- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
- Sedgwick (Atlanta, GA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- CVS Health (Atlanta, GA)
- … claim or reconsideration. **Required Qualifications** + 2+ years of medical claim processing experience. + Previous experience in a production environment. + ... competently, accurately and efficiently. **Preferred Qualifications** + Self funded medical claim processing experience. + DG system knowledge. + Associate's… more
- CVS Health (Atlanta, GA)
- …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG system ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Axis (Alpharetta, GA)
- …determine coverage, liability, and settlement value. + Leading initiatives to enhance claims processing efficiency and accuracy within the team. + Collaborating ... Claims Specialist - Cyber, Media, and Crime Claims for its North America Claim Team....and directing the development of training materials relevant to claims processing . + Show a commitment to… more
- The Coca-Cola Company (Atlanta, GA)
- …safe and empowered, lets you bring your best self to work. **Skills** Insurance Claims Processing ; Microsoft Office; Communication; Claims Processing ; ... The Risk Claims Consultant is an integral part of the...vendors. **What You'll Do for Us:** + **Manage Insurance Claim Process** + Conduct initial analysis to determine applicable… more
- Sedgwick (Atlanta, GA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Axis (Alpharetta, GA)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals ... payments, ensuring these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches and reporting Ensure… more
- Molina Healthcare (Macon, GA)
- …Contracted Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility ... from start to finish of the claim disputes to include intake, processing , decisioning,...IPA. + 2 years supervisory/management experience with appeals/grievance and/or claims processing within a managed care setting.… more
- Sedgwick (Atlanta, GA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more