• Experienced Desk Adjuster - Remote

    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
    Sedgwick (07/11/25)
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  • Manager, Operations -System Operations…

    Molina Healthcare (Macon, GA)
    …Provides leadership and direction to MMS Operational Units management staff (eg, Claims Processing , Provider Services, Provider Enrollment, Finance, Managed Care ... or equivalent experience **Required Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high… more
    Molina Healthcare (07/31/25)
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  • Pricing Analyst Sr - Strong SQL/GCP…

    Prime Therapeutics (Atlanta, GA)
    …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field. + Previous experience using ... we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of value… more
    Prime Therapeutics (08/01/25)
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  • Clinical Account Manager - Georgia PDL…

    Prime Therapeutics (Atlanta, GA)
    …needs. + Provides clinical operations input and support of client specific claims processing programs, coordinates implementations of clinical projects and ... make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative business clinician accountable for building and… more
    Prime Therapeutics (07/24/25)
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  • Remote Bilingual Customer Service…

    Mass Markets (GA)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and training to accurately… more
    Mass Markets (05/29/25)
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  • Experienced Remote VP BPO Sales

    Mass Markets (GA)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... the industry. We are seeking a dynamic and experienced Remote Vice President of BPO Sales to lead our...Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.… more
    Mass Markets (06/05/25)
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  • Remote Call Center Representative

    Mass Markets (GA)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... have established ourselves as a trusted partner in the industry. We are hiring Remote Call Center Representatives to join our customer support team. This role is… more
    Mass Markets (06/05/25)
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  • Remote Pharmacy Technician

    Actalent (Savannah, GA)
    …Essential Skills + Pharmacy technician certification. + Prior experience in managed care and claims processing . + Proficient in data entry and computer skills. + ... Job Title: Remote Pharmacy Technician Job Description We are seeking...conversations as needed. Work Environment This position is 100% remote , requiring a closed-door setting with limited distractions and… more
    Actalent (08/08/25)
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  • Remote Call Center Sales Representative

    Mass Markets (GA)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... ourselves as a trusted partner in the industry. We are looking for motivated Remote Call Center Sales Representatives to join our growing team. If you have a… more
    Mass Markets (06/05/25)
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  • Mgr Medicare Part D Pharmacy Programs…

    Prime Therapeutics (Atlanta, GA)
    …Part D eligibility requirements, Part D plan designs, drug formularies, drug pricing, claims processing and reimbursements, True Out of Pocket expenditures, that ... we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote , Pennsylvania **Job Description** Manages the coordination of benefits in the pharmacy… more
    Prime Therapeutics (07/24/25)
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