• Claims Examiner (remote)

    Cognizant (Atlanta, GA)
    …ensuring all mandated government and state regulations are regularly met. 2. Processing claims for multiple plans with automated and manual differences ... **Experience:** Minium of two to three years of Medicaid and or Commerical ** claims payer** processing experience. **Technical Competencies:** 1. Ability to work… more
    Cognizant (05/29/25)
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  • Bodily Injury Claims Examiner | Remote…

    Sedgwick (Atlanta, GA)
    …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bodily Injury Claims Examiner | Remote... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
    Sedgwick (05/21/25)
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  • Senior Life Science Claims Specialist…

    Sedgwick (Atlanta, GA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** ... To analyze complex claims specific to the product liability / life sciences...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
    Sedgwick (05/28/25)
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  • Senior Stop Loss Claims Analyst/HNAS

    Highmark Health (Atlanta, GA)
    … + 3 years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
    Highmark Health (04/26/25)
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  • Claims Examiner - Workers Compensation…

    Sedgwick (Atlanta, GA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE w/NC, SC, AL exp) **PRIMARY ... PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving… more
    Sedgwick (05/20/25)
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  • Surety Claims Advisor

    Sedgwick (Atlanta, GA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Surety Claims Advisor **PRIMARY PURPOSE** **:** To analyze complex or ... technically difficult contract surety bond claims ; to provide resolution of highly complex nature and/or...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
    Sedgwick (03/04/25)
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  • Claims Examiner - Workers Compensation

    Sedgwick (Atlanta, GA)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation **PRIMARY PURPOSE** : To analyze complex or ... technically difficult workers' compensation claims to determine benefits due; to work with high...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
    Sedgwick (03/15/25)
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  • Claims Examiner, Bodily Injury (Auto)

    Sedgwick (Atlanta, GA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Bodily Injury (Auto) **PRIMARY PURPOSE** : To analyze and ... process complex auto and bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
    Sedgwick (04/24/25)
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  • Healthcare Claims Denials Specialist

    CenterWell (Atlanta, GA)
    …Qualifications** + High School Diploma or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare collection ... corrective action. + Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input… more
    CenterWell (04/18/25)
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  • Call Center Claims Representative…

    Mass Markets (Savannah, GA)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... POSITION OVERVIEW CALL CENTER CLAIMS REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS...to support inbound customer service, help desk, and back-office processing . In this role, you will handle inbound inquiries,… more
    Mass Markets (04/16/25)
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