- Elevance Health (Atlanta, GA)
- …care management treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... policies and procedures. + Within the medical management role will collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources for more complex medical transplant… more
- Walmart (Atlanta, GA)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... identifying shrink and damages. * Maintaining a clean, sanitized, and member-ready area The above information has been designed to indicate the general nature and level of work performed in the role. It is not designed to contain or be interpreted as a… more
- AIG (Atlanta, GA)
- …Provides technical direction to management, less senior specialists, producers, and claims adjusting personnel. Communicate risk appetite and AIGRM Value Proposition ... to brokers. + Collaborate with Distribution, Territory Managers, and other line(s) of business underwriters to target desirable accounts and cross selling opportunities from brokers. + Rapidly evaluate, prioritize, and select submissions to be underwritten. +… more
- Molina Healthcare (Augusta, GA)
- …programming language + Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with data in spreadsheets ... or analytical platforms + Eagerness to learn, ask questions, and contribute to team problem-solving + Strong attention to detail and an interest in audit or regulatory workflows **Preferred Experience** + Internship or academic project experience related to… more
- Highmark Health (Atlanta, GA)
- …and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong education/training background ... in coding and reimbursement **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of… more
- Hyster-Yale Materials Handling (GA)
- …and PPAP, including dimensional validation and process capability studies + Manage OEM claims using structured problem-solving tools such as 8D, A3, and 5 Whys + ... Monitor internal process quality using SPC, PFMEA, and real-time dashboards + Research and evaluate new welding technologies and equipment for potential implementation + Provide training and mentorship to welding personnel to ensure skill development and… more
- BayCare Health System (Atlanta, GA)
- …Clinic, etc. + Performs special audits for specific issues within facility Inpatient claims . + Acts as the Liaison for coding issues with the BayCare Compliance ... Department while maintaining a database of all audits performed, action taken, outcome and resolution. + Provides feedback when coding changes are received and will serve as a resource for leadership within the facility HIM Coding departments. + Serves as a… more
- Bowman (Atlanta, GA)
- …and resolve any issues that may arise as it relates to disputes, or claims + Act as liaison between operations and many corporate accounting functions including but ... not limited to accounts payable, financials, timesheets, etc. + Assist with annual financial audit preparation as needed. **Success Metrics and Competencies** + Ability to work both independently and within a team environment. + Ability to effectively… more
- Lockheed Martin (Marietta, GA)
- …sustainment for Planning to support spares, modifications, repair, overhaul, warranty claims , and the Engineering labs\. * Requires direct interaction with ... Production leadership and other organizations regarding Planning related issues and concerns\. **What's In It For You:** * We offer flexible work schedules to comprehensive benefits investing in your future and security, Learn more about Lockheed Martin's… more
- Kemper (Alpharetta, GA)
- …understanding of data and business architecture, with P&C Insurance and Claims experience preferred. * Excellent communication skills across disciplines and ... comfortable presenting to executives and operational leaders. * Detail-oriented, collaborative, and business outcome focused. * Comfortable with ambiguity and change. **Location:** Hybrid in Chicago or fully remote (US only) **Note:** Sponsorship is not… more