- NDCP (Duluth, GA)
- …for all WC-related claims management, including proactive management of WC claims to accelerate claim closure, mitigate risks, and manage financial exposure. ... applicable HR business partners to review current work / claim status of all open WC claims ....the daily activities of the Supervisor, Workers' Compensation / Sr . Specialist and proactively mentor the incumbent(s)… more
- Prime Therapeutics (Atlanta, GA)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- HD Supply (Atlanta, GA)
- …including FMLA, ADA accommodations, disability, military leave, and life insurance claims , ensuring timely and accurate processing. + Monitors and escalates ... laws, and attends required training, including HIPAA. + Oversees benefits -related leave processes, including past-due premium reporting, coverage termination… more
- Ensono (Atlanta, GA)
- Senior Systems Engineer - IAMRemote - United StatesJR012224 At Ensono, our **Purpose is to be a relentless ally, disrupting the status quo and unleashing our clients ... **About the role and what you'll be doing:** The Senior Systems Engineer - IAM is responsible for managing...policies, regulatory requirements, and industry best practices. The IAM Specialist will also be responsible for maintaining all necessary… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …with providers, negotiate contracts (where necessary), and ensure quality of care. CLAIMS MANAGEMENT: + Oversee TPA claim processing, ensure accurate and ... of Plan Operations will collaborate closely with the HR department to design benefits and ensure alignment with organizational goals. + They will also work with… more
- Aflac (GA)
- …Beginning progress toward one or more of the following designations/certifications: Fraud Claims Law Specialist (FCLS), Health Care Anti-Fraud Associate (HCAFA), ... written, and interpersonal communications skills to effectively interact with senior management, internal and external customers, and agency representatives… more