- Sumitomo Pharma (Atlanta, GA)
- …+ Solid understanding of pharmaceutical commercial data (eg, sales, demand, claims , CRM). **Education and Experience** + Bachelor's Degree in Computer ... this law shall be subject to criminal penalties and civil liability . **Mental/Physical Requirements** : Fast paced environment handling multiple demands. Must… more
- Allied Universal (Macon, GA)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... to applying.** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation,… more
- CDM Smith (Columbus, GA)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability… more
- Molina Healthcare (Atlanta, GA)
- …consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. Ongoing… more
- Molina Healthcare (Atlanta, GA)
- …consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. *… more
- Cardinal Health (Atlanta, GA)
- …period of review and conducts a focused audit to identify any financial liability of the Company. + Evaluates the appropriateness of billed services and procedures ... patient medical records. + Availability to assist with research of denied claims . + Maintains a functional knowledge of enterprise EMRs, the registration process… more
- Travelers Insurance Company (Alpharetta, GA)
- …Is the Opportunity?** Bond & Specialty Insurance provides management and professional liability insurance, as well as surety bonds to businesses and non-profit ... to keep the business informed of emerging threats that could lead to cyber claims . + Stay current on evolving risk trends and partner with Underwriting, Actuary,… more
- Molina Healthcare (Augusta, GA)
- …of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business understands and complies with ... experience working in Medicare + Must have experience analyzing claims . **Job Qualifications** **REQUIRED EDUCATION:** Associate's Degree and/or equivalent… more
- Philadelphia Insurance Companies (Alpharetta, GA)
- …Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- Robert Half Legal (Atlanta, GA)
- …in cases involving auto accidents, slip and falls, medical malpractice, product liability , and wrongful death. If you are passionate about delivering justice and ... evaluate case merits and determine appropriate legal strategies. * Investigate claims by gathering evidence, interviewing witnesses, analyzing medical records, and… more