- Sedgwick (Atlanta, GA)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Atlanta, GA)
- …level of expertise. This role will be responsible for analyzing and processing **complex commercial trucking transportation claims ** by reviewing coverage, ... of damages. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Processes complex commercial trucking claims , including bodily injury, and ensures claim files are… more
- Sedgwick (Atlanta, GA)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... and specific client service requirements. **ESSENTIAL RESPONSIBILITIES** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Molina Healthcare (Augusta, GA)
- …member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. * ... Job Summary Respond to inbound calls to provides support for provider claims adjudication activities including responding to providers to address claim … more
- Axis (Alpharetta, GA)
- …to resolve complex or contentious claims . Leading initiatives to enhance claims processing efficiency and accuracy within the team. Providing expert opinions ... is hiring a Claims Specialist, Health Care Claims , for its North America Claim Team....and directing the development of training materials relevant to claims processing . Show a commitment to continuous… more
- Molina Healthcare (Augusta, GA)
- …role is involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Assists in the reviews of state or ... **Job Summary** Respond to inbound calls to provides support for provider claims adjudication activities including responding to providers to address claim … more
- The Hartford (Alpharetta, GA)
- …is hiring an AVP leading Generative and Agentic AI solutions for the Claims and Operations organizations. This leader will play a pivotal role in transforming ... the end-to-end Claims and Service customer journey by developing and embedding...and interactive solutions with a toolkit including Natural Language Processing , Computer Vision, Machine Learning, Generative AI and Agentic… more
- Humana (Atlanta, GA)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that involve… more
- Elevance Health (Columbus, GA)
- **Title: Claims Representative I (Health & Dental) - FEP** **Columbus, GA** **Location:** This role enables associates to work virtually full-time, with the ... 1/12/2026** **Hours:** **8 AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Sedgwick (Atlanta, GA)
- …from an accredited college or university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner. Familiar with CPT, ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of Network bills that do… more
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