- CVS Health (Atlanta, GA)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- Axis (Alpharetta, GA)
- …Team** AXIS is hiring a Senior Claims Specialist - Cyber, Media, and Crime Claims for its North America Claim Team. This role involves managing primary and ... excess claims for AXIS Global Markets Cyber policies. **How does...contribute to our collective success?** The individual will manage claims by investigating, analyzing, and evaluating coverage liability for… more
- Axis (Alpharetta, GA)
- …Documents coverage, investigation, damages, reserve rationale, negotiations, etc. associated with claim * Investigates potentially fraudulent claims and takes ... Hills, NJ and Alpharetta, GA. * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim… more
- AIG (Atlanta, GA)
- Join us as a Claims Analyst IV to grow your experience in Claims . Make your mark in AL/GL Claims Our Claims teams are the proven problem solvers of ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Sedgwick (Atlanta, GA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...events, claims and legal actions. + Negotiates claim settlement up to designated authority level. + Calculates… more
- The Coca-Cola Company (Atlanta, GA)
- The Risk Claims Consultant is an integral part of the Risk Management Claims Team participating in management and resolution of claims for all lines of ... will operate within a multi-functional team focusing on insurance procurement, claims and litigation management, data management and governance. This individual will… more
- AIG (Atlanta, GA)
- … by investigating and gathering information to determine the exposure on the claim ; ensure proactive claims handling aimed at the prompt and cost-effective ... + Strong technical expertise interpreting insurance contracts. + In depth knowledge of claim handling procedures, claims performance strategies, and claim … more
- CVS Health (Atlanta, GA)
- …day. **Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and ... staff for review. -Organized and prioritizes work to meet regulatory and claim turn-around times -Promotes communication, both internally and externally to enhance… more
- Axis (Alpharetta, GA)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals ... necessary Obtain relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising Prepare coverage positions to be reviewed… more
- Sedgwick (Atlanta, GA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...of claims for our clients. + Manages claim recoveries, including but not limited to: subrogation, Second… more