- Trustmark (Atlanta, GA)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Care (LTC), Disability and Critical Care. Key Accountabilities + Identifies claims that need additional reviews, initiates and implements the appropriate reviews.… more
- Regions Bank (Atlanta, GA)
- …self-starter + Strong data and analytics capabilities + Experience with fraud claims from intake to final decision + Understanding of Compelling Evidence and ... Benefits + Health Savings Account + Flexible Spending Account + Life Insurance + Parental Leave + Employee Assistance Program + Associate Volunteer Program… more
- Sedgwick (Atlanta, GA)
- …and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management ... limited to Bachelor of Science in Nursing, Legal Nurse Consultant , Associate in Claims (AIC), Chartered Property...cost containment principles + Extensive knowledge and comprehension of insurance coverage + Claims expertise in errors… more
- Deloitte (Atlanta, GA)
- Senior Consultant , Operations & Technology Transformation, Insurance , Guidewire Developer - ETL/Data Migration What we do Operations and Technology ... development of junior staff. Your role As a Senior Consultant you will bring considerable technical expertise to deliver...working in one of the following sub service areas: Insurance Products, Underwriting, Claims , Billing & Payments,… more
- Guidehouse (Atlanta, GA)
- …care wherever they live, while minimizing state expenses. As an actuarial consultant focusing on Medicaid programs, you will ensure quality deliverables are created ... We encourage career development and hiring for the long-term. As a Senior Consultant , you will have clearly defined career growth goals and opportunities available… more
- The Hartford (Alpharetta, GA)
- Sr Consultant Risk Engineering - KR08DEConsultant II Risk Engineering - KR08ME We're determined to make a difference and are proud to be an insurance company ... to meaningful work at The Hartford.As a Risk Engineering Consultant at The Hartford, your primary role will be...process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering… more
- Sedgwick (Atlanta, GA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Litigation Consultant **PRIMARY PURPOSE** : To address and handle high end cases with ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- Lincoln Financial Group (Atlanta, GA)
- …Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for reviewing, ... analyzing, and interpreting medical information available for disability claims . In this role you will act as a...and solutions across four core businesses - annuities, life insurance , group protection and retirement plan services. As of… more
- Elevance Health (Atlanta, GA)
- **Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within ... of our Elevance Health PulsePoint locations The **Provider Contract Cost of Care Consultant Senior** provides the highest level of analytical support to the Cost of… more
- Elevance Health (Atlanta, GA)
- **Financial Consultant ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our ... Elevance Health PulsePoint locations. The **Financial Consultant ** will be responsible for reviewing and preparing interpretation...Supports the strategic transition from ASO fees to more claims related charges and how those flow through revenue… more
- Elevance Health (Atlanta, GA)
- **Business Information Consultant - End-to-end Data Governance** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will ... of one of our Elevance Health PulsePoint locations. The **Business Information Consultant - End-to-end Data Governance** is responsible for serving as an expert in… more
- Morley (Atlanta, GA)
- …a steady paycheck and excellent benefits including medical, dental, vision and life insurance ; 401(k) with match; paid time off; paid holidays; and more. **_What to ... about a day in the life of a Morley Technical Automotive Consultant (https://insde.co/xo3d)** _(direct link to article:_ _https://insde.co/o9tc_ _)_ + **Watch this… more
- WTW (Atlanta, GA)
- …"the analytical broker". Simply put, our purpose is to reduce the likelihood of claims and reduce the cost of incidents when they occur through a smart, technical ... our Strategic Risk Consulting team as an Enterprise Risk Consultant with significant experience leading projects, managing teams and...variety of client challenges + Good understanding of the insurance market and risk financing + Ability to manage… more
- Guidehouse (Atlanta, GA)
- …Trust **What You Will Do:** As an AI/ML Health Data Science Senior Consultant with Guidehouse you will present during meetings, summits, and working sessions with ... use cases + Experience with commercial health datasets, eg, claims , encounters, risk scoring, HEDIS measures, etc. + Knowledge...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Evolent (Atlanta, GA)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data sources to ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Travelers Insurance Company (Atlanta, GA)
- …and providing expertise in adjusting large, complex Boiler and Machinery first party claims both in the United States and on occasion, internationally. In addition, ... marketing and communication activities with a variety of groups including, primary insurance carriers and in some cases, their large customers. **What Will You… more
- Prime Therapeutics (Atlanta, GA)
- …of work experience in an insurance broker position + Must be a Certified Insurance Consultant (CIC) with the state of Connecticut + Must be eligible to work ... and costs, and assist in selecting the most suitable insurance plan. They also handle policy renewal, claims... insurance plan. They also handle policy renewal, claims , and provide ongoing support and advice to ensure… more
- Sedgwick (Atlanta, GA)
- …Medicare Set- Asides (MSA) and future medical cost projections. + Serves as a consultant to Medicare Compliance Nurses on claims . + Applies clinical knowledge ... documentation of the findings and analysis of medical records. + Utilizes claims , legal, and/or nursing knowledge to analyze medical records and identify future… more
- Burns & McDonnell (Atlanta, GA)
- …invest in a meaningful career. Burns & McDonnell is considered the leading consultant in the aircraft fueling industry. We are engaged in high visibility projects, ... and selecting Subcontractors. + Manage subcontractor change management and claims mitigation process. + Manage Prime Contract, Subcontractor invoicing process.… more