- CVS Health (Atlanta, GA)
- …day. **Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and ... staff for review. -Organized and prioritizes work to meet regulatory and claim turn-around times -Promotes communication, both internally and externally to enhance… 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 ... Inland Marine, Boiler & Machinery, Builders Risk, Reinsurance, and Captive Programs is preferred . + Multinational claim handling is a plus. + Ability to… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your part in that transformation. It's an ... will create an impact Full Time US-based employment, the Claims Law Firm Analyst shall be responsible...equivalent combination of experience; insurance or financial services industry preferred . + Minimum 5 years prior experience working with… more
- AIG (Atlanta, GA)
- …requirements for Workers' Compensation + Specialist knowledge of Workers' Compensation technical claims topics is preferred . + At least some experience in ... Join us as a Claims Adjuster to grow your experience in handling complex claims . Make your mark in Claims Our Claims teams are the proven problem solvers… more
- Molina Healthcare (Atlanta, GA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Marketplace is required. + Medical coding experience is highly preferred . **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination… more
- Molina Healthcare (Augusta, GA)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements + Communicate… more
- Molina Healthcare (Atlanta, GA)
- …background in payment integrity-either at a health plan or vendor-is strongly preferred . **Knowledge/Skills/Abilities** + Review Medicaid COB claims for correct ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims … more
- Molina Healthcare (GA)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Elevance Health (Atlanta, GA)
- **Actuarial Analyst III** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The **Actuarial Analyst III** completes very diverse and complicated projects and...Make An Impact:** + Analyze and monitor weekly incurred claims , paid claims , pharmacy, lab results, and… more
- Elevance Health (Atlanta, GA)
- …invoices. + Performs claim and trend analysis, validation and recovery of claims payment errors. **Minimum Requirements:** + Requires a BA/BS and a minimum of ... **Recovery Audit Analyst I** **Location:** _Hybrid1:_ This role requires associates...is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible… more