- Molina Healthcare (GA)
- …ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of ... focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.… more
- Zurich NA (Atlanta, GA)
- …Insurance industryOR + Bachelors Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance industryAND + ... in tool & product innovation efforts. This position will support Energy's efforts in customer service and profitable growth,...high level of authority on technically complex risks to support the energy underwriting community, acting as a referral… more
- Robert Half Legal (Atlanta, GA)
- …evaluate case merits and determine appropriate legal strategies. * Investigate claims by gathering evidence, interviewing witnesses, analyzing medical records, and ... persuasively for clients during trials, presenting strong arguments and evidence to support their cases. * Provide consistent communication and guidance to clients,… more
- Black & Veatch (Savannah, GA)
- …Our management is committed to the latest advances in technology, above class support and sustainability to bring our clients the best service in safety, quality, ... engineering.Responsible for moderately complex subcontract development and/or administration in support of proposal and/or project requirements within the Subcontracts… more
- WTW (Atlanta, GA)
- …evaluation and management, pricing and funding strategies, data analytics, valuation support , and legal compliance and governance strategies. We also provide ... management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy… more
- Molina Healthcare (GA)
- …DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include ... large and varied data sets, analyzing healthcare data for decision support , and communicating findings. Qualified candidates are the diligent problem solvers… more
- Walmart (Lithia Springs, GA)
- …issues Obtain necessary records Analyzes and reports the types of claims that may require settlement Partnership Collaboration Possesses knowledge of Stakeholder ... participants Utilizes the organizations training lifecycles and methodologies to support training initiatives Maintains repositories of benchmarks and best practices… more
- WEG Electric Corp. (Duluth, GA)
- …(CF28, 29, and Marking Notices) + Manage origin determinations and documentation to support USMCA and other Free Trade Agreements. + Audit import entries and ... to resolve discrepancies in import filings. + Prepare and submit claims forduty drawbackin accordance with CBP requirements. + Manage theReconciliationprocess for… more
- Molina Healthcare (Augusta, GA)
- …+ Assist with the identification and validation of data sources needed to support RADV audit cycles. + Support the generation of chart retrieval ... + Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with...: Comfortable navigating ambiguity and shifting project needs with support from the team. To all current Molina employees:… more
- Morley (Atlanta, GA)
- …and leverage your extensive auto tech experience in a work-from-home role at Morley? Support a domestic OEM brand by joining our award-winning group of more than 200 ... to equip you with the skills needed to effectively support field techs from your home office. + Benefit...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more