NewCasualty Claims Specialist First Chicago Insurance CompanyCasualty Claims SpecialistCleveland, OHThey 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. The Casualty Claims Specialist will have the following duties and responsibilities: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
Casualty Claims Specialist First Chicago Insurance Company (FCIC)Casualty Claims SpecialistCleveland, OHFull timeThey 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.
NewClaims Specialist - Professional Liability Philadelphia Insurance CompaniesClaims Specialist - Professional LiabilityBeachwood, OH$95,000–$105,000 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
NewClaims Investigative Specialist Allstate Insurance CompanyClaims Investigative SpecialistOHRemote$50,000–$74,350 / yearAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Property Claims Specialist Field Western Reserve GroupProperty Claims Specialist FieldAvon, OhioEstimates losses directly or working with consultants, independent adjusters and other experts to assess building, personal property, business income, heavy equipment, and other damages that can include losses which may range from moderate to large loss levels. The position requires the individual to apply common sense, understanding, reasoning and sound educated judgement coupled with sound Claims training and experience to properly evaluate and analyze claims for recommended action within assigned authority levels.
Cleveland - WC Claims Specialist - PN: 20068905, 20068930, 20068979 & 20069000 Highland County Joint Township District HospitalCleveland - WC Claims Specialist - PN: 20068905, 20068930, 20068979 & 20069000Cleveland, OHFor applicant support and additional information about employment with the State of Ohio, return to Careers. Ohio.
Claims Administrative Support Specialist The Progressive CorpClaims Administrative Support SpecialistHighland Heights, OH$19–$21 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable.
Appeals Specialist EverStaffAppeals SpecialistMiddleburg Heights, OH$19.50–$21 / hourStrong knowledge of the managed care industry, including payer structures, administrative processes, and government payers (e.g., Medicare/Medicaid). The ideal candidate is highly organized, knowledgeable in medical billing and payer requirements, and skilled in analyzing claims and preparing effective appeals.
NewMedical Biller/Software Support Specialist Area TempsMedical Biller/Software Support SpecialistHudson, OHRather than processing claims all day, you'll help clients successfully navigate and utilize industry-leading billing software while solving problems and providing exceptional customer support. This is an exciting opportunity to join a growing company that develops, sells, and supports innovative medical billing software used by healthcare organizations nationwide.
HR Benefits and Leave Management Specialist Quadax Careers & CultureHR Benefits and Leave Management SpecialistMiddleburg Heights, OhioThis role supports employees by providing guidance on benefit eligibility, enrollment, claims, and leave processes, ensuring compliance with applicable laws and internal policies. Purpose: The HR Benefits & Leave Management Specialist is responsible for administering the company’s benefit plans and managing all employee leaves of absence.
SNF/LTC - Medicare Billing Specialist RichterSNF/LTC - Medicare Billing SpecialistTwinsburg, OHFull timeEffectively 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.
NewBenefit Verification Specialist Kellis Eye & Laser Center (KELC)Benefit Verification SpecialistChardon, OhioFull timeVerifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs. Team player that develops strong collaborative working relationships with internal partners and can effectively engage and ability to build consensus among cross-functional teams.
NewPharmacy Prior Authorization Specialist Onco360Pharmacy Prior Authorization SpecialistCleveland, OhioWhat You’ll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests. Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds.
NewLitigation Specialist First Chicago Insurance Company (FCIC)Litigation SpecialistCleveland, OHConduct 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.
Billing Specialist- Insurance payment poster Midwest Vision PartnersBilling Specialist- Insurance payment posterBrecksville, OHFull timeAs a Billing Specialist- Insurance Payment Poster , you will be responsible for overseeing the billing process for customers, patients, and Midwest Vision Partners platforms. This role performs a variety of accounting, customer service, and organizational tasks to support the overall financial health of the organization.
NewMedical Billing Specialist - Westlake Achievement Centers for ChildrenMedical Billing Specialist - WestlakeWestlake, OHThis role is ideal for someone who enjoys detail-oriented work, understands healthcare billing processes, and can balance professionalism with empathy when addressing billing questions. Achievement Centers for Children is a Cleveland, Ohio based nonprofit that is nationally recognized for helping children with disabilities and their families achieve and thrive.
NewLitigation Specialist First Chicago Insurance CompanyLitigation SpecialistCleveland, OHConduct 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.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Cleveland, OHRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Product Development Specialist Philadelphia Insurance CompaniesProduct Development SpecialistBeachwood, OH$76,700–$85,700 / yearYou'll develop new products and strengthen existing offerings by drafting and updating coverage forms, endorsements, and rate/rule pages - making sure our products are clear, competitive, and compliant. Superior interpersonal, communication, and time management skills and ability to develop and foster relationships with key internal and external stakeholders and contribute in a dynamic, fast-paced environment and effectively deliver on multiple priority matters.
Senior Acquisition Specialist (Remote) GCC Technologies LLCSenior Acquisition Specialist (Remote)Cleveland, OHRemoteLeasing and Specialized experience requirements: Be familiar with Real Property Leasing, utilities contracts, sharing of space and other non-medical agreements (selling/sharing agreements, revokable licenses, interagency agreements), and hotel services for Veterans using procedures outlined in the FAR, VAAR, General Services Acquisition Manual (GSAM), General Services Acquisition Regulation (GSAR), public laws, and agency policy. Unless otherwise approved by the VA any SCS (who meets the 5 years' general experience requirement) who will be specializing in construction/AE requirements must also have the following experience: (1) 3 years of experience in developing AE solicitations and administrating AE contracts and modifications; (2) 3 years of experience developing construction solicitations and administering construction contracts and modifications.
Senior Quality Specialist CVS Health CorpSenior Quality SpecialistWork At Home-Ohio, OH$18.50–$38.82 / hourActs as an advocate and subject matter expert guiding the business by serving as a quality champion through measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations and programs to consistently drive optimal results.
Insurance Specialist - Prior Authorization (Remote) - Eastern Time zone MeduitInsurance Specialist - Prior Authorization (Remote) - Eastern Time zoneOhioRemoteboth in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for servicesâ¯. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.
Safety Specialist Towne Park LtdSafety SpecialistCleveland, OH$70,000–$80,000 / yearSupports and tracks district lot audit programs to ensure operational compliance and safe vehicle handling practices, including verification that vehicles are parked correctly, secured appropriately, and keys are handled according to company procedures. Coordinates new hire safety onboarding and field training in partnership with operations and training leaders by assigning, monitoring, documenting, and validating all required training activities prior to associates working independently.
Medical Coding Specialist Ensemble Health PartnersMedical Coding SpecialistOHRemote$20.45–$24.70 / hourRemain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. We are seeking candidates with experience in multiple pro-fee specialties: Hem/Onc, Interventional Radiology, CVTS, Ortho, Podiatry, Wound Care, Rad/ONC, General Surgery, Allergy and ENT, OBGYN, Radiology and Urology.
SNF/LTC - Commercial Billing Specialist RichterSNF/LTC - Commercial Billing SpecialistTwinsburg, OHFull timeCompletes billing and collection efforts for all assigned payer types, including but not limited to generating clean claims, document billing, and collection activity, performing account analysis and problem-solving, and denials management. Identifies and escalates issues regarding tracking worksheets, at-risk accounts, incorrect database errors, communication, and payers to direct supervisor.
Pharmacy Benefits Specialist II - Medicare SummaCare IncPharmacy Benefits Specialist II - MedicareAkron, OH$21.11–$31.66 / hourBasic Life and Accidental Death & Dismemberment (AD&D) Supplemental Life and AD&D Dependent Life Insurance Short-Term and Long-Term Disability Accident Insurance, Hospital Indemnity, and Critical Illness Retirement Savings Plan Flexible Spending Accounts - Healthcare and Dependent Care Employee Assistance Program (EAP) Identity Theft Protection Pet Insurance Education Assistance Daily Pay. SummaCare is a part of Summa Health, an integrated healthcare delivery system that includes Summa Health System hospitals, its community-based health centers, dedicated clinicians and SummaCare.
Pharmacy Benefits Specialist III SummaCare IncPharmacy Benefits Specialist IIIAkron, OH$25.54–$38.32 / hourSupports new benefit design, benefit build, testing, and implementation of market competitive, cost effective, quality-based drug benefits which meet applicable federal and state regulatory requirements. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2026 by the Centers for Medicare and Medicaid Services (CMS).
Billing Specialist 838031 StiversBilling Specialist 838031Mayfield Heights, OHAs a Medical Billing Specialist, youll be responsible for managing insurance verification, submitting claims, following up on unpaid accounts, and handling denial appeals. If you're ready to start a rewarding career as a Medical Billing Specialist in Mayfield Heights, apply today or contact our recruiting team to learn more.
HR Benefits and Leave Management Specialist Quadax, Inc.HR Benefits and Leave Management SpecialistMiddleburg Heights, OH$70,000–$80,000 / yearPart timeThis role supports employees by providing guidance on benefit eligibility, enrollment, claims, and leave processes, ensuring compliance with applicable laws and internal policies. Purpose: The HR Benefits & Leave Management Specialist is responsible for administering the company’s benefit plans and managing all employee leaves of absence.
HEALTH SYSTEM SPECIALIST United States ArmyHEALTH SYSTEM SPECIALISTCleveland, OH$69,373–$90,190 / yearKnowledge of the mission, organization, programs, and requirements of AGR Medical Department (AMEDD) to provide guidance and assistance on a variety of health care policies/programs, such as military treatment facility, admission policies and facility resources/programs, medical evaluation/physical profile board procedures, alcohol and drug rehabilitation policies/programs, line of duty investigation procedures, TRICARE, etc. If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires that you be registered or you are not eligible for appointment in this agency (https://www.sss.gov/RegVer/wfRegistration.aspx).
NewLogistics Specialist FormerraLogistics SpecialistCleveland, OhioFormerra leads in the market with the following key capabilities: Problem-solving mindset, based on ingenuity and backed by a skilled and experienced commercial team that brings differentiated insights across markets including healthcare, consumer, industrial and mobility. The Logistics Specialist will be responsible for tracking performance of KPI metrics versus targeted service levels, reporting on any gaps to plan, and highlighting opportunities for improvement.
Collections Specialist- Evernorth- Remote The Cigna GroupCollections Specialist- Evernorth- RemoteOHRemote$17.75–$26 / hourThese 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. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
NewInsurance Specialist Quadax, Inc.Insurance SpecialistMiddleburg Heights, OHPart timeCall payers and patients as needed to resolve claim rejections, challenge processing decisions, and verify insurance coverage. Follow up on claim status via insurance portals or calls to payers to determine adjudication and details.
Hybrid Intake Specialist (Berea, OH or Fairlawn, OH) OhioGuidestoneHybrid Intake Specialist (Berea, OH or Fairlawn, OH)Berea, OH1+ years' experience working with children, youth and families in a healthcare setting performing similar responsibilities preferred. Effective interpersonal skills; able to interact professionally and courteously with clients, agency personnel, vendors, authorities and other organizations.
Estate Specialist Weltman Weinberg & Reis Co LPAEstate SpecialistOH$18.29–$22.04 / hourResponsibilities/Duties/Functions/Tasks: Mails letters to consumers' representatives to notify and encourage payment of outstanding balances. Under general supervision, the Estate Specialist attempts to locate consumers' representatives, and/or consumers assets.
NewPayer Relations Specialist Akron Children's HospitalPayer Relations SpecialistAkron, OHThe role focuses on day-to-day relationship management, issue tracking and escalation, payer communication, and performance monitoring to support patient access, accurate reimbursement, and contract compliance. The Payer Relations Specialist supports managed care operations by serving as the primary operational liaison between Akron Children'sand assigned third-party payers.
Pre Access Specialist Akron Children's HospitalPre Access SpecialistAkron, OHResponsibilities: Manage Epic work queues and reports for Pre-Access tasks; to make outbound calls or send communications to patients and/or responsibility parties to collect information to update Epic and/or share information within required timeframes, etc. Collaborate with Patient Access team members, clinical departments, case management, utilization review, and clinical teams to gather necessary information and expedite services when needed.
Medical Billing Specialist - IMCFMC SummaCare IncMedical Billing Specialist - IMCFMCAkron, OH$18.31–$21.97 / hourExceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. Summary: Responsible for all aspects of billing including submitting all charges for services rendered, reconciling all entries, identifying and correcting all errors.
Customer Service Specialist Allstate Insurance Agency - Scott TatroCustomer Service SpecialistAkron, OHAllstate Insurance Agency - Scott Tatro has been serving the Akron, Ohio community for over 30 years, providing reliable insurance solutions tailored to our clients' needs. Our customers love us for our personalized service and commitment to their peace of mind, while our employees appreciate the supportive environment and opportunities for professional growth.
Benefits Specialist FlexjetBenefits SpecialistCleveland, OHThey act as a liaison between the company, employees, and benefits vendors, ensuring employees understand their benefits options and that the organization complies with legal and regulatory requirements. Manage day-to-day operations of employee benefits programs, including health, dental, vision, retirement plans, life insurance, be able to answer simple leave related questions.
Leave Management Specialist I (Temporary Assignment) Medical MutualLeave Management Specialist I (Temporary Assignment)Cleveland, OhioAs the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. About Medical Mutual: Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors.
Installer Service Specialist O'Reilly Automotive IncInstaller Service SpecialistEastlake, OH$11–$17 / hourQuickly and accurately takes customer orders over the phone and online, invoice customer orders, direct efforts to accurately pick and stage parts for delivery, and route delivery specialists to ensure customers receive their orders in a consistent and timely manner. If you require a reasonable accommodation during the application or employment process, please send an email to: rar@oreillyauto.com or call (800) 471-7431 option 1, and provide your requested accommodation, and position details.
Client Relations Specialist Event SourceClient Relations SpecialistCleveland, OHWorking independently from Sales and Operations, the CRS oversees post-event reconciliation, including verifying returns, reviewing damage claims, applying Rental Assurance (RA) rules, and finalizing invoices. Education & Requirements High School Diploma or equivalent required; Associate or Bachelor’s degree in Business, Accounting, or related field preferred.
Acquisition Specialist (Junior) Remote GCC Technologies LLCAcquisition Specialist (Junior) RemoteCleveland, OHRemoteGCC Technologies, founded in 1997 with headquarters in Oakland, Maryland, is a fast growing service-disabled Veteran owned Small Business and HUBZone company with an outstanding record of performance providing more effective and efficient acquisition, business process, administrative and security services to multiple federal agencies. The U.S. Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Regional Procurement Office - Central (RPO-C) Network Contracting Office 16 has a need for Contract Support Services to assist with various procurement requirements.
Intermediate Acquisition Specialist (Remote) GCC Technologies LLCIntermediate Acquisition Specialist (Remote)Cleveland, OHRemoteGCC Technologies, founded in 1997 with headquarters in Oakland, Maryland, is a fast growing service-disabled Veteran owned Small Business and HUBZone company with an outstanding record of performance providing more effective and efficient acquisition, business process, administrative and security services to multiple federal agencies. The U.S. Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Regional Procurement Office - Central (RPO-C) Network Contracting Office 16 has a need for Contract Support Services to assist with various procurement requirements.
NewPharmacist(Clinical Specialist) U.S. Department of Veterans AffairsPharmacist(Clinical Specialist)Cleveland, OH$146,071–$189,895 / yearThis includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; performing physical assessments; and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. Graduates of foreign pharmacy degree programs meet the educational requirement if the graduate is able to provide proof of achieving the Foreign Pharmacy Graduate Examination Commission (FPGEC) Certification, which includes passing the Foreign Pharmacy Graduate Equivalency Examination (FPGEE) and the Test of English as a Foreign Language Internet-Based Test (TOEFL iBT).
Sr. Consumer Loan Specialist - Sales Customer Service Republic Finance LLCSr. Consumer Loan Specialist - Sales Customer ServiceTallmadge, OHYour 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.
Customer Care and Service Specialist EverStaffCustomer Care and Service SpecialistCuyahoga Falls, OH$18–$20 / hourThis individual will serve as a key point of contact for customers, service providers, installers, and internal teams to ensure a seamless customer experience from equipment order through installation, service, and ongoing support. Position Requirements1-2 years of customer service, customer support, call center, service coordination, or related experience preferred.
Purchasing Specialist - experienced (Aerospace) Parker Hannifin CorpPurchasing Specialist - experienced (Aerospace)ELYRIA, OHWorking with some of the most brilliant minds in the industry, your contributions will be pivotal in developing innovative technologies and products, significantly contributing to Parkers goal of addressing the worlds most pressing engineering challenges. Monitors and evaluates suppliers ability to meet all company and government or commercial procurement requirements and ensures that the pertinent technical and quality issues receive adequate attention in order to assure compliance.
Consumer & Life Sciences Regulatory Specialist Palmer Holland IncConsumer & Life Sciences Regulatory SpecialistWestlake, OHInstead, the position focuses on supporting commercial teams, supply chain operations, and customers by maintaining high-quality product compliance across a diverse, multi-supplier portfolio. This position sits at the intersection of product data integrity, regulatory compliance, and product stewardship, ensuring that product information, regulatory classifications, and compliance processes are accurate, scalable, and aligned with evolving domestic and international regulations.