- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- Highmark Health (Atlanta, GA)
- …**Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health ... activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS ( Health Now… more
- Molina Healthcare (Macon, GA)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... claims to identify billing issues that will impact claims processing and payment. Monitor new solutions...in the implementation and conversion of new and existing health plans. + Manage projects from requirements to deployment,… more
- Sedgwick (Atlanta, GA)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Sedgwick (Atlanta, GA)
- …Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex claims ... field; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- AIG (Atlanta, GA)
- …established guidelines and authority, indemnity and legal payments through the appropriate Claims Processing Systems. + Forecast potential recoveries and updates ... to manage risk. Join us as a Global Marine Claims Recovery Supervisor to play your part in that...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more
- AIG (Atlanta, GA)
- …extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. With ... Join us as a Claims Examiner - Bilingual to take on key...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more
- Sedgwick (Atlanta, GA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Surety Claims Advisor **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... contract surety bond claims ; to provide resolution of highly complex nature and/or...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- Elevance Health (Atlanta, GA)
- …A focus on the customer/provider must be considered for NPS scores. + WGS claims processing knowledge preferred. + Experience with multiple markets and lines of ... **Business Consultant Senior - Commercial Claims Data Mining** **Hybrid 1:** This role requires...+ Consults with business partners concerning processes, procedures, contracts, processing rules and other system rules. + Leads various… more
- Sedgwick (Atlanta, GA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Bodily Injury (Auto) **PRIMARY PURPOSE** : To analyze and process ... complex auto and bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. **ESSENTIAL… more
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