- CVS Health (Atlanta, GA)
- …resource materials to manage job responsibilities. **Required Qualifications** + 2+ years medical claims processing experience. + Experience in a production ... DG system claims processing experience. + Reinsurance / Stop loss medical claims experience. + Familiarity with overpayments. **Education** + Associate… more
- Intermountain Health (Atlanta, GA)
- … of Intermountain employees, to include modified duty programs, all aspects of indemnity claims , management of the medical portion of the claims , the ... assigned training modules in a timely manner. 5. Responsible for evaluating claims and setting appropriate reserves, authorizing medical treatment, and… more
- Gentiva (Atlanta, GA)
- …program management + Participate in "triage" process to determine whether claims warrant additional investigation, and if so, monitors and coordinates investigative ... ensuring information gathered is appropriately logged, stored, and shared with adjustor , broker, and internal resources, as appropriate. + Promptly initiate contact… more