- CRC Insurance Services, Inc. (GA)
- …determine if loss is covered. If questionable, then hire attorney for coverage counsel for coverage analysis. 2. Settle claims within settlement authority, where ... 1. High School Diploma 2. College degree or equivalent work experience 3. Claims Adjuster's license 4. Good organizational/time management skills 5. Ability to… more
- Travelers Insurance Company (Atlanta, GA)
- …Practices. Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management . Promptly manage ... by obtaining and reviewing appropriate records and damages documentation. + Utilize diary management system to ensure that all claims are handled timely. +… more
- CVS Health (Atlanta, GA)
- …litigations and complex general liability cases. + Working with outside national counsel and sr. management to develop consistent litigation strategies ... to litigated claims . + Strong attention to detail and project management skills. + Experience overseeing and answering written discovery. + Ability to work… more
- Ryder System (Atlanta, GA)
- …service standards.** **ESSENTIAL FUNCTIONS** Investigates and resolves complex and high exposure claims , as well as directs outside defense counsel , independent ... outside vendors retained for investigations, cost containment, expert witnesses, and litigation management to ensure claims are being handled properly according… more
- NCR VOYIX (Atlanta, GA)
- …from inception to trial and appeal or settlement, and collaborates with outside counsel on case strategies and budget management . The successful candidate must ... legal exposure + Responsible for case budgets and forecasts and management of outside counsel in compliance with NCR's Outside Counsel Billing Guidelines… more
- Sedgwick (Atlanta, GA)
- …: Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Skills, Abilities, & Knowledge** : + Experience with healthcare incident reporting and claims management systems (eg, RLDatix, RiskMaster, Press Ganey HRP) + ... leadership or committee participation in patient safety, quality improvement, or risk management programs + Experience collaborating with legal counsel and… more
- Sedgwick (Atlanta, GA)
- …Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience ... designees. + Requests legal/private investigation; assigns to and coordinates with local counsel ; monitors local counsel performance. + Responds to plaintiff's … more
- Molina Healthcare (GA)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... to contracting (benefit and provider), network management , credentialing, prior authorizations, fee schedules, and other business requirements critical to claim… more
- Sedgwick (Atlanta, GA)
- …to evaluate the appropriateness of billed services. + Collaborates with internal claims professionals and external legal counsel to resolve billing discrepancies ... Review Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and defensibility. This… more