- Elevance Health (Atlanta, GA)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- HNTB (Atlanta, GA)
- …Plans. On-site liaison to the client's legal department for resolution of claims , formal disputes and litigation. Capture lessons learned on policies, contractual ... of potential change orders, change orders, dispute resolution, and provide claims , formal dispute, and litigation support. + Performs administrative audits,… more
- CDM Smith (Macon, GA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...documentation to determine the validity and value of disaster-related claims . This may involve reviewing income statements, balance sheets,… more
- Zurich NA (Atlanta, GA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ The role is both strategic and hands-on, integrating financial planning, claims analysis, forecasting, risk management, and cost optimization. + The Senior ... operating plan for the Emory Health Plan. + Translates trends in claims , utilization, and healthcare market shifts into actionable strategies that support… more
- HNTB (Savannah, GA)
- …of potential change orders, change orders, dispute resolution, and provide claims , formal dispute, and litigation support. + Performs administrative audits, ... Doctor Degree + 5 years Project management, contract drafting & negotiation, construction claims resolution or similar experience + In lieu of Juris Doctor Degree,… more
- Travelers Insurance Company (Alpharetta, GA)
- …Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to ... Accountants Professional Liability (APL) and Real Estate Professional Liability (RPL) claims and litigation against various types of accounting and real estate… more
- Sedgwick (Atlanta, GA)
- …General Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Evolent (Atlanta, GA)
- …into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data.… more
- AIG (Atlanta, GA)
- …investigate, evaluate and resolve Commercial General Liability and Auto Liability claims . Provides exceptional customer service and commitment to bring assigned ... plans based upon the applicable law, coverage and supporting evidence. Assigned claims typically consists of medium to moderate complex litigated and non-litigated… more