- Molina Healthcare (Macon, GA)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage… more
- GuideOne Insurance (Atlanta, GA)
- As a Commercial Casualty Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...coverage and reservation of rights letters. + Maintains effective claim file documentation and diary system. Monitor diary to… more
- Molina Healthcare (Macon, GA)
- … claims adjusting and customer services experience Experience in QNXT, Salesforce, Claims Viewer, Claim Shark, PEGA, Cotiviti, ECHO, CEMs Edifecs **PHYSICAL ... Description** **Job Summary** Responsible for work load assignment to the provider Claims adjudicators and senior provider claims adjudicators. Train and coach… more
- Zurich NA (Atlanta, GA)
- Legal Claims Professional - Financial Lines 126698 Zurich is currently looking for multiple Legal Claims Professionals for our growing Management Solutions group ... to work out of any of our Claims offices throughout the US. If you are ready...rights and coverage denial letters + Notify Underwriter of claim issues + Draft case summary reports in connection… more
- Zurich NA (Atlanta, GA)
- Commercial Auto Claims Manager 126571 Zurich is currently looking for an Auto Claims Manager to work out of any of our larger Claims Offices in the United ... leader who willlead and direct a team of technical Claims Professionals in low to high-exposure claims ...in analyzing coverage, liability, and damages for commercial casualty claim + Experience in oversight in handling and managing… more
- Elevance Health (Atlanta, GA)
- … Claims Train data, CAST Train data; CAST Lights On mgmt., E2E claim lifecycle Vetting; FICR; MGCT# Post adjudication; CPEC- Claims Payment Extract and ... **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to...as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health's National… more
- AIG (Atlanta, GA)
- Join us as a Property Claims Analyst to take on key responsibilities within a world-class claims function. This is a claims examiner role on the Commercial ... lines property adjusters interested in expanding their capabilities into commercial claims or for experienced commercial property adjusters/examiners. Make your mark… more
- AIG (Atlanta, GA)
- …the way we help customers to manage risk. Join us as NA Inland Marine Claims Team Lead to play your part in that transformation. It's an opportunity to grow ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...experts in the field and a dedicated team of claim professionals, helping our insureds manage and mitigate their… more
- Zurich NA (Atlanta, GA)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- AIG (Atlanta, GA)
- Casualty Coverage and Mass Tort Senior Claims Adjuster At AIG, we are reimagining the way we help customers to manage risk. Join us as a Casualty Coverage and Mass ... Tort Senior Claims Adjuster to play your part in that transformation....our insureds + Formulate and execute strategies for favorable claim resolution; negotiate with insureds and third parties. +… more