- AIG (Atlanta, GA)
- Join us as a Claims Analyst IV to grow your...and account issues. + Maintain and manage a diary system to efficiently manage and resolve assigned claim ... efficiency. How you will create an impact The Casualty Claims Analyst IV is responsible for investigating,...follow up to complete timely and accurate reserves and claim resolution. + Prompt contact and follow up to… more
- CVS Health (Atlanta, GA)
- …day. **Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and ... redirects misdirects -Responsible for prepping the authorization in the system and triage cases to medical staff for review. -Organized and prioritizes work to meet… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst IV - General Aviation to play your part in that transformation. It's ... possess the technical expertise to adjust aircraft physical damage claims . The Claims Analyst IV...solve. + Developed computer proficiency with an aptitude for claims systems . + Self-motivated, ability to manage… more
- Axis (Alpharetta, GA)
- …in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the performance, oversight, and ongoing ... improvement of Claims support activities performed within our North America ...following a formal governance framework. + Troubleshooting task errors, system issues, and other issues raised within the North… more
- Axis (Alpharetta, GA)
- …is available upon request for candidates taking part in the selection process. ** Claims Business Analyst ** **How does this role contribute to our collective ... success?** We are seeking a Claims Business Analyst to join our Business...claims operations. + 5+ years of experience with Claims Admin systems , preferably Duck Creek or… more
- Molina Healthcare (Atlanta, GA)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations,… more
- Prime Therapeutics (Atlanta, GA)
- …or Resource Manager to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across ... every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations...system requirements analysis experience + Experience in Prime claims systems + Must be eligible to… more
- Molina Healthcare (Atlanta, GA)
- …and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims … more
- Elevance Health (Atlanta, GA)
- **Rating/ Claims Systems Implementation Advisor** **Location:** Norfolk, VA; Atlanta, GA (preferred). This role requires associates to be in-office 1 - 2 days per ... not eligible for current or future visa sponsorship._ The **Rating/ Claims Systems Implementation Advisor** will have expert-level...field of study and a minimum of 6 years systems analyst or business analyst … more
- Highmark Health (Atlanta, GA)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more