Claims Professional I Jobs in Ohio

Life Underwriter','1500027S','!*!Job Summary  Develops a knowledge base of company operations, duties and responsibilities of a Life underwriter. This Includes significant self-study and training of prescribed course material as well as actual ..

... indispensable. The Senior Financial Analytics Professional ensures Humana's profitability and financial ... seeking a Senior Financial Analytics Professional that will be primarily responsible ... Employer Group Segment. The Analytics..

Description The Pharmacy Claim Professional 2 conducts reviews on pharmacy ... 2 conducts reviews on pharmacy claims to assess for recoveries. The ... for recoveries. The Pharmacy Claim Professional 2..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

Description The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly ..

Description This Actuarial Analyst 2 role on the Specialty Benefits team will take ownership of our Dental and Vision commercial group (100 lives) renewal reporting and the dental trend analysis. This ..

Description The Concierge Broker Professional 2 investigates, analyzes, and develops ... specific problems related to systems, claims, networks, providers, eligibility, billing, collections, ... team participation The Concierge Broker Professional 2..

Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..