- HNTB (Atlanta, GA)
- …Plans. On-site liaison to the client's legal department for resolution of claims , formal disputes and litigation. Capture lessons learned on policies, contractual ... of potential change orders, change orders, dispute resolution, and provide claims , formal dispute, and litigation support. + Performs administrative audits,… more
- Zurich NA (Atlanta, GA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ The role is both strategic and hands-on, integrating financial planning, claims analysis, forecasting, risk management, and cost optimization. + The Senior ... operating plan for the Emory Health Plan. + Translates trends in claims , utilization, and healthcare market shifts into actionable strategies that support… more
- HNTB (Savannah, GA)
- …of potential change orders, change orders, dispute resolution, and provide claims , formal dispute, and litigation support. + Performs administrative audits, ... Doctor Degree + 5 years Project management, contract drafting & negotiation, construction claims resolution or similar experience + In lieu of Juris Doctor Degree,… more
- Evolent (Atlanta, GA)
- …into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data.… more
- Carter's/OshKosh (Atlanta, GA)
- …and compliant employee data within Workday, and overseeing the unemployment claims process in coordination with a third-party administrator. This position supports ... inquiries through the Workday support queue and shared mailbox. **15%: Unemployment Claims Management** + Manage the unemployment process to minimize cost and risk… more
- USAA (Macon, GA)
- …trials, and mediations. + Provides legal advice to clients and P&C Claims team members. Develops, and implements legal strategy and ongoing budget projections ... to Claims Litigation, and clients, as appropriate on assigned cases....for trial. + Provides training to support staff, P&C Claims and Claims Litigation regarding changes in… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Sedgwick (Atlanta, GA)
- …combination of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In ... depth knowledge of claims management, managed care and/or absence management processes and...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Highmark Health (Atlanta, GA)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... problems. Provides research and technical support need to address complex claims and inquiries and/or when systems problems occur. Provides direction for… more