- Sedgwick (Atlanta, GA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr . Claims Specialist , Medical Malpractice (LTC) **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims… more
- Southern Company (Atlanta, GA)
- … I, Safety & Health; 2) Specialist II, Safety & Health; and 3) Specialist Sr . Safety & Health will be based on years of experience and/or education; ... the department and provide guidance for the standardization initiatives. ( Specialist Sr .) **Business Acumen:** * Evaluate existing...II) * Partner with other key business units (eg Claims , HR/ Medical , Fleet) to ensure all incidents… more
- Sedgwick (Atlanta, GA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Estimate Review Specialist Sr . (Repair Solutions) **PRIMARY PURPOSE:** To review all ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your… more
- Sedgwick (Atlanta, GA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Estimate Review Specialist Sr . (Repair Solutions) **PRIMARY PURPOSE** **:** To review all ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… 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)
- …variety of loss scenarios as well as reporting and presenting about same to senior management + In-depth knowledge of claims , litigation, arbitration, and trial ... AXIS is seeking a _Senior Claim Specialist_ _-_ _Surety_ to join our North America Claims team. This role will report to the Head of TPA & Programs Claims… more
- Axis (Alpharetta, GA)
- …available upon request for candidates taking part in the selection process. AXIS is seeking a Senior Claims Specialist to join our North America Claims ... Manager of Casualty Claims . This position requires senior claims management and handling expertise for...offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and… more
- Axis (Alpharetta, GA)
- …Bank, 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 the claims arise. In particular, utilize a… more
- CVS Health (Atlanta, GA)
- …dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, ... Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance… more
- CenterWell (Atlanta, GA)
- …+ High School Diploma or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare collection procedures and ... of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure… more