- Cardinal Health (Atlanta, GA)
- …collection follow-up team to ensure timely and accurate resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, ... requirements. **Responsibilities:** + Lead and manage the daily operations of the insurance follow-up team, ensuring productivity and quality standards are met. +… more
- Elevance Health (Atlanta, GA)
- …in order to recover corporate and client funds paid on fraudulent Medicaid claims . **How You Will Make an Impact:** + Responsible for identifying and developing ... more than one company health plan, line of business and/or state + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and… more
- Elevance Health (Columbus, GA)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... audits. + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment &… more
- Humana (Atlanta, GA)
- …community and help us put health first** Design and maintain Medicaid claims analytics dataset using Databricks. Conduct in-depth analysis of healthcare claims ... Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. Maintain dashboards to communicate key trends to stakeholders. The… more
- Elevance Health (Atlanta, GA)
- …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... of proprietary data and claim systems for review of... systems for review of facility, professional and pharmacy claims . + Responsible for identifying and developing enterprise-wide specific… more
- Lowe's (Suwanee, GA)
- …+ Escalated customer concern resolution + Working alerts and queues + Inputting customer claims into the claim portal system + Responsible to support delivery ... well as access to top-tier medical, dental and vision insurance . For information about our benefit programs and eligibility,...with the third-party logistics partner to address and resolve claims (customer and cargo), updates Lowe's claims … more
- Mass Markets (GA)
- …satisfaction and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance -related questions. + Maintain accurate and ... of a globally expanding, industry-leading organization. We are seeking aLicensed Health Insurance Representativewho will play a vital role in educating and guiding… more
- GE Vernova (Atlanta, GA)
- …guidance and support to Contract Managers and others for the settlement of claims under customer/ partner insurance policies. + Provide internal training on ... As a member of the Gas Power New Units insurance team that focuses on internal and external ...and underwriters during negotiations and when needed for negotiating claims in execution. + Obtain and provide Premium estimates… more
- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Licensed Auto Insurance Agent **_Schedule:_** Monday - Friday 9:00 AM - ... : Join a fast-paced, customer-focused team supporting one of the most innovative insurance operations in the industry. As an Inbound Customer Service Agent - Auto… more
- Sedgwick (Atlanta, GA)
- …**Skills & Knowledge** + Working knowledge of billing and reconciliation systems, claim systems, financial services, and insurance products + Excellent oral ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Hotel Coordinator **PRIMARY PURPOSE:** To provide carrier support by assisting… more