- CenterWell (Savannah, GA)
- …filing system updated for multiple procedures/processes. . Assists with pharmacy claims adjudication including calling insurances to assess and correct pharmacy ... claims rejections if appropriate. . Other duties as assigned and modified at manager's discretion. **Use your skills to make an impact** **Required Qualifications:**… more
- Mass Markets (GA)
- …and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Amentum (Atlanta, GA)
- …appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with ... defense sectors.** + Deep knowledge of insurance products, risk financing, claims management, and enterprise risk practices. + Strong negotiation, communication, and… more
- Axis (Alpharetta, GA)
- …Casualty book. They will proactively engage with Reserving, Risk Management, Finance, Claims , and Data & Analytics colleagues to achieve desired business outcomes ... assessing the impact of these on the account's profile and emerging claims experience. + Maintain the feedback loop of information and analyses between… more
- Humana (Atlanta, GA)
- …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access, PowerPoint) + Working knowledge of SQL + Familiarity with EDI X12 formats… more
- Molina Healthcare (Savannah, GA)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
- Sedgwick (Atlanta, GA)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Zurich NA (Atlanta, GA)
- …Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s of business and the legal… more
- AIG (Atlanta, GA)
- GenAI Product Manager with Claims ExperienceBe part of something groundbreakingAt AIG, we are making long-term investments in a brand-new, innovative Generative AI ... What we are looking for + Master's in business administration preferred + Claims or Insurance background is preferred + Gen AI experience preferred + Minimum… more
- Molina Healthcare (GA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. * Identifies issues, resolves problems… more