• Clinical Provider Auditor II

    Elevance Health (Atlanta, GA)
    …be considered. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines...Medicare/Medicaid is a plus. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
    Elevance Health (05/29/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
    Elevance Health (05/22/25)
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  • Insurance Billing Specialist

    PruittHealth (Norcross, GA)
    …organization. **ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:** * Prepare and transmit Insurance claims . * Research, correct and re-bill outstanding ... processes for a group of Healthcare Centers through American Health Tech's Long Term Care (LTC) software program. Successful...Insurance claims . * Responsible for Insurance Collections and… more
    PruittHealth (05/28/25)
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  • Director, Digital Health Corporate Counsel

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    **About Otsuka Precision Health ** Founded on Otsuka's rich history in delivering breakthrough innovations to solve complex problems for patients, Otsuka Precision ... Health (OPH) is the next step in our evolution....group medical, dental and vision coverage, life and disability insurance , and flexible spending accounts + A discretionary annual… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Remote Accommodations Clinical Specialist-…

    Sedgwick (Atlanta, GA)
    …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist- Bilingual French, Hindi, Bengali or more… more
    Sedgwick (05/23/25)
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  • Claim Manager - General Aviation

    AIG (Atlanta, GA)
    Make your mark in Aerospace Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and ... showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by… more
    AIG (05/24/25)
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  • Claim Governance and Control Lead

    AIG (Atlanta, GA)
    …succeed + Proven claims experience of 7+ years handling and/or managing claims with a commercial or personal line insurance carrier. + Strong Interpersonal ... your specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more
    AIG (05/19/25)
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  • Consultant, Organization Strategy (Hybrid…

    Lincoln Financial (Atlanta, GA)
    …thinking, innovative, and highly motivated Consultant of Organizational Strategy to our GP Claims & Ops Vendor Strategy and Management team. Over the past few years, ... in the Group Protection (GP) business. As the largest function within GP, Claims & Operations has been diligently reviewing its strategy in alignment with, and… more
    Lincoln Financial (04/30/25)
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  • Remote Team Lead- Bilingual French, Hindi, Bengali…

    Sedgwick (Atlanta, GA)
    …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Team Lead- Bilingual French, Hindi, Bengali or more **We are looking for… more
    Sedgwick (05/20/25)
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  • Remote ADA Accommodation Coordinator- Bilingual…

    Sedgwick (Atlanta, GA)
    …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote ADA Accommodation Coordinator- Bilingual French, Hindi, Bengali or more **We… more
    Sedgwick (05/15/25)
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