- Robert Half Legal (Atlanta, GA)
- …liability disputes * Manage products liability cases and motor vehicle accidents claims * Provide legal advice on insurance coverage matters * Develop effective ... defense strategies and represent clients in court * Coordinate with other team members to ensure effective case management * Maintain up-to-date knowledge of relevant legal and industry developments * Communicate effectively with clients, keeping them informed… more
- Robert Half Legal (Atlanta, GA)
- …evaluate case merits and determine appropriate legal strategies. * Investigate claims by gathering evidence, interviewing witnesses, analyzing medical records, and ... consulting with experts. * Develop and execute tailored legal strategies to meet the specific needs and objectives of each client. * Draft and review legal documents, including pleadings, motions, and discovery requests. * Negotiate effectively with insurance… more
- CVS Health (Atlanta, GA)
- …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... for clinical and legal review. - Documents all appropriate case activity in case tracking system. - Prepares and presents referrals, both internal and external, in the required timeframe. - Facilitates the recovery of company lost as a result of fraud matters.… more
- ADP (Alpharetta, GA)
- …to support client benefits administration, resolve eligiblity, vendor invoicing and claims issues. + Coordinates with back office the audits, reconciliation and ... other processes that govern the regular deliverables such as vendor invoices, QA, transaction processing + Provides service support related to the administration of health - welfare benefit programs to the client and internal business partners - service team… more
- Elevance Health (Atlanta, GA)
- …rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires BA/BS in a health ... related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure is required… more
- Walmart (Alpharetta, GA)
- …area in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... identifying shrink and damages. Operates hardware such as cash registers or related equipment, processes member purchases, and assists in payments, returns, refunds, and exchanges using appropriate procedures for different membership and payment types.… more
- Elevance Health (Columbus, GA)
- …process improvement, project coordination in a high-volume managed care operation ( claims , customer service, enrollment and billing); or any combination of education ... and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** + Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly preferred. + Experience in… more
- Lowe's (Sandy Springs, GA)
- …all administrative tasks related to Worker's Compensation, General Liability, and Auto Claims . To be successful, the individual in this role must be organized ... and able to balance many administrative tasks throughout the day. The Scheduling and Staffing Administrator works closely with the Store Manager, Assistant Store Managers and Human Resources to support administrative duties and allow these roles to focus on… more
- Elevance Health (Atlanta, GA)
- …the market + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... deviations and anomalies. + Creates and publishes periodic reports, as well as any necessary ad hoc reports. + Establishes, improves, and optimizes the consolidating processes for forecast and month-end results. + Consolidates and prepares executive summary… more
- Black & Veatch (Savannah, GA)
- …+ Participates in the resolution/processing of backcharges and claims , as needed **Management Responsibilities** Individual Contributor **Minimum Qualifications** ... All applicants must be able to complete pre-employment onboarding requirements (if selected) which may include any/all of the following: criminal/civil background check, drug screen, and motor vehicle records search, in compliance with any applicable laws and… more