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Senior Claim Benefit Specialist
CVS Health
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Columbus, OH
... claim overpayments, underpayments and any other irregularities. - Performs claim rework calculations. - Makes outbound calls to obtain required information for claim or reconsideration. Required QualificationsRequired 2+ years of Medical claims ... - May 10
Claim Data Specialist OPS, Claim Lifeline
CVS Health
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Columbus, OH
... The Claim Lifeline Specialist will respond to Lifeline inquiries and handle real time member rework. The candidate selected should be able to effectively collaborate with Member Services and serve as a claim expert and will rework claims real time ... - May 09
Medicaid Claims Adjuster - remote
ReqRoute,Inc
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Columbus, OH, 43224
... claims processing Review and scrutinize claims and process claims into the computer system as per the provided DLPs /guidelines Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim ... - May 07
Part Time Pharmacy Technician
Equitas Health
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Columbus, OH
... The Pharmacy Technician receives and inputs prescriptions, prices, prepares, adjudicates, fills and processes the check-out and/or shipment of prescriptions, processes any insurance claims, prior authorization and patient assistance program ... - May 10
Pharmacy Technician
Equitas Health
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Columbus, OH
... The Pharmacy Technician receives and inputs prescriptions, prices, prepares, adjudicates, fills and processes the check-out and/or shipment of prescriptions, processes any insurance claims, prior authorization and patient assistance program ... - Apr 25
Claims Examiner - Workers Compensation
Experis
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Dublin, OH, 43017
... indemnity claims, monitoring reserve accuracy, and filing necessary documentation with state agencies. - Develop and manage action plans for workers' compensation claims to resolution, coordinate return-to-work efforts, and approve claim payments. ... - May 11
Outpatient Specialty Pharmacy Manager
Ohio State University
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Columbus, OH, 43201
... of medication therapy Communicates patient care concerns to the appropriate pharmacy clinical specialist or other health care provider Performs adjudication of insurance claims and coordination with secondary and tertiary payors Communicates with ... - May 09
Claims Representative
Fleet Response
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Hilliard, OH, 43026
... Fleet Response is currently seeking qualified candidates to work virtually or at our corporate office, for the following position: Claims Representative. A Claims Representative is responsible for the day to day operations of accident claim for ... - Apr 25
Independent Property Field Adjuster (Daily Claims)
RYZE Claim Solutions
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Blacklick, OH, 43004
... Essential Functions: Handles all assigned claims promptly and effectively, with minimal need for direction and oversight. Inspect damaged property and determine claim related damage. Makes decisions within delegated authority as outlined in company ... - Apr 13
Auto Claims Specialist
Installed Building Products
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Columbus, OH
... approach to claims handling. Roles & Responsibilities: Works directly with the auto claims team and will be responsible for administrative tasks, Assignments, and meeting strict deadlines. Maintain record-keeping, database, and claim files for ... - May 02