- Elevance Health (Atlanta, GA)
- …provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** + Claims experience with Facets and/or WGS preferred. + SQL reporting ... functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the… more
- Walmart (Lithia Springs, GA)
- …to and resolve critical systems issues eg system or hardware down respond and follow up on urgent customer requests Respond to internal and external customer calls ... related to orders claims damages billing issues etc by researching and resolving...a happier mind, body, and wallet! **-Health benefits** include medical , vision and dental coverage **-Financial benefits** include 401(k),… more
- American Red Cross (Macon, GA)
- …Maintains fleet inventory records. Ensures appropriate and timely maintenance. Files and maintains insurance claims and follow up with estimates/repairs. Is ... sectors. 5. Events: Participates in planning events meetings. Maintains insurance certificate applications, financial collection processes, and appropriate forms and… more
- Elevance Health (Atlanta, GA)
- …in performing research study design and analysis. + Conducts review of administrative claims , electronic medical records, and survey and clinical data and ... health, health economics, clinical effectiveness (drug, procedures, vaccine, and medical device), and implementation sciences. This role will conduct research… more
- Elevance Health (Atlanta, GA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Supports large scale… more
- Elevance Health (Atlanta, GA)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... satisfaction. + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. + Leads large scale initiatives… more
- Elevance Health (Atlanta, GA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... will make an impact:** + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. + Works on large scale… more
- Elevance Health (Atlanta, GA)
- …and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of ... Insurance annual statement exhibits. **Minimum Requirements:** Requires a BA/BS...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Elevance Health (Atlanta, GA)
- …responding to financial risks inherent in the pricing and development of health insurance products. **How you will make an impact:** + Prepares and interprets data ... statisticians and actuaries preferred. + Experience working with large health claims datasets or gathering datasets. Experience with evaluation of provider quality… more
- UNUM (Atlanta, GA)
- …preferred, with a strong preference that the experience be in the insurance /healthcare/ medical /financial field or equivalent area. + Highschool diploma or GED ... Life. It is critical to provide accurate information on benefits, claims , and or policy administration with minimal operational oversight. Incumbents in… more