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
- Western & Southern Financial Group in Cincinnati is seeking a Claims Specialist to evaluate claims related to life, annuity, health, and disability products. The role requires expertise in claims administration and effective communication with clients and team members....Senior
- Claims Specialist/Senior Claims Specialist Mid-Continent Group is currently seeking a Claims Specialist/Senior Claims Specialist to join our Claims... ...Job Functions and Responsibilities Manage a portfolio of complex, high-value commercial general liability and auto claims...Senior
$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 job- ...Job Description Reflect Health is the evolution of S&... ...developed proprietary claims technology, expanded... ...W We are seeking a Senior Security Analyst to serve... ...ability to translate complex security concepts into... ...Review, investigate, and adjudicate security incidents escalated...SeniorRemote job
- ...NaphCare, Inc. is seeking an experienced Senior Claims Adjudicator to work on-site at our Corporate Office in Birmingham, AL. This role involves... ...Microsoft Office. Enjoy great benefits like free prescriptions, health insurance starting day one, and ongoing education programs....SeniorWork at office
- ...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
- HDR is seeking a highly experienced Senior Title Agent in Cincinnati, Ohio, to conduct complex title research across Ohio, Pennsylvania, West Virginia, and surrounding areas. The successful candidate will analyze property documents, resolve title issues, and guide clients...Senior
- A leading insurance provider is seeking a Claims Specialist/Senior Claims Specialist to manage high-value commercial general liability and auto claims with a hybrid schedule available in Cincinnati, OH. The ideal candidate should have over 9 years of experience in relevant...Senior
- MCC Mid-Continent Casualty Company is seeking a Claims Specialist/Senior Claims Specialist to join our hybrid Claims Team based in Cincinnati, OH. The successful candidate will manage a portfolio of high-value commercial claims and drive resolution strategies. With a requirement...Senior
- Dormont Manufacturing Co is seeking a Claims Representative for the Reinsurance Claims department in Cincinnati, Ohio. This role includes reviewing asbestos and environmental claims, ensuring compliance with contracts, and managing all related documentation. The ideal...SeniorFull time
- Great American Insurance Group is seeking a Claims Representative/Senior Claims Representative in Cincinnati, Ohio. This role involves managing claims... ...Employees benefit from a comprehensive package including health coverage and a 401(k) plan with company match. #J-18808-...SeniorWork at office
- ...Estate Finance Attorney to join their growing teams in Cincinnati, Ohio. The ideal candidate will have over 8 years of experience in complex real estate finance transactions and the ability to lead such transactions independently. Bricker Graydon Wyatt offers a...SeniorWork at officeFlexible hours
$121.9k - $262.1k
Fifth Third in Cincinnati is seeking a professional to assist in the orderly liquidation and rehabilitation of complex credits within the Corporate & Investment Banking team. You will collaborate with Portfolio Managers to maintain the portfolio and maximize returns while...Senior$96.5k - $207.5k
Fifth Third Bank, N.A. is seeking a Commercial Senior Portfolio Manager located in Cincinnati, Ohio. The successful candidate will manage complex credit portfolios and engage directly with clients while ensuring robust risk management practices. This role requires at least...Senior- ...employees feel included, empowered, and enabled to perform at their best. Corporate Claims is currently seeking a Claims Representative/Senior Claims Representative/Claim Specialist to join the Reinsurance Claims department located in Cincinnati, Ohio. Great American’...SeniorFull timeContract workPart timeSeasonal workWork at officeRemote workWork from home
- A leading commercial construction firm in Cincinnati seeks a Senior Project Executive. This role involves overseeing strategic direction... ...performance, ensuring client satisfaction while managing complex projects. The ideal candidate has 15+ years of experience in Construction...Senior
- HGC Construction is seeking a Project Executive in Cincinnati, Ohio, to oversee complex projects. You will lead teams, build client relationships, and drive business opportunities, ensuring project success in a safe environment. Ideal candidates have 12-15 years of experience...Senior
$175k
...associate with at least 5 years of experience in sophisticated finance to join their Cincinnati office. The role involves negotiating complex finance transactions and training junior attorneys. This partnership-track position offers a compensation package starting at $175,...SeniorWork at office$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- Great American Insurance Group is seeking a Claims Specialist/Senior Claims Specialist to manage complex, high-value claims on a hybrid schedule from Cincinnati, OH. Ideal candidates should have over 9 years of experience in general liability and auto claims, strong analytical...Senior
- A leading children's health organization is seeking a Senior Project Management Specialist to lead complex initiatives in clinical research and operations. You will analyze and present data, manage projects, and collaborate with stakeholders to enhance healthcare outcomes...SeniorRemote job
- The Christ Hospital Health Network in Cincinnati is seeking an experienced cook responsible for preparing a variety of food items efficiently and safely. This role requires adhering to complex recipes, maintaining sanitation standards, and delivering excellent customer...Senior
- ...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
- ...commercial projects in a fast-paced environment. Candidates need 3-20+ years of experience and must demonstrate the ability to manage complex projects while ensuring safety and quality on-site. A Bachelor of Science in Engineering, Construction Management, or related field...SeniorFor contractorsWork at office
- ...for northern Cincinnati, giving therapists broad exposure to complex, time-sensitive cases and opportunities for clinical growth. We... ...adult and neonatal airways. Demonstrates proficiencies as specialist in recommending, initiating and performing specialized clinical...SeniorPart timeReliefRelocation packageFlexible hoursShift workRotating shiftDay shift
- ...underwriting team at Liberty Mutual. As a Large Casualty underwriter in Risk Management, you'll develop, grow and maintain sizable, complex, diversified books of business while working closely with brokers and customers to assess risks, determine premiums, set conditions...SeniorLocal area
$67.54k - $86.11k
...Hospital, we are committed to improving child health through excellence in clinical care,... ...across the organization. We are seeking a Senior Internal Auditor who brings technical... ...priorities. Critical Thinking: Analyzes complex information and exercises sound judgment....SeniorFull timeRemote workMonday to FridayShift work$109k - $174.8k
At Johnson & Johnson, we believe health is everything. Senior Regulatory Affairs Program Lead - Instrumentation... ...project timelines, and address complex issues impacting registration status.... ...and guidance in product development, claims, labeling, and promotional materials....SeniorLocal areaFlexible hours- Help needed for my mother in her 70s - seeking full-time hands-on care. The ideal match will meet the requirements below. Important - experience with managing and administering medication is required . Some light tidying up is involved. One of your responsibilities will...SeniorFull time
$22.26 - $29.08 per hour
...Billing Specialist Senior Billing Support Specialist BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offer consumers and providers an... ...daily tasks and is able to handle more complex billing situations with minimal...SeniorWork at officeLocal areaMonday to Friday2 days per week1 day per week
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