Claims Specialist Jobs in Groveport, OH

Drive impactful data mining initiatives by analyzing complex claims across Medicare, Medicaid, and Commercial sectors. Leverage your expertise to identify anomalies and enhance recovery opportunities...

Engage healthcare providers and drive commercial performance in a defined territory. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative therapi...

Join the charge in managing complex litigated claims, guiding strategy, and negotiating settlements. Leverage your expertise to achieve timely resolutions while balancing costs and exposure in a dynam...

Drive the claims module for health care projects, providing domain expertise and analysis. Collaborate with teams to ensure quality processes, meet customer expectations, and assist in implementation...

Drive impactful projects by collaborating across teams to enhance operational efficiency and deliver innovative solutions. Leverage your expertise to influence strategic decisions and contribute to a...

Drive revenue operations excellence by leading clean-claim workflows, overseeing claim accuracy, and enhancing cross-functional collaboration. Partner with various departments to ensure timely billing...

Champion innovative risk adjustment solutions by leveraging deep expertise to enhance payer and provider strategies. Collaborate with cross-functional teams to deliver impactful presentations and driv...

Lead the charge in case management by overseeing complex pharmacy reimbursement processes, ensuring timely completion of cases, and advocating for patients while collaborating with healthcare provider...

Transform enterprise learning by leading a team to design impactful solutions. Drive employee development, align training with business goals, and optimize learning technologies for enhanced performan...

Elevate your career by analyzing complex litigation claims, ensuring timely resolutions, and delivering exceptional client service in a dynamic, supportive environment. Join a global leader committed...

Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...

Lead complex construction claims, managing high-exposure cases end-to-end. Drive strategy, coordinate investigations, and collaborate with legal teams to achieve timely resolutions. Enjoy autonomy and...

Join a dynamic team as a Medical Claims Auditor, ensuring compliance and integrity in healthcare payments. Collaborate with cross-functional teams to identify fraud, waste, and abuse while leveraging...

Drive the substantiation of health claims for dietary supplements by reviewing scientific evidence and collaborating with cross-functional teams to ensure compliance with regulatory standards and enha...

Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...

Transform the payments landscape by ensuring compliance and mitigating risk. As a key player, you'll review merchant applications, analyze transactions, and enhance fraud detection systems, all while...

Unlock your potential as a key investigator, analyzing complex fraud cases and leveraging data to protect assets. Collaborate with teams and external partners to dismantle fraudulent networks while en...

Help us drive impactful reserving strategies by leveraging actuarial expertise and analytical skills. Collaborate with management and partners to execute projects that enhance business goals through e...

Lead the charge in managing high-exposure General Liability claims, developing strategies for resolution, and collaborating with clients and legal teams to deliver exceptional service in a dynamic, su...

Elevate operational excellence by leading claims operations, ensuring compliance and efficiency while driving process improvements and team development. Collaborate across functions to meet client com...

Unlock potential by navigating complex transportation claims with expertise, ensuring resolution while collaborating with clients, attorneys, and medical providers to uphold regulatory standards in a...

Join our dynamic Finance/Accounting team as a Billing Supervisor, overseeing a team of Billing Coordinators. You'll ensure efficient billing practices while providing support and guidance, all within...

Join a dedicated team providing exceptional claims support, investigating complex property damages, negotiating settlements, and utilizing advanced technology for efficient resolutions to ensure custo...

Help us shape compensation strategies that attract and retain top talent. As a Senior Compensation Partner, you'll collaborate with leaders to navigate complex compensation challenges and enhance our...

Transform complex insurance challenges into tailored solutions while leading a dynamic analytics team, driving policy enhancements, and optimizing risk management strategies for a diverse client base...