Senior Health Claims Specialist: Complex Adjudication
$18.5 - $42.35 per hourHispanic Alliance for Career Enhancement
Hispanic Alliance for Career Enhancement in Ohio seeks a full-time Medical Claims Processor. The role involves reviewing and adjudicating complex medical claims to ensure accurate processing. Candidates should have at least 18 months of medical claims processing experience and demonstrate strong attention to detail and the ability to manage multiple tasks efficiently. Benefits include comprehensive health coverage and competitive salary ranging from $18.50 to $42.35 per hour based on qualifications. #J-18808-Ljbffr
$18.5 - $42.35 per hour
...We're building a world of health around every individual - shaping a... .... Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established... ...specified claims and those that exceed specialist adjudication authority or...SeniorHourly payFull timeWork experience placementLocal areaRemote work$21 - $25 per hour
...Inc. in Cincinnati is hiring a Billing Specialist. This full-time position involves processing... ...statuses, and assembling reimbursement claims. Applicants should have at least 5 years... ...$25.00 per hour, with a focus on mental health recovery services and excellent...SeniorHourly payFull time$110k - $120k
...A leading insurance firm seeks a Senior Claims Specialist to manage complex workers' compensation claims. Candidates should have at least 7 years of experience in California claims adjusting and the ability to work Pacific Time Zone hours. The role involves investigating...SeniorRemote work- ...Great American Insurance Group is looking for a Senior Claim Specialist to join its Corporate Claims Division in Cincinnati, OH, or Schaumburg, IL. This role involves managing complex pollution and toxic tort claims, negotiating settlements, and providing oversight on...SeniorRemote work
- ...perform at their best.Mid-Continent Group is currently seeking a Claims Specialist/Senior Claims Specialist to join our Claims Team. The position... ...Functions and Responsibilities*** Manage a portfolio of complex, high-value commercial general liability and auto claims across...SeniorFull timePart time
$101k - $135k
...Great American Insurance Company is seeking a Senior Claim Specialist or Claim Technical Director in Cincinnati, OH, to manage complex pollution and toxic tort claims. Candidates should have a Bachelor's degree or equivalent experience, with at least 6 years in a relevant...SeniorWork at officeRemote work- ...Casualty Claim Professional Be here. Be great. Working for a leader in the insurance industry means opportunity for you. Great American... ..., mediations, depositions, or trials. Conveys moderately complex information regarding coverage and settlements to insureds, claimants...SeniorFull timePart timeSeasonal workWork at officeRemote work
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- A leading insurance organization is seeking a Senior Claims Specialist in Cincinnati, OH, to manage complex pollution and toxic tort claims. The successful candidate will have at least 6 years of relevant experience, strong analytical skills, and excellent negotiation capabilities...SeniorRemote job
$101k - $135k
...at their best. As part of the Corporate Claims Division, the Asbestos and Environmental Claims Unit handles complex pollution, toxic tort and asbestos claims... ...Claims Unit is currently searching for a Senior Claim Specialist or Claim Technical Director with experience...SeniorFull timePart timeSeasonal workWork at officeRemote workHome office$79.2k - $129.6k
...Elevance Health is seeking a Clinical Medical Reviewer for Oncology to join their team. This hybrid role allows for in-office and remote work. Responsibilities include determining acceptability of medically underwritten risks and calculating premium rates for both new...SeniorWork at officeRemote work$100k - $135k
...Claims Technical Director/Senior Claims Specialist-Alternative Markets page is loaded## Claims Technical Director/Senior Claims Specialist-Alternative Marketslocations... ...when they exceed personal authority.* Conveys more complex information (coverage, decisions, outcomes,...SeniorFull timePart timeSeasonal workWork at officeRemote work- PNC in Cincinnati is looking for a qualified professional to take on a role that demands independent decision-making in credit offerings. Candidates should have a strong background in finance and risk management and meet the expectation to work collaboratively in an inclusive...Senior
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$84.48k - $126.72k
...Group Underwriter Senior Location: This role requires associates... ...premium rates for large, complex renewal and prospect employer... ...with sales, administration and claims to assess the rating and administrative... ...to your salary, Elevance Health offers benefits such as a comprehensive...SeniorTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week- ...management company is seeking a highly capable Workers' Compensation Claims Adjuster for a temporary assignment through May 8, 2026. This role involves adjudicating indemnity claims of higher complexity for customers in MD, PA, and VA, and can be performed remotely. The...Temporary workRemote work
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$93.9k - $153.65k
Elevance Health is seeking a Group Underwriting Consultant in Cincinnati, Ohio, to underwrite complex large group new business. This hybrid role requires presence in-office 1-2 days per week. Candidates should have a BA/BS and at least 5 years of experience in medical...SeniorWork at office2 days per week1 day per week- Mellott & Mellott in Cincinnati, Ohio, is looking for a Senior Auditor to lead audit areas and supervise junior team members. This role... ...quality and effectiveness. Responsibilities include executing complex audit tasks, reviewing workpapers, and communicating progress...Senior
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