- Travelers Insurance Company (Alpharetta, GA)
- …Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to ... optimize claim results. Travelers' Cyber Claim Team is responsible for handling claims focusing on cyber privacy and security breach incident response, computer… more
- Fujifilm (Atlanta, GA)
- …assessment. Support development of new or updated polices to address new risk areas or to improve operations and/or internal controls. + Conduct healthcare, ... anti-corruption, antitrust, anti-corruption, and anti-money laundering compliance risk analysis. Identify potential areas of compliance vulnerability and risk .… more
- Molina Healthcare (Atlanta, GA)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Elevance Health (Atlanta, GA)
- …Auditor II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + ... Examines claims for compliance with relevant billing and processing guidelines...concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk...shaping the strategy, roadmap, features, and success metrics for claims solutions in the insurance sector. As part of… more
- Axis (Alpharetta, GA)
- …insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We ... and other areas. Ensure underwriting decisions align with the company's risk appetite and strategic objectives. + Collaborative Development: Partner with the… more
- AIG (Atlanta, GA)
- GenAI Product Manager with Claims ExperienceBe part of something groundbreakingAt AIG, we are making long-term investments in a brand-new, innovative Generative AI ... and leading projects that will transform how we manage risk and serve our customers.This team is central to...looking for + Master's in business administration preferred + Claims or Insurance background is preferred + Gen AI… more
- Meta (Atlanta, GA)
- …for End to End schedule coordination and updates, including interface with risk management and pro-active communication of updates and alignment of variance root ... Identifies, documents, and communicates schedule risks through defined processes, including Risk Registers, health reviews, and New Build Program management meetings… more
- Meta (Atlanta, GA)
- …for end to end schedule coordination and updates, including interface with risk management and pro-active communication of updates and alignment of variance root ... Identifies, documents, and communicates schedule risks through defined processes, including Risk Registers, health reviews, and New Build Program management meetings… more
- Sharecare (Atlanta, GA)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... + Coordinate issue resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or… more