Claims Analyst Jobs in Columbus, OH

The Audit & Reimbursement III position involves conducting limited and full desk reviews on complex provider cost reports, including teaching and organ acquisition hospitals. The role requires plannin...

The Clinical Provider Auditor II is responsible for identifying potential risks associated with fraud and abuse in medical claims. This role involves examining claims for compliance, conducting analys...

The Audit & Reimbursement Senior will coordinate audit and reimbursement activities for Medicare contracts, ensuring compliance with CMS regulations. This role involves performing complex audits, eval...

The Senior Claims Representative - Legal is responsible for managing and negotiating claims, particularly those involving litigation. This role includes collaborating with outside counsel, analyzing c...

The role involves serving as a Business Analyst specializing in Guidewire ClaimCenter, focusing on the implementation, design, and configuration of the application within the Property & Casualty Insur...

The Clinical Validation Auditor III will utilize expert clinical knowledge to audit inpatient medical records, ensuring the accuracy of DRG code assignments. This fully remote position involves docume...

The Loss Control Consultant for Commercial Insurance will conduct on-site surveys and provide risk evaluation reports to insurance clients. This role requires extensive experience in commercial Proper...

The Workers' Compensation Claims Coordinator will act as the subject matter expert for Stantec's Workers' Compensation programs, guiding injured employees through the claims process and assisting in t...

The Senior Liability Adjuster is responsible for investigating, evaluating, and negotiating Auto and General Liability claims while providing exceptional customer service. This role involves analyzing...

The Underwriting Associate Manager oversees a team of Underwriting Associates responsible for managing the underwriting life cycle and achieving business results for a renewal book of business. This r...

The SIU Senior Investigator is responsible for leading complex investigations into suspected insurance fraud, collaborating with various stakeholders to develop and execute investigation strategies. T...

The Technology Analyst will partner with business leaders to understand their needs and translate them into solution requirements, utilizing strong analytical and facilitation skills. This role involv...

The Health Payer Enrollment and Billing Functional Expert will serve as a subject matter expert in payer enrollment, billing, and financial processes, collaborating with clients to enhance operational...

The Guidewire Claimcenter Configuration Lead is responsible for designing, developing, and configuring solutions within the Guidewire ClaimCenter application. This role requires collaboration with cli...

The Solutions Architect is responsible for designing, developing, and overseeing the implementation of integrated systems across multiple platforms. This role involves providing technical leadership...

The Contracts Analyst II will support the negotiation, development, and administration of capital project contracts related to campus energy systems at The Ohio State University. This role involves co...

The Sr Analyst, Config Info Mgmt- QNXT is responsible for the accurate implementation and maintenance of critical information on claims databases. This role involves synchronizing data among operation...

The Health Payer Government Programs Operations Consultant/Manager is responsible for managing day-to-day operations of government health payer programs, ensuring compliance with regulatory standards...

The Business Data Analyst III is responsible for helping clients implement data systems to achieve their business goals and providing recommendations for new data layouts. This role involves extractin...

The Sr Business Analyst analyzes complex business problems using data from various sources to provide insights for decision-making. This role involves collaborating with clients to tailor analyses and...

The Sr Data Analyst is responsible for designing and implementing processes for data mining, analysis, and modeling to support informed business decisions. This role involves collaborating with variou...

The Financial Analyst - Product Finance at McKesson will provide financial analysis to assist management in strategic planning and profitability for CoverMyMeds' Access products. This role involves re...

The Director of Construction Claims Services will lead a team in delivering claims consulting services for public and private sector projects across the East Coast of the USA. This role involves clien...

The Actuarial Consultant will support the Annuity Pricing team at Nationwide, focusing on fixed and indexed products. This role involves performing sophisticated actuarial analyses, leading pricing an...

The Audit Senior Manager is responsible for managing multiple audit engagements, building client relationships, and overseeing the development and supervision of team members. This role requires techn...