• Medical Biller/ Claims Processing

    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
    IQVIA (07/23/25)
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  • Claims Examiner - Workers Compensation…

    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 (08/23/25)
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  • Claims Examiner - Workers Compensation…

    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 (08/20/25)
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  • Claims Processor (with Facets) - Healthcare…

    Cognizant (Atlanta, GA)
    …+ 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Must ... Based on this role's business requirements, this is a remote position open to qualified applicants in the United...ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:**… more
    Cognizant (08/22/25)
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  • Claims Examiner Workers Comp…

    Sedgwick (Atlanta, GA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY ... PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving… more
    Sedgwick (06/29/25)
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  • Director, Appeals & Grievances (Medicare…

    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
    Molina Healthcare (07/18/25)
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  • Commercial Casualty Claims Adjuster…

    GuideOne Insurance (Atlanta, GA)
    Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...and volunteer paid time off + Flexible work schedules and hybrid/ remote options for eligible positions + Educational assistance… more
    GuideOne Insurance (08/13/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Atlanta, GA)
    …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... + 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Excellent… more
    Cognizant (08/01/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Atlanta, GA)
    …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... be considered. This position will work a hybrid model ( remote and office). The ideal candidate will live within...cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring… more
    Elevance Health (08/14/25)
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  • Claims Specialist - Primary Casualty

    Axis (Alpharetta, GA)
    …payments, ensuring these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches and reporting Ensure ... exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves...loss adjuster or solicitor Attain expert comfort level in remote and work from home virtual working practices and… more
    Axis (08/13/25)
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