Provider Claims Resolution Specialist
Molina Healthcare of Illinois
Molina Healthcare is seeking a claims adjudication support specialist in Kentucky to address provider claim issues and inquiries. You will collaborate with enrollment, information management, benefits configuration, and processing teams to resolve questions efficiently. The role requires strong data analysis, organizational, and communication skills, along with proficiency in Microsoft Office. Prior experience in a managed care setting is preferred. #J-18808-Ljbffr Molina Healthcare
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Provider Claims Resolution Specialist in Fort Thomas, KY vacancy
- ...Humana is seeking a Claims Research & Resolution Representative 2 to manage claims operations from home. You will handle inbound calls, investigate... ...proficiency with multiple software systems. Training is provided and a stable remote position with growth opportunities is...SuggestedRemote work
Humana
Wyoming, OH19 hours ago - ...Claims Specialist/Senior Claims Specialist Mid-Continent Group is currently seeking a Claims... ...coverage and liability, and drive resolution strategies. Represent the company in... ...and business needs. Your recruiter will provide details about benefits and specific compensation...SuggestedFull timePart timeSeasonal work
Mid-Continent Group
Cincinnati, OH2 days ago $80k - $120k
## Senior Casualty Claim Representative/Claims Specialist-Specialty Human ServicesApplylocations: Cincinnati,... ...prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal... ...needs. Your recruiter will provide details about benefits and specific...SuggestedFull timePart timeSeasonal workRemote work- ## Senior Claims Specialist, Environmental ClaimsApplyremote type: Hybridlocations: OH-Cincinnatitime... ...development, negotiation, and final resolution.The ideal candidate brings deep... ...efficient, cost-effective resolution* Provide **negotiation directives** and authority...SuggestedLocal area
$17.5 - $22 per hour
Total Quality Logistics in Cincinnati is looking for a Claims Representative to manage cargo claims and enhance risk management efforts. This role demands strong attention to detail, excellent communication skills, and the ability to work independently. The successful...Suggested$40k - $52.3k
Become a part of our caring community The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact,... ...Humana values associate engagement and well-being. We also provide excellent professional development and continued education...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayShift work- ...Institution Services specializes in providing risk management and product... ...support and proactive claims handling. We are looking for a Property Claims Specialist to join our team! Great American... ...prioritize caseloads, ensuring timely resolution of claims. Excellent...Full timePart timeSeasonal workWork at officeLocal areaRemote work
- CareSource is seeking a Provider Contracting Analyst II to enhance provider reimbursement strategies through advanced data analysis, financial... ...and two years of experience in healthcare reimbursement or claims analysis. Proficiency in SQL and familiarity with business...Contract work
- ...including boats, personal watercraft, classic cars, and more. We provide specialty product solutions that cover what the competition... ..., Ohio. American Modern is seeking an experienced Liability Claims Specialist who is ready to take the next step in their claims career. In...Temporary workWork at office
- ...in other industries. Mid-Continent Group provides a broad selection of General Liability,... ...need for current or future sponsorship.The Claims Director provides leadership and... ...on strategy, preparation, budgeting, and resolution planning.Hold defense counsel accountable...Full timePart time
- ...Casualty Claims Specialist At First Chicago Insurance Company, our employees are our biggest asset! It is our mission to attract and retain... ...growth, and to keep those employees happy and engaged. We provide the tools and the support our employees need to grow both professionally...Full timeWork at office
- ...Senior Claims Representative Mid-Continent Group, a subsidiary of Great American, based... ...other industries. Mid-Continent Group provides a broad selection of General Liability,... ...Develop and execute effective claim resolution, settlement, and reserving strategies within...Work at officeRemote work3 days per week
Mid-Continent Group
Cincinnati, OH3 days ago - ...or future sponsorship.The P&C Corporate Claims Division consists of over 100 professionals... ..., Claims Support Services, Claims Resolution Services and Legacy Claims. Great American... ...and business needs. Your recruiter will provide details about benefits and specific compensation...Full timePart timeWork experience placementSeasonal workWork at officeRemote work
$119.5k - $199.1k
...Middle Market insurance experience (e.g., underwriting, claims, or insurance related business development... ...service focus is a must. Collaborative team player who provides creative solutions and ideas for resolution. Desired Skills And Abilities Bachelor’s Degree preferred...Flexible hours- ...Consulting in Cincinnati, OH, is looking for a Claims Representative/Sr. Claims Representative... ...of claims while ensuring timely resolutions and handling negotiations. This position... ...casualty claims. Competitive benefits are provided, along with opportunities for...Remote job
$20.33 per hour
...Legal Account Resolution Specialist / Legal Collector $2k Retention Bonus during your 1st year of Employment! Are you looking to start your... ...consumers, consumers' representatives and attorneys to provide status updates and request/supply additional information and...Work at officeLocal areaMonday to FridayAfternoon shift$110k - $140k
...or future sponsorship.The P&C Corporate Claims Division consists of over 100 professionals... ..., Claims Support Services, Claims Resolution Services and Legacy Claims.Great American... ...and business needs. Your recruiter will provide details about benefits and specific compensation...Full timePart timeSeasonal workWork at officeRemote work- ...Alternative Markets is looking for a Senior Claims Specialist/Claims Technical Director to join... ...strategic approaches to claim resolution.Responsible for analyzing and negotiating... ...budget and performance targets are met. Provides technical advice and support to lower-...Full timePart timeSeasonal workWork at officeRemote work
- ...Financial Institution Services specializes in providing risk management and product enhancement... ...and aircraft. We are looking for a Claims Representative/Senior Claims... ...and prioritize caseloads, ensuring timely resolution of claims. Strong interpersonal and communication...Full timePart timeSeasonal workWork at officeRemote work
$67.5k - $172.5k
...facilities)* Assign and justify internal risk ratings (e.g., PD/LGD) * Ensure consistency with policy and underwriting guidelines* Provide recommendations on deal structure, sizing, and terms to optimize risk-adjusted returns.PNC is an in-office company that fosters a supportive...Full timeTemporary workPart timeWork experience placementWork at office- ...results. We emphasize teamwork, collaboration - among underwriting, claims, and shared services teams - and continuous development of... ...by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during...Full timePart timeSeasonal workWork at officeRemote work
- ...years, Great American’s Specialty Human Services Division has provided insurance solutions to the human and social service marketplace... ...Division is seeking a Senior Underwriter or Underwriting Specialist to join its team. Job level and pay will be dependent on the successful...Full timePart timeSeasonal workWork at officeRemote work
$149.52k - $175.9k
...business relationships and retaining and expanding relationships with existing customers. Sustains profitability and growth of unit(s). Provides strategic direction and leadership to pursue objectives of unit(s). Creates and maintains cost-effective programs for unit(s)....Full timeWork experience placementWork at officeLocal areaRemote workFlexible hours3 days per week$20 - $27 per hour
...Claims Specialist We are seeking a compassionate, service-oriented Claims Specialist to join our team in Blue Ash, Ohio. In this role, you will serve as the primary point of contact for beneficiaries, funeral homes, and agents navigating the death claim process....Work experience placementWork at officeImmediate startPrideStaff
Cincinnati, OH2 days ago- ...Claims Representative Primary Duties and Responsibilities: General Electric Credit Union is a not-for-profit, member-owned... ...opportunities. Overview: The Claims Representative provides support to the claims team typically via administering incoming...Work at office
General Electric Credit Union
Cincinnati, OH5 days ago $25 - $45 per hour
...commercial refrigeration and foodservice repair. Responsibilities include diagnosing equipment issues, performing maintenance, and providing excellent customer service. The role offers competitive hourly compensation ranging from $25 to $45, along with comprehensive...Hourly payWeekly pay- ...'s adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from... ...activities of safety forces to ensure efficient and effective resolution of all emergency and non-emergency situations. Exercise sound...Full timeLocal areaLong distanceAll shiftsShift workNight shiftWeekend workAfternoon shift
$95k - $120k
...Company Details Berkley Mid-Atlantic Group (BMAG) is a property and casualty insurance provider serving the Mid-Atlantic. We are a member of W. R. Berkley Corporation, one of the largest commercial lines property casualty insurance holding companies in the United States...Full timeW. R. Berkley
Cincinnati, OH2 days ago- ...Core E&S Product Liability appetite and subsequently to determine appropriate limits, attachment point, pricing & terms that will provide Core Specialty with adequate underwriting profit on each risk. Key Accountabilities/Deliverables: Execution of Primary GL...Temporary workWork experience placementWork visaFlexible hours
Core specialty
Cincinnati, OH1 day ago $58k - $78k
...assessment of applicant's creditworthiness. Determines whether or not the proposed loan will conform to the Bank's lending policy. Provide feedback to the Sales and Credit teams, as appropriate, regarding the structure, underwriting, and management of loans. Maintain on...InternshipWork at officeLocal areaFirst Financial Bancorp
Cincinnati, OH4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Provider Claims Resolution Specialist. Be the first to apply!
