- CDM Smith (Macon, GA)
- …and Evidence Gathering: Collect and organize all necessary documentation to support claim amounts. This includes gathering invoices, receipts, contracts, ... Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related… more
- Sedgwick (Atlanta, GA)
- …accuracy and integrity of the hotel billing process while providing critical support for housing placement operations during after-hours. This role is essential to ... maintaining Sedgwick's 24/7/365 housing support model by auditing, troubleshooting, and facilitating timely resolutions...and partial stays. + Audit hotel folios and related claims for billing accuracy, compliance, and documentation. + Investigate… more
- Molina Healthcare (Augusta, GA)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis...to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partner with… more
- Delta Air Lines, Inc. (Atlanta, GA)
- …are three insurance placement colleagues including the Director and seven aviation claims colleagues). The ideal candidate will have 15+ years of experience in ... & Officers, Workers Compensation risk financing, Property/Cargo,etc. Additionally, all insured claims (except Work Comp) flow through the insurance team primarily to… more
- Allied Universal (Augusta, GA)
- …files associated with the program + Assist with the workers' compensation claims management by issuing and obtaining claim paperwork, collecting statements, ... programs, company discounts, perks, and more. Allied Universal(R) is hiring a Branch Support Specialist. The Branch Support Specialist is responsible for being… more
- CCMS & Associates (Dalton, GA)
- … from leading insurance carriers. + Competitive fee schedules and flexible workload. + Support from a dedicated claims management team. + Opportunity to work ... costs, and delivering high-quality appraisals for auto and heavy equipment claims . Job Responsibilities: + Conduct field inspections and appraisals of automobiles,… more
- Molina Healthcare (Atlanta, GA)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partners with Network to… more
- Sedgwick (Atlanta, GA)
- …based criteria; to provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through training and ... implementation of medical best practices; and to provide client facing support when needed for additional services supporting Human Resources with ADAAA and FMLA … more
- Delta Air Lines, Inc. (Atlanta, GA)
- …Office suite of products, andSAP. + Ability to use Insurance Carrier/TPA data and claims managementsystems to analyze claim data. + Understanding of technical ... and Leave Programs. + Responsible for the oversight of claims management andcommunication with employees, managers, attorneys, and Third-PartyAdministrator (TPA).… more
- Travelers Insurance Company (Atlanta, GA)
- …team to develop, evaluate, and utilize advanced loss analytic tools such as claim level reserve models. + Provide support to the Actuarial Pricing ... will be responsible for the reserving analysis and related support for the Financial Institutions business unit, serving banks,...will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate… more