• Specialist , Appeals & Grievances - Remote…

    Molina Healthcare (Atlanta, GA)
    JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
    Molina Healthcare (11/23/25)
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  • Senior Clinical Field Specialist - Atlanta

    Otsuka America Pharmaceutical Inc. (GA)
    …the globe. **Position Summary:** The primary purpose of the Clinical Field Specialist role is to build a clinical patient pipeline for Recor-sponsored clinical ... through targeted, data-driven outreach and education. The Field Clinical Specialist also provides procedure support including case proctoring, physician… more
    Otsuka America Pharmaceutical Inc. (11/26/25)
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  • Customer Service Specialist 1 AIM

    AON (Alpharetta, GA)
    Aon Is Looking For A Customer Service Specialist As part of an industry-leading team, you will help empower results for our clients by delivering innovative and ... handling complaints for Debt Cancellation programs + Initiate benefits ( claims ) and process benefit related transactions as well as...#LI-AM4 2569926 Aon Is Looking For A Customer Service Specialist As part of an industry-leading team, you will… more
    AON (11/21/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Atlanta, GA)
    JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
    Molina Healthcare (11/21/25)
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  • DOL Services Specialist - Cobb/Cherokee

    State of Georgia (Cobb, GA)
    DOL Services Specialist - Cobb/Cherokee Georgia - Cobb - Marietta (https://ga.referrals.selectminds.com/jobs/74417/other-jobs-matching/location-only) New Hot Social ... Date Apply for Job Share this Job Sign Up for Job Alerts DOL Services Specialist (Unemployment Insurance Services Specialist 1) Job Code: SSP090 Pay Grade: F… more
    State of Georgia (11/25/25)
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  • (Remote) EDI Support Specialist - Casualty

    Sedgwick (Atlanta, GA)
    …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including… more
    Sedgwick (11/06/25)
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  • Underwriting Specialist OR Executive…

    Zurich NA (Atlanta, GA)
    Underwriting Specialist OR Executive Underwriter- Construction Property 127562 Zurich is currently hiring an experienced Construction Property Underwriter (Level II ... 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 areaAND + Knowledge of line/s… more
    Zurich NA (10/15/25)
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  • Claim Benefit Specialist

    CVS Health (Atlanta, GA)
    …all with heart, each and every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the ... by providing accurate and timely resolution in processing medical claims . You will be a key link in providing...screens to obtain and record claim information - Review claims information to determine the nature of a member's… more
    CVS Health (11/21/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Savannah, GA)
    …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
    Molina Healthcare (11/07/25)
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  • Fast Track Specialist

    AIG (Atlanta, GA)
    …Adjuster is to investigate, evaluate and resolve first and third-party auto liability claims , minor injury claims and low complexity general liability losses. ... + Communicates effectively with internal and external customers on claims and account issues. + Maintain and manage a...truly valued for their unique perspectives. Grade 17 AIG Claims , Inc. We are an Equal Opportunity Employer American… more
    AIG (11/07/25)
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