- AON (Alpharetta, GA)
- …questions, and handling complaints for Debt Cancellation programs + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation ... inbound calls, top-notch experience based on client parameters. + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation… more
- Canon USA & Affiliates (Atlanta, GA)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... expertise, and reviewing study/test-plan design. Influence regulatory specifications and claims strategy by providing clinical consultation during early phase… more
- Molina Healthcare (Augusta, GA)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- Robert Half Legal (Atlanta, GA)
- …that focuses on sophisticated legal matters such as aviation-related claims , motor carrier liability, premises defense, professional liability, pharmacy malpractice, ... This Role Could Be Your Flight to Success: ✅ Take ownership of smaller claims while learning from experienced colleagues on larger, complex cases. ✅ Gain hands-on… more
- Zurich NA (Atlanta, GA)
- …Diploma or Equivalent and 10 or more years of experience in the Claims , Underwriting support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich approved Apprenticeship… more
- Molina Healthcare (Columbus, GA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... 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
- Elevance Health (Atlanta, GA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Zurich NA (Atlanta, GA)
- …Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate ... and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of Microsoft...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Prime Therapeutics (Atlanta, GA)
- …experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to ... strong client relations + Implementation experience + Thorough understanding of pharmaceutical claims data and general understanding of medical claims data;… more