- Molina Healthcare (Macon, GA)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Cardinal Health (Atlanta, GA)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Molina Healthcare (GA)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- CVS Health (Atlanta, GA)
- …and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all ... identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working… more
- Sedgwick (Atlanta, GA)
- …General Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Allied Universal (Macon, GA)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU… more
- AutoZone, Inc. (Atlanta, GA)
- …and communicate flawlessly with Merchandising and Vendors to successfully resolve claims and recover all vendor funding dollars due AutoZone. **Responsibilities** ... include but not limited to the following: assist with onboarding; research claims to ensure accuracy and consistency with internal guidelines and processes; provide… more
- Robert Half Legal (Atlanta, GA)
- …companies and small businesses, typical duties will include investigating claims , developing defense strategies, negotiating settlements, and litigating cases in ... court. + Investigate claims : This may involve reviewing police reports, medical records,...evidence to determine the validity and extent of the claim . + Develop defense strategies: The attorney will analyze… more
- The Hartford (Alpharetta, GA)
- …to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused initial and ongoing Long ... Term Disability benefit determinations using vocational, medical, and financial claim management. The Senior Ability Analyst supports our mission of helping our… more
- Elevance Health (Atlanta, GA)
- …Specialist III** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claim audits, collections, overpayment vendor validation, and ...**How you will make an impact:** + Audits paid claims for overpayments using various techniques including systems-based queries,… more