility into claim status, litigation strategy, reserves, settlement activity, coverage concerns, and emerging loss trends.
Summer 2027 Personal Lines Claims Intern Nationwide Mutual Insurance CoSummer 2027 Personal Lines Claims InternColumbus, OH$23–$50 / hourNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If you're passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you!
NewCollector - Entry Level Wilber GroupCollector - Entry LevelNewark, OHYou can learn more about Wilber at https://wilbergroup.cm/about , https://www.greatplacetowork.com/certified-company/7023903 , and https://www.facebook.com/WilberGroup/ . New team members typically earn on average $1,100 in commission each month during their first year, actual commissions may vary per person.
New(USA) Optician, Licensed – Sam’s Club. Full-Time. South Point, OH. $28.00+ USD Hourly. Sam's West(USA) Optician, Licensed – Sam’s Club. Full-Time. South Point, OH. $28.00+ USD Hourly.OhioRequests, reviews, and processes insurance claims, payments, and chargebacks for eye care materials Provides supervision, training, and state-registered sponsorship of unlicensed associates, and where applicable licensed associates, as a preceptor for associates enrolled in company-funded educational programs. Respect the Individual: * Embraces differences in people, cultures, ideas, and experiences; creates a workplace where associates feel seen, supported and connected through a culture of belonging; creates opportunities for all associates to thrive and perform; helps to attract the best talent.
New(USA) Optical Associate, Non-Certified – Sam’s Club. Full-Time. South Point, OH. $17.50+ USD Hourly. Sam's West(USA) Optical Associate, Non-Certified – Sam’s Club. Full-Time. South Point, OH. $17.50+ USD Hourly.OhioRespect the Individual: * Embraces differences in people, cultures, ideas, and experiences; creates a workplace where associates feel seen, supported and connected through a culture of belonging; creates opportunities for all associates to thrive and perform; helps to attract the best talent. Operates hardware (for example, cash registers or related equipment), processes member purchases, and assists in payments, returns, refunds, and exchanges using appropriate procedures for different membership and payment types.