- Axis (Alpharetta, GA)
- …specialized insurance sectors. **What Will You Do In This Role?** + Serving as a Claims Specialist focused on Management Liability Claims within AXIS' North ... Insurance Company Professional Liability. + Determining the appropriate valuation of complex claims , recommending settlement strategies, adhering to company… more
- Molina Healthcare (GA)
- …and ensures collections efforts are exhausted for write-off approval. * Researches simple to complex claims payments using tools such as Department of Health and ... JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and...outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled… more
- AIG (Atlanta, GA)
- …with the Team Manager to ensure effective vendor and litigation management on Complex claims within a personal allocation + Internal stakeholder communication ... of best practice procedures for Line of Business (LoB) Complex claims , consistent with global best practice...interpretation What you will need to succeed + Basic specialist knowledge in LoB technical claims topics… more
- Travelers Insurance Company (Atlanta, GA)
- …Investigate, evaluate, reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best ... You Do?** + CLAIM HANDLING: + Directly handle the Company's most severe and complex claims when Travelers has coverage of $2 million or greater and file exposure… more
- USAA (Athens, GA)
- …liability. + Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve external regulatory coordination to ... complex policy terms and contingencies. + Determines and negotiates complex claims settlement within authority limits. Develops recommendations and… more
- Sedgwick (Atlanta, GA)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more
- Deloitte (Atlanta, GA)
- …environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist , you will have the ability to share new ideas and collaborate ... production support issues during Activation + Identify potential issues and refer more complex issues to appropriate level of support + Build rapport and promote… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s)...ability to identify, prioritize, resolve and / or escalate complex problems promptly * Ability to learn new applications/software… more
- Sedgwick (Atlanta, GA)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... respond to complex technical EDI issues or questions received from internal...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
- 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