- CVS Health (Atlanta, GA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...managing high exposure and complex druggist and professional Risk claims . The Senior Liability Claims Adjuster will… more
- Elevance Health (Atlanta, GA)
- …and methodologies; statistical analysis; and reporting of statistical results. + Analyze health care data, including claims , clinical data, national survey data, ... health policy, or related experience is preferred. + Experience with health plan administrative databases (pharmacy and medical claims ) and/or other big… more
- Elevance Health (Atlanta, GA)
- …+ Experience working with Jira, Confluence, Bamboo and qTest is a plus. + Health insurance and medical claims knowledge preferred. + Quality certification such ... with Jira, Confluence, Bamboo and qTest is a plus. + Health insurance and medical claims knowledge preferred. **For candidates working in person or virtually in… more
- Elevance Health (Atlanta, GA)
- ** Claims Auditor I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... for employment, unless an accommodation is granted as required by law._ The ** Claims Auditor** **I** is responsible for pre and post payment and adjudication audits… more
- Elevance Health (Atlanta, GA)
- **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... ideal candidate will live within a commutable distance from our PulsePoint locations. CareBridge Health is a proud member of the Elevance Health family of… more
- Humana (Atlanta, GA)
- … first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on ... Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more
- Humana (Atlanta, GA)
- …first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on ... Qualifications** + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient… more
- CVS Health (Atlanta, GA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist** will review and adjust SF (… more
- Elevance Health (Atlanta, GA)
- **Rating/ Claims Systems Implementation Advisor** **Location:** Norfolk, VA; Atlanta, GA (preferred). This role requires associates to be in-office 1 - 2 days per ... is not eligible for current or future visa sponsorship._ The **Rating/ Claims Systems Implementation Advisor** will have expert-level experience in Payment Integrity… more
- Zurich NA (Atlanta, GA)
- …Occupational Accident Claims Specialist I to handle disability and medical accident claims within the Life, Accident, and Health Business Unit. Zurich North ... Occupational Accident Claims Specialist 126744 Zurich is currently looking for...America's Life, Accident, and Health program provides insurance coverage to help financially protect… more