- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for ... property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies and other records to determine insurance coverage. +… more
- Sedgwick (Atlanta, GA)
- …: To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Executive General Adjuster - Power/Energy (SE & SW...Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss… 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)
- …**Required Qualifications** + Bachelors Degree + Minimum of 3 years of medical claims auditing experience (interpreting if claims initially paid correctly in the ... Payment Integrity (formally known as Financial Recovery) experience + CAS claims knowledge + Prior vendor relationship experience/knowledge + Intermediate knowledge… more
- Humana (Atlanta, GA)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- Sedgwick (Atlanta, GA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Implementation Project Manager **PRIMARY PURPOSE** **OF THE ROLE** To serve as the ... combination of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In… more
- Zurich NA (Atlanta, GA)
- Business Change Lead - Crop 128458 Zurich RCIS provides insurance and superior services through leading agents to protect America's farmers and ranchers. It's been ... an innovator in crop insurance since the crop insurance business was...and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR *… more
- Elevance Health (Atlanta, GA)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance IT Project Management Specialist Sr **PRIMARY PURPOSE OF THE ROLE** : Manages ... application development projects preferred. Skills & Knowledge + Knowledge of claims management business and technology + Excellent oral and written communication… more