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Agentic AI/ML Engineer
The Hartford Financial Services Group, Inc.
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Clinton Township, OH, 43224
Develop and test AI/ ML solutions for multiple use cases spanning underwriting, claims, operations, and/or corporate functions. Collaborate with Data Science Practitioners, LOB IT leads, EA, Data, and AI architects to develop solutions and integrate ... - Feb 05
Manager Software Engineering - Quality
Charlotte Staffing
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Clinton Township, OH, 43224
... The Manager with quality focus for Claims and Reinsurance plays a critical leadership role in elevating engineering discipline and software quality across the Claims IT landscape. This role leads Quality Engineering practices, coaches SDETs and ... - Feb 03
Manager Software Engineering - Quality
The Hartford
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Columbus, OH, 43216
... The Manager with quality focus for Claims and Reinsurance plays a critical leadership role in elevating engineering discipline and software quality across the Claims IT landscape. This role leads Quality Engineering practices, coaches SDETs and ... - Feb 04
Corporate General Counsel
DLZ
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Columbus, OH, 43216
... * Evaluate major litigation and claims; define strategic defense with executives and outside counsel and approve settlements where appropriate. Represent DLZ in relevant forums as needed. * Oversee the company's internal legal function and ... - Feb 05
Representative, Pharmacy
Columbus Staffing
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Clinton Township, OH, 43224
Pharmacy Call Center Representative Provides customer service support for inbound/outbound pharmacy calls from members, ... Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to ... - Feb 05
Medical Review Nurse (RN)
Columbus Staffing
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Clinton Township, OH, 43224
... Job Duties Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate ... - Feb 05
Virtual Assistant
Del Toro Insurance
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Columbus, OH
... proposals, and basic reports as directed Verify policy information and ensure compliance with company procedures Process claims support documentation and follow up on claim status Perform general administrative tasks such as filing, organizing ... - Jan 19
Optometry Claims Coordinator 2
Ohio State University
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Clinton Township, OH, 43224
Optometry Claims Coordinator 2 Department:Optometry Main Clinic. The Claims Coordinator is responsible for accurate and timely claims processing, effective management of patient accounts, ensuring accurate data collection within the OSU College of ... - Feb 04
Payer Relations Representative
Columbus Staffing
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Clinton Township, OH, 43224
... The Payer Relations Representative serves as a key liaison between pharmacies, payer organizations - specifically Pharmacy Benefit Managers ("PBMs"), and internal teams to ensure accurate and timely payments of our clients' pharmaceutical claims. ... - Feb 02
Dental Treatment Coordinator
Lower Lights Health
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Columbus, OH, 43222
... Key duties include verifying patient insurance, submitting and managing insurance claims, handling appeals, obtaining prior authorizations for procedures, confirming appointments, maintaining the appointment schedule, managing internal and external ... - Feb 03