- Carter's/OshKosh (Atlanta, GA)
- …and compliant employee data within Workday, and overseeing the unemployment claims process in coordination with a third-party administrator. This position supports ... inquiries through the Workday support queue and shared mailbox. **15%: Unemployment Claims Management** + Manage the unemployment process to minimize cost and risk… more
- USAA (Macon, GA)
- …trials, and mediations. + Provides legal advice to clients and P&C Claims team members. Develops, and implements legal strategy and ongoing budget projections ... to Claims Litigation, and clients, as appropriate on assigned cases....for trial. + Provides training to support staff, P&C Claims and Claims Litigation regarding changes in… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Sedgwick (Atlanta, GA)
- …combination of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In ... depth knowledge of claims management, managed care and/or absence management processes and...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Sedgwick (Atlanta, GA)
- …issues and answer questions + . Accurately and efficiently enters new housing claims into the system. + Monitors inbound email for claim questions, approvals, and ... completed and partial stays + Audit hotel folios and related claims for billing accuracy, compliance, and documentation **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- Highmark Health (Atlanta, GA)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... problems. Provides research and technical support need to address complex claims and inquiries and/or when systems problems occur. Provides direction for… more
- AON (Alpharetta, GA)
- …questions, and handling complaints for Debt Cancellation programs + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation ... inbound calls, top-notch experience based on client parameters. + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation… more
- Canon USA & Affiliates (Atlanta, GA)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... expertise, and reviewing study/test-plan design. Influence regulatory specifications and claims strategy by providing clinical consultation during early phase… more
- Molina Healthcare (Augusta, GA)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- Lowe's (Suwanee, GA)
- …Maintain continuous dialogue with the third-party logistics partner to address and resolve claims (customer and cargo), updates Lowe's claims portal + Process ... resolution + Working alerts and queues + Inputting customer claims into the claim portal system + Responsible to...dialogue with 3PL vendor partner(s) to address and resolve claims and complaints received involving In Home Customer Delivery… more