- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will provide… more
- Cognizant (Atlanta, GA)
- …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the role:** As ... Based on this role's business requirements, this is a remote position open to qualified applicants in the United...to be considered:** * A minimum of 1 year claims processing is required. * Knowledge of… more
- Sedgwick (Atlanta, GA)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE |... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Sedgwick (Atlanta, GA)
- …Fortune Best Workplaces in Financial Services & Insurance California Workers Compensation Claims Examiner I Remote **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
- Molina Healthcare (Macon, GA)
- …Contracted Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility ... and IPA. + 2 years supervisory/management experience with appeals/grievance and/or claims processing within a managed care setting. **Preferred Education**… more
- Cognizant (Atlanta, GA)
- …duties as assigned by management. **Qualifications:** + A minimum of 1 year's claims processing experience is required. + Knowledge of physician practice and ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… more
- Humana (Atlanta, GA)
- …customer-focused and ensure the highest operational standards for more than 240M claims processing transactions associated with our 9+ million members. Reporting ... will allow this leader to ensure timely, accurate, and customer-focused claims processing , while driving continuous improvement, regulatory compliance, and… more
- CenterWell (Atlanta, GA)
- …and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer ... or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of...+ Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Molina Healthcare (Atlanta, GA)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and...guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen.… more
- Sedgwick (Atlanta, GA)
- …Fortune Best Workplaces in Financial Services & Insurance Experienced Desk Adjuster - Remote **PRIMARY PURPOSE** **:** Handles losses and claims valued up to ... Efficiently manages a case load using technology for efficient claim processing . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, … more