- Travelers Insurance Company (Alpharetta, GA)
- …negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... our business partners. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Molina Healthcare (Augusta, GA)
- …complaints from Molina members, providers and related outside agencies. + Research claims appeals and grievances using support systems to determine appeal and ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- Mass Markets (GA)
- …passion for building strategic partnerships and driving revenue? We're seeking a Senior Business Development Executive to lead new client acquisition, manage key ... + Client Acquisition & Relationship Building Identify, qualify, and engage senior business leaders through outbound calls, emails, social media, and networking.… more
- Molina Healthcare (GA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- AIG (Atlanta, GA)
- …strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners, ... (Business Development Managers and/or Client Directors) to effectively maximize our distribution partner network. + Effectively negotiate and secure policy terms that align with the company directives, especially utilizing new product and service offerings to… more
- Prime Therapeutics (Atlanta, GA)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Synergy Healthcare Solutions (GA)
- …| Synergy Healthcare Services - Remote | GA, USA **A/R Billing and Collections Specialist - Medicaid NC, VA, PA, MS, FL** **Perks and Benefits** + **Pay rate:** ... Our Learning Management System offers over 1,500 courses for senior care, health and human services industry. Data base...+ Generate timely billing of assigned payers + Ensure claims are received and processed by payers + Review… more
- Medtronic (GA)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
- Philips (Alpharetta, GA)
- …important member of the Philips North America MRI Clinical Science team, the Senior MRI Clinical Scientist will collaborate with medical doctors and physicists of ... in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area,...IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able… more
- NDCP (Duluth, GA)
- …leadership. + Oversee the daily activities of the Supervisor, Workers' Compensation / Sr . Specialist and proactively mentor the incumbent(s) to broaden their ... potential The Workers' Compensation Manager (WC) is responsible for all WC-related claims management, including proactive management of WC claims to accelerate… more