- GuideOne Insurance (Atlanta, GA)
- … Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without ... 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
- Elevance Health (Atlanta, GA)
- …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... / revenue cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring compliance with… more
- AIG (Atlanta, GA)
- …objectives while managing cross-functional teams. What you need to know Knowledge of Claims Processing : Success in this role requires a deep understanding of ... Claims IT Platform Director - GenAI Be part of something...to be a key part of that transformation. As a Claims IT Platform Director - GenAI you will have the… more
- AIG (Atlanta, GA)
- …Law Firms with an annual spend of less than $500K for Insurance Claims processing and adjudication commodities. This shall include; + Negotiate commercial ... customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your part in...valued member of the team. Make Your Mark In Claims Our Claims teams are the proven… more
- Prime Therapeutics (Atlanta, GA)
- …or submit claims and adjustments as required. + Implementation and maintenance of claims processing programs and procedures + Verify that claims are ... our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims … more
- Elevance Health (Atlanta, GA)
- …The role requires a candidate with a strong understanding of data analysis, claims processing , and audit processes associated with healthcare payment models. ... **Rating/ Claims Systems Implementation Advisor** **Location:** Norfolk, VA; Atlanta,...not eligible for current or future visa sponsorship._ The **Rating/ Claims Systems Implementation Advisor** will have expert-level experience in… more
- AIG (Atlanta, GA)
- …delivery roadmaps that align with enterprise technology strategy and business objectives. Knowledge of Claims Processing is nice to have but not mandatory : An ... Assistant Vice President, Claims IT Platform Engineer- GenAI Who we are...understanding of Claims processes, systems, and pain points, paired with the… more
- AIG (Atlanta, GA)
- …your mark in: Claims Operations and Legal Departments As a Senior Legal Processing Specialist in the Claims Operations and Legal Departments, you will be ... and is comfortable balancing legal research with data-driven reporting. + Support the Claims Operations and Legal teams with legal processing tasks and… more
- NDCP (Duluth, GA)
- …for all WC-related claims management, including proactive management of WC claims to accelerate claim closure, mitigate risks, and manage financial exposure. ... ensure the timely delivery of medical treatment and the processing of claim payments. + Grant reserve...applicable HR business partners to review current work / claim status of all open WC claims .… more
- Molina Healthcare (Atlanta, GA)
- …teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more