- 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
- Humana (Atlanta, GA)
- …pre-payment, high dollar claims to assess payment accuracy and identify potential claim payment risks. The Claims Risk Management Professional is expected to ... for payment release, conducting focused claim studies, and performing duplicate claim detection through the DHA Duplicate Claims System (DCS). + Research… 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
- USAA (Savannah, 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
- Sedgwick (Atlanta, GA)
- …ensure accurate and sufficient information is received by employees and providers to support the claim request and documents decision rationale. + Completes ... of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for… more
- Molina Healthcare (Macon, GA)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with ... is required. **Job Duties** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which… more
- CDM Smith (Savannah, 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
- Waystar (Atlanta, GA)
- …client support and technical teams to deliver accurate, timely claim edit/authorization rule configurations. * Studying healthcare industry standards and staying ... The goal of the position is to ensure implementation clients exceed clean claim targets and report high satisfaction with Waystar edit processes and content. This… more
- Lowe's (Rincon, GA)
- **Your Impact at Lowe's** As a Bulk Distribution Center Support Specialist, you'll work on-site in our Bulk Distribution Center (BDC) offices, serving as a point of ... of orders, and proactive resolution of issues. **How We Support You** As an industry leader, we invest in...Centers (BDC). Your day involves reviewing calls, emails, and claims , providing status updates, processing special orders, and monitoring… more
- Molina Healthcare (Augusta, GA)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution ... agencies to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate… more