- AIG (Atlanta, GA)
- Senior Claims Analyst Severity, Excess Casualty At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Analyst Severity ... of the team. Make your mark in Excess Casualty 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 (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
- Aveanna Healthcare (Atlanta, GA)
- …Field Staff and the third party administrator. This role will require investigation of claims and insurance that our third party administrator is managing the ... Position Details This is a remote position. Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna… more
- Elevance Health (Atlanta, GA)
- …of benefit programs management with heavy emphasis in negotiation preferred. + Health insurance , law enforcement experience preferred. + Pharmacy technician ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...healthcare investigations that may impact more than one company health plan, line of business and/or state. + Effectively… more
- Highmark Health (Atlanta, GA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... data relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse… more
- HUB International (Atlanta, GA)
- …program guidelines. **Qualifications:** + **Education:** Bachelor's degree in Business, Finance, Insurance , Health Economics, or a related field. Relevant ... collaborate with. + **Data Analysis & Pricing Support:** Analyze claims data, risk profiles, and other relevant metrics to...product analysis, program management, or sales support in an insurance or health benefits environment is highly… 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)
- …Alternate locations may be considered. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...CEMC and CEDC encouraged. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- AIG (Atlanta, GA)
- …your skills and experience as a valued member of the team. 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
- PNC (Atlanta, GA)
- …insurance items. Additional analytical responsibilities may be assigned, with regards to claims and lender placed insurance coverage. An ideal candidate will ... hybrid work environments As a Loan Support Analyst Senior in PNC Midland's Insurance department you will be responsible for determining compliance of commercial … more