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Columbus, OH
... Investigates whether a claim maybe fraudulent, using industry standards. Contact claimants’ medical providers, or employers to get additional information on questionable claims. Confer with legal counsel on claims when needed. Negotiate settlements. ...
- Aug 20
Columbus, OH
... Maintain claim inventory in a face paced high volume work environment. Key Accomplishments Consistently Exceeded Claim Resolution Targets Successfully Negotiated Complex Liability Claims Led Cross-Functional Claim Reviews Contributed to the increase ...
- Aug 19
Columbus, OH
... WORK EXPERIENCE Lincoln Financial Group STD Claims Examiner II 10/2024–Current Secure and analyze claim documentation; make benefit decisions and payments on Short Term Disability claims in accordance with policy provisions and department guidelines ...
- Aug 15
Columbus, OH, 43215
... Experienced in handling attorney-represented claims, supporting litigation efforts, and navigating complex claim processes. Extensive workers’ compensation experience across Southeast states including Alabama (AL), Georgia (GA), Florida (FL), North ...
- Aug 11
Columbus, OH
... and collaborated with claimants for vocational solutions • Delivered consistent updates to stakeholders and ensured claim alignment with program policy EDUCATION & CREDENTIALS Master of Divinity, Methodist Theological School – Delaware, OH ...
- Aug 10
Columbus, OH
... Managed unstructured data using NoSQL databases like MongoDB and Cassandra, enabling efficient storage and retrieval of customer interactions, policy details, and claim histories. Leveraged Google Big Query and Redshift for high-performance data ...
- Aug 04
Columbus, OH
... SKILLS • Registration and Admissions • Document Review • Credential Verification • Medical Records Management • Provider Credentialing • Insurance Claim Processing • Proficient at Data Entry • Effective Written and Verbal Communication • Prior ...
- Jul 31
Columbus, OH
... Professional Experience Office Assistant AultComp MCO, Canton, OH Jun 2011 – Jan 2016 Gained comprehensive knowledge of Prognos Health System Verified correct tax identification and provider information for UB92 forms Scanned, copied, and organized ...
- Jul 30
Columbus, OH
... and other government agencies to ensure prompt payment for external customers ● Analyze, identify, determine, and initiate claim letters that demanded the reimbursement of duplicate and over payments from various external customers ● Converse with ...
- Jul 22
Westerville, OH
... Trainer, Group Trucks Operations The Looking Glass Experience, Center for Creative Leadership, San Diego, California Certified Examiner, Malcolm Baldrige National Quality Award - Greater Austin & State of Texas Certified Lean Implementation Leader, ...
- Jul 22