- Humana (Atlanta, GA)
- …operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with ... and regulatory compliance. + Oversee resolution of member enrollment issues, claim disputes, and other reconciliation needs, especially during the Annual Enrollment… more
- Jacobs (Atlanta, GA)
- …for completion within the approved contract time and price. * Implementing claim preventive actions by working with the contractor to proactively resolve issues. ... cause and responsibility, to defend against possible delay or acceleration claims . * Notifying contractor/Contracting Official of any performance or technical… more
- UNUM (Atlanta, GA)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits… more
- State of Georgia (Fulton County, GA)
- …the state of Georgia. In part, the ADR Division provides mediation services for claims throughout the state - holding over 2,000 mediations per year. Primary Duties ... workers' compensation disputes and the settlement of workers' compensation claims . Work as a mediator is key to moving...a mediator is key to moving an injured worker's claim towards a final resolution. Therefore, mediators must adhere… more
- CDM Smith (Columbus, GA)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Sedgwick (Atlanta, GA)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...to be accredited or qualified by experience + **Insurance claims experience:** it is imperative that you have experience… more
- Elevance Health (Atlanta, GA)
- …Specialist Lead** 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, claims audits, collections, overpayment vendor validation, and claims adjustments. **How you will make an impact:** + Audits… more
- Kemper (Alpharetta, GA)
- …you will be responsible for building rapport with customers. You handle claims involving unrepresented injured claimants, from start to finish. We are offering ... handle multiple vehicle accidents + In some instances, handle claims where claimant is injured and at fault party...have a minimum of 1 year of auto liability claims handling experience + Prior bodily injury experience a… more
- AIG (Atlanta, GA)
- …skills and experience as a valued member of the team. Make your mark in: Claims Operations and Legal Departments As a Senior Legal Processing Specialist in the ... Claims Operations and Legal Departments, you will be responsible...balancing legal research with data-driven reporting. + Support the Claims Operations and Legal teams with legal processing tasks… more
- The Hartford (Alpharetta, GA)
- …a seasoned technology leader to oversee the development and maintenance of our Claims application ecosystem. This role is pivotal in driving the modernization and ... operational excellence of our Claims systems, which are built on a modern tech...delivering high-quality, scalable, and secure solutions that support our Claims operations. This role will have a Hybrid work… more