- Zurich NA (Atlanta, GA)
- Occupational Accident Claims Specialist 126744 Zurich is currently looking for an Occupational Accident Claims Specialist I to handle disability and ... As part of our team, you will manage a claims caseload of low to moderate complexity, interpret policy...area OR + Zurich Certified Insurance Apprentice including an Associate Degree and 2 or more years of experience… more
- Zurich NA (Atlanta, GA)
- General Liability Litigated Claims Specialist 126205 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... At Zurich North America, we are seeking a Litigated Claims Specialist to join our high-performing **Commercial...or InsuranceOR + Zurich Certified Insurance Apprentice, including an associate degree, with 3+ years of experience in Commercial… more
- Zurich NA (Atlanta, GA)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- CVS Health (Atlanta, GA)
- …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( ... and interpersonal skills. + Previous experience with DG system claims processing. **Education** + Associate 's degree or...with DG system claims processing. **Education** + Associate 's degree or equivalent experience (high school diploma or… more
- Molina Healthcare (Macon, GA)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- Molina Healthcare (Augusta, GA)
- …to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues ... **I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a managed… more
- Molina Healthcare (Atlanta, GA)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
- Elevance Health (Atlanta, GA)
- …Operations Recovery Specialist III** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... is granted as required by law The **Financial Operations Recovery Specialist III** is responsible for the discovery, validation, recovery, and adjustments… more
- MSC Industrial Supply Co. (Mableton, GA)
- …:** Atlanta, GA (Whse) **BRIEF POSITION SUMMARY:** The Sr. Global Safety Specialist directs and coordinates efforts of the safety and environmental programs in ... safety team mentoring, MVP Team, ES&H training, Workers Compensation support for claims and issues and return to work, Incident investigation and corrective action… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- SUMMARY: We are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this position, you will be responsible for a ... Translate patient information and alphanumeric medical code entries. Electronic "clean" claims submissions to Insurance Carriers. Collect, post, and manage patient… more