- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY ... PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury … more
- Axis (Alpharetta, GA)
- …is available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior ... Claims Specialist to join our North America Claims team reporting to the Manager of Casualty Claims . This position requires senior claims … more
- Axis (Alpharetta, GA)
- …Hills, NJ; and Alpharetta, GA. * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... Utilize working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which...contribution to the claim * Prepares required reports to senior management * Travels to mediations or settlement conferences… more
- CenterWell (Atlanta, GA)
- …+ High School Diploma or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare collection procedures ... of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure… more
- AIG (Atlanta, GA)
- Join us as a Senior Claims Adjuster to grow your experience in handling Federal Workers Compensation claims . Make your mark in Claims Our Claims ... of legal / regulatory and litigation / procedural requirements for Federal Workers Compensation claims . + Specialist knowledge of Defense Base Act claims is… more
- Travelers Insurance Company (Alpharetta, GA)
- …negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... our business partners. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- CVS Health (Atlanta, GA)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Atlanta, GA)
- …do it all with heart, each and every day. **Position Summary** The ** Senior Accounts Receivable Specialist ** prepares accounting and financial records and ... monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** + 2+… more
- Molina Healthcare (Atlanta, GA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- AIG (Atlanta, GA)
- …+ Produce, underwrite, manage and service a profitable book of miscellaneous medical facilities and allied healthcare business. + Utilize underwriter authority in ... strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners,… more
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