- USAA (Atlanta, GA)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... framework, investigate, evaluate, negotiate, and settle complex property insurance claims . You will confirm/analyze coverage, recognize liability exposure and… more
- CDM Smith (Macon, GA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- IQVIA (Atlanta, GA)
- …responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should ... employee. **Job Responsibilities:** + Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation… more
- PruittHealth (Norcross, GA)
- …and verification of required third party documentation for all Medicare bad debt claims on an annual cost reporting basis. Calculation of allowable Medicare bad debt ... claims based on third party documentation in accordance with...paid, adjusted, and/or denied Medicare Part A coinsurance crossover claim on each remittance advice. 3. Adjust and/or correct… more
- CCMS & Associates (Dalton, GA)
- …costs, and delivering high-quality appraisals for auto and heavy equipment claims . Job Responsibilities: + Conduct field inspections and appraisals of automobiles, ... with adjusters, insurers, and repair facilities to ensure seamless claims processing. + Maintain professional, customer-focused interactions with policyholders and… more
- Molina Healthcare (Augusta, GA)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Delta Air Lines, Inc. (Atlanta, GA)
- …are three insurance placement colleagues including the Director and seven aviation claims colleagues). The ideal candidate will have 15+ years of experience in ... & Officers, Workers Compensation risk financing, Property/Cargo,etc. Additionally, all insured claims (except Work Comp) flow through the insurance team primarily to… more
- Sedgwick (Atlanta, GA)
- …resolve issues and answer questions. + Accurately and efficiently enters new housing claims into the system. + Monitors inbound email for claim questions, ... for completed and partial stays + Audit hotel folios and related claims for billing accuracy, compliance, and documentation + Verifies and maintains accurate… more
- Delta Air Lines, Inc. (Atlanta, GA)
- …Office suite of products, andSAP. + Ability to use Insurance Carrier/TPA data and claims managementsystems to analyze claim data. + Understanding of technical ... and Leave Programs. + Responsible for the oversight of claims management andcommunication with employees, managers, attorneys, and Third-PartyAdministrator (TPA).… more
- Sedgwick (Atlanta, GA)
- …Atlanta **PRIMARY PURPOSE** **:** To investigate and adjust property and casualty claims , both residential and commercial, with little to no supervision. **ESSENTIAL ... FUNCTIONS and RESPONSIBILITIES** + Inspects claims and contacts involved parties in a timely manner....parties in a timely manner. + Investigates circumstances of claim (s) as required for coverage determination, cause, and compensable… more