- MultiPlan (Atlanta, GA)
- …for the handling, research, and communication regarding complex and escalated claims inquiries stemming from patients, clients, providers, and internal customers', ... or Leadership. 8. Coach and mentor less experienced team members on claims handling, resource utilization, and appropriate resolutions.9. May include call center… more
- MultiPlan (Atlanta, GA)
- …leading technology, data, and innovation voice in healthcare. Onward and Upward The Senior Medical Coding Specialist provides analysis of the highest dollar and ... most complex claims by applying research, coding standards, industry knowledge and...for process efficiencies. Uses independent decision-making skills to review claims after business hours to meet deadlines. Apply national… more
- AIG (Atlanta, GA)
- Senior Claims , QA Specialist - Personal Lines Join us as a Senior Claims QA Specialist to make more of your specialist expertise and ... experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice...showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop… 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 ... the selection process. AXIS is seeking a _Senior Claim Specialist -_ _Construction_ _Claims_ to join our North America... -_ _Construction_ _Claims_ to join our North America Claims team and will report to the Head of… more
- Axis (Alpharetta, GA)
- …upon request for candidates taking part in the selection process. AXIS is seeking a Senior Renewable Energy Claims Specialist to join our North America ... Claims team. Reporting to the manager of Property Claims , handles claims to determine nature of loss, coverage provided, and scope of claim and to make… more
- Axis (Alpharetta, GA)
- …Red Bank, NJ and Alpharetta, GA. Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... for the timely evaluation, reserving and disposition of assigned claims Documents coverage, investigation, damages, reserve rationale, negotiations, etc. associated… more
- CRC Insurance Services, Inc. (Atlanta, GA)
- …role focused on technical claim handling of moderate to complex general liability claims , both litigated and non-litigated. This role requires an individual to be ... accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement or trial strategies.… more
- CRC Insurance Services, Inc. (Atlanta, GA)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department. **ESSENTIAL… more
- Axis (Alpharetta, GA)
- …upon request for candidates taking part in the selection process. AXIS Capital Claims Compliance Specialist , Claims Shared Services- Job Description AXIS ... is seeking a Claims Quality Assurance and Compliance Specialist , ...supporting strategic initiatives impacting key stakeholders and reporting to senior management Experience working on cross functional teams, collaborating,… more
- CenterWell (Marietta, GA)
- …a part of our caring community and help us put health first** As an **RCM Claims Denial Specialist - MAV1/A** **c** **counts Receivable Specialist ** , you ... timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily....at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- Axis (Alpharetta, GA)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim reserves and make referrals ... to senior members of the team where necessary * Obtain...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Support Specialist position provides comprehensive administrative support as part of the Client Experience. This role includes ... healthcare compliance, medical billing, negotiations, or state and federal regulated claims . + Proficient in Microsoft products (Word, Excel, PowerPoint, and… more
- Zurich NA (Atlanta, GA)
- Senior Design/Construction Management Consulting Specialist 113183 Zurich is looking for a highly skilled ** Senior Design/Construction Management Consulting ... relationships with client companies and their teams. This advanced senior design/construction management consultant will be responsible for driving revenue… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s) to finalize account disposition and/or referring … more
- Federal Reserve Bank (Atlanta, GA)
- …the chance to do work that touches lives and helps communities prosper. The Senior Medical Leave and Support Services Specialist administers the Bank's policies ... Leaves of Absence + Knowledge of FMLA laws + Experience with Workers' Compensation claims including injury reports to the WC vendor on a timely basis. Maintains the… more
- Axis (Alpharetta, GA)
- … Workplace Specialist and/or call vendor * Concierge | Hospitality: o Assist Senior Specialist in providing "day 1" tour to all new staff, introduce ... cameras and card readers are operational. Report issues to Senior Workplace Specialist or vendor * Mail...requested o Preparing and shipping certified mail letters * Claims & Finance Support o Receive checks o Record… more
- State of Georgia (Fulton County, GA)
- Legal Services Office - TRM031, Mgr 2, Transport Specialist "Transportation Counsel" - Atlanta, GA Georgia - Fulton - Atlanta ... Date Apply for Job Share this Job Sign Up for Job Alerts TRM031, Transp Specialist Mgr 2 (PG: Q) "Attorney 5" Job Salary: $94,820 JOB SPECIFIC DUTIES: . Responsible… more
- Defense Contract Management Agency (Marietta, GA)
- …management office activities in administering delegated contracts. Serves as the senior civilian 1102 for managerial, advisory, and technical functions of the ... Requirements Conditions of Employment Qualifications To qualify for Supervisory Contract Specialist , your resume and supporting documentation must support: A. Basic… more
- Zelis (Atlanta, GA)
- Position Overview: The Data Entry Specialist role provides comprehensive administrative support as part of the Client Experience. Th is role includes supporting ... Skills / Knowledge: + Basic understanding of key medical claims billing information required for entry into CMS and...people who could be pretending to be recruiters or senior professionals at Zelis. Zelis is modernizing the healthcare… more
- Highmark Health (Atlanta, GA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
