- AIG (Atlanta, GA)
- …Lead to make more of your specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice for clients, ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- AIG (Atlanta, GA)
- …and experience as a valued member of the team. Make your mark in Excess Casualty Claims Our Claims teams are the proven problem solvers of choice for clients, ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Highmark Health (Atlanta, GA)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... problems. Provides research and technical support need to address complex claims and inquiries and/or when systems problems occur. Provides direction for… more
- Delta Air Lines, Inc. (Atlanta, GA)
- …are three insurance placement colleagues including the Director and seven aviation claims colleagues). The ideal candidate will have 15+ years of experience in ... & Officers, Workers Compensation risk financing, Property/Cargo,etc. Additionally, all insured claims (except Work Comp) flow through the insurance team primarily to… more
- Elevance Health (Atlanta, GA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches...dealing with Healthcare Fraud Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Elevance Health (Atlanta, GA)
- …Specialist III** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... adjustments. **How you will make an impact:** + Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting,… more
- Elevance Health (Atlanta, GA)
- Network Data Specialist IA proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers ... for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an...Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Elevance Health (Atlanta, GA)
- …with fraud and abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...Bachelors degree strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Elevance Health (Atlanta, GA)
- …are pioneering the use of weekly trend data, predictive analytics, and multi-source health indicators to anticipate future health cost drivers and enable faster, ... Make An Impact:** + Analyze and monitor weekly incurred claims , paid claims , pharmacy, lab results, and...and predictive models using large, complex datasets to forecast health claim activity and utilization patterns. + Translate complex… more
- Elevance Health (Columbus, GA)
- …by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities… more