- 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. ... global supply chain management company serving Dunkin' franchisees. We support over 10,000 quick service restaurants in the US...applicable HR business partners to review current work / claim status of all open WC claims .… more
- AIG (Atlanta, GA)
- …of coverage, liability, and damages. Must document facts and maintain evidence to support claim resolution. + Comply with all statutory and regulatory ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...will create an impact The role of a Fast-Track Claim Adjuster is to investigate, evaluate and resolve first… more
- Molina Healthcare (Atlanta, GA)
- …Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role will focus on...guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen.… more
- AIG (Atlanta, GA)
- …of coverage, liability, and damages. Must document facts and maintain evidence to support claim resolution. + Comply with all statutory and regulatory ... Percentage (%): No Travel Relocation Provided: No Fast Track Claim Adjuster Who we are American International Group, Inc....investigate, evaluate and resolve first and third-party auto liability claims , minor injury claims and low complexity… more
- AIG (Atlanta, GA)
- …of coverage, liability and damages. Must document facts and maintain evidence to support claim resolution. * Comply with all statutory and regulatory ... investigate, evaluate and resolve Commercial General Liability and Auto Liability claims . Provides exceptional customer service and commitment to bring assigned… more
- AIG (Atlanta, GA)
- …and experience as a valued member of the team. Make your mark in Excess Casualty Claims Our Claims teams are the proven problem solvers of choice for clients, ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Elevance Health (Atlanta, GA)
- …CPB. + Experience in claims adjudication and application of NCCI editing and claims payment rules. + Ability to interpret claim edit rules and references. + ... week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured...Solid understanding of claims workflow including the interconnection with claim … more
- USAA (Atlanta, GA)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes… more
- Molina Healthcare (Macon, GA)
- …execute effective Payment Integrity strategies through both pre-payment and post payment claims reviews, aligning with industry and corporate standards as well as ... Clinician. This includes assessing medical documentation, itemized bills, and claims data to ensure appropriate payment levels, optimize resource utilization,… more
- IQVIA (Atlanta, GA)
- …responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should ... physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you… more