- Elevance Health (Atlanta, GA)
- … claims to detect fraudulent, abusive or wasteful healthcare insurance payments to providers and subscribers + Preparation of statistical/financial analyses ... a BA/BS and minimum of 2 years related experience preferably in healthcare insurance departments such as Grievance and Appeals, Contracting or Claim Operations, law… more
- Humana (Atlanta, GA)
- …management, manual rating, experience rating and thorough knowledge of Group Insurance products/processes. + Excellent analytical and mathematical skills and ability ... rates for complex accounts + Experience analyzing a wide variety of health or claims related data + Industry Related course work is preferred but not required. +… more
- Humana (Atlanta, GA)
- …team throughout the sales cycle. + Collect and organize RFP info (census, claims , RAF, etc.) and track down missing information from Broker/Client + Support sold ... on market outcomes **Preferred Qualifications** + Bachelor's Degree. + Healthcare or insurance industry experience. + Bilingual with the ability to speak, read and… more
- Humana (Atlanta, GA)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Deloitte (Atlanta, GA)
- …Client project engagements in Deloitte Human Capital's Health Actuarial Plan & Insurance Center of Excellence (HAPI COE) which involve: + The independent calculation ... Plan Actuarial liabilities for Incurred But Not Paid (IBNP) claims and Loss Adjustment Expense (LAE) for products covering...6+ years of experience working in a consulting or insurance company environment* 2+ years of experience managing teams*… more
- Option Care Health (Peachtree Corners, GA)
- …through supply chain/inventory optimization, managing controllable expenses, reducing bad debt ( claims on hold) and accurate patient registration and onboarding. + ... market data. Pay Range is $163,753.17-$272,906.94 **Benefits:** -Medical, Dental, & Vision Insurance -Paid Time off -Bonding Time Off -401K Retirement Savings Plan… more
- AIG (Atlanta, GA)
- …Service Programs Actuarial Department works closely with the management, underwriting, and claims and is involved in a wide range of functions, including product ... peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world...(AIG) is a global leader in commercial and personal insurance solutions; we are one of the world's most… more
- Medtronic (GA)
- …Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through ... Must have a valid driver's license and active vehicle insurance policy. In addition, your driving record will be...work 20+ hours per week: Health, Dental and vision insurance , Health Savings Account, Healthcare Flexible Spending Account, Life… more
- Humana (Atlanta, GA)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- WTW (Atlanta, GA)
- …teams of consultants across WTW, including brokers, service colleagues, and claims advocates, to deliver efficient and effective support. This role requires ... + Provides strategic planning and consulting advice to clients, monitoring insurance and risk management needs in collaboration with WTW resources, practice,… more