21 Results for

Claims Specialist Jobs in Cleveland, OH

Jobs

Cleveland, OH18 days ago

They 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. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.

Cleveland, OH18 days ago

Conduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. We realize the strength of teamwork and its ability to join individuals together and push and pull each other, with a synergy that can only be found in groups of good people sharing ideas.

Richfield, Ohio16 days ago

Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds. Working aged receivable reports; identify errors and work claims, calling insurance companies if necessary and posting adjustments and payments as well.

Twinsburg, OH16 days ago

Effectively communicates and responds to inquiries by client staff, co-workers, and other party representatives • Analyzes and problem-solves when faced with obstacles . The Billing Specialist facilitates the Richter policies and procedures to ensure accurate and timey billing of the collection process of client revenue.

Cleveland, OH30+ days ago

Under the direction of the Revenue Cycle Supervisor - Coding the Physician Coding Specialist II monitors and analyzes unresolved third party accounts for multi-specialty group practices. Maintains patient/physician confidentiality at all times and maintains effective communication and professional interaction with patients and physicians.

Cleveland, OH28 days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

BEREA, OH30+ days ago

The ideal candidate will be an energetic professional interested in helping our agency grow through value-based conversations and remarkable customer experience. Your sales experience equips you to continually grow your income as you provide the needed security for times of distress and vulnerability.

Mentor, OH30+ days ago

Crossroads Health, a 501(c)(3) non-profit organization with facilities located in Mentor, Painesville, and Cleveland, serves Northeast Ohio communities with comprehensive behavioral and primary integrated healthcare, early childhood services, extended housing and recovery services—no matter one's ability to pay. It includes establishing clients and/or updating demographic information on the billing system, verifying all aspects of a client's payment arrangements, recording payments, and expediting the collection of payments and resolution of past due accounts.

Akron, OH30+ days ago

Remote

The Clinical Support Specialist (Northeast Region) has a central role in communicating with our patients through phone, chat, or email to provide timely assistance on issues that could arise in a patient's care journey, from issues including appointment scheduling, locating pharmacies to fill prescriptions to technology support issues. We've grown our clinical staff of medical providers caring for patients, across 32 states, and we employ a large ancillary staff for support with technologic and administrative needs, clinical and behavioral support, and care coordination.

Tallmadge, Ohio30+ days ago

Your primary responsibility is to ensure a positive total customer experience while originating consumer loans, completing loan applications, developing strong customer relationships and meeting sales goals. Company-wide, we participate in various philanthropic efforts such as volunteer opportunities, food drives and back to school drives as well as an annual fund raiser for St. Jude Children's Research Hospital.

Cleveland, Ohio16 days ago

Join Allied Universal as an Unarmed Patrol Officer in a dynamic healthcare location, where you will monitor and patrol assigned areas, remain visible to help reduce security-related incidents, and support patients, visitors, and staff with outstanding customer service and communication. Provide customer service to patients, visitors, and staff by carrying out security-related procedures, location-specific policies, and/or emergency response activities within a healthcare location.

Akron, OH30+ days ago

Key responsibilities include conducting inspections and tests on raw materials, in-process products, and finished goods, maintaining detailed records of quality checks, and identifying areas for improvement. By focusing on these areas, a Quality Control Specialist can help ensure that dietary supplements are safe, effective, and of high quality, thereby protecting consumer health and maintaining regulatory compliance.

Avon Lake, OH30+ days ago

Full-time

This individual will be responsible for prioritizing and focusing on the specific objectives that impact warehouse initiatives including: Frontline support to hold 3PW partners accountable to KPIs and contracted SLAs: measure and report out monthly; facilitate root cause and corrective actions. This role must have a full understanding of warehouse processes including: all operations that occur at the Avient Corporate warehouses; the SAP transactions used to perform warehouse functions; and ability to troubleshoot issues that occur in the system.

MENTOR, OH30+ days ago

Completes On-Shelf Availability (OSA) end-to-end process including warehouse and direct store delivery (DSD) for planogrammed departments, executing disposals, call-ins, and vendor returns before expiration, completes scan outs/ scan outs returns on all subscribed departments including vendor/ DSD departments and pharmacy scan outs. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).

Cleveland, OH30+ days ago

In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing. • Expert Testimony and Litigation Support: In cases of disputes or litigation, Specialist may be required to present their findings in court, provide expert testimony, and assist attorneys in building their cases.

Cleveland, OH30+ days ago

$145,766–$175,760 Per Year

The role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.

Cleveland, OH30+ days ago

$145,766–$175,760 Per Year

Cleveland, Ohio30+ days ago

Medium-to-Advanced level understanding of business processes of a variety of areas in the company including finance, operations, underwriting, sales, claims, and actuarial to develop a deep understanding of the workflow and the relevant data to produce insights for the larger organization. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.

Cleveland, OH30+ days ago

$91,200–$152,000 Per Year

These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._. DUTIES AND RESPONSIBILITIES. + Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).

Willoughby, OH19 days ago

Adjacent medical office building provides easy access to primary care physicians and a broad range of specialists including neurology, GI, cardiology, general surgery, orthopedics, plastics, hand, facial trauma, ENT, ophthalmology, dental, and ankle trauma. Join the nation's largest physician-owned group, US Acute Care Solutions, where you'll gain ownership stake, access top-tier continuing education, and work alongside committed colleagues in an environment focused on outstanding patient care.

Willoughby, OH19 days ago

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Claims Specialist Jobs in Cleveland, OH

Jobs

Casualty Claims SpecialistFirst Chicago Insurance Company (FCIC)

Litigation SpecialistFirst Chicago Insurance Company (FCIC)

AR Follow Up Specialist360care

SNF/LTC - Medicare Billing SpecialistRichter

Physician Coding Specialist II HybridUniversity Hospitals

Reporting SpecialistMaximus

Life Insurance SpecialistRyan Devins - State Farm Agency

Billing SpecialistCrossroads Health

Clinical Support Specialist - Northeast RegionBicycle Health

Sr. Consumer Loan Specialist - Sales Customer ServiceRepublic Finance, LLC

Security Officer Hospital Patrol SpecialistAllied Universal

Quality Control SpecialistJetpack Shipping

Corporate Warehousing Analytics SpecialistAvient Corporation

Inventory SpecialistWalgreens

FEMA Disaster Management AccountantCDM Smith

Examiner Nurse PractitionerLoyal Source

Examiner Physician AssistantLoyal Source

Data Engineer IIIAmTrust Financial Services, Inc.

Provider Contracting Director - Cleveland, OH market - Cigna HealthcareThe Cigna Group

Emergency Medicine PhysicianUS Acute Care Solutions

Emergency Medicine Nocturnist PhysicianUS Acute Care Solutions

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