- 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
- Axis (Alpharetta, GA)
- …experience required Typically requires 7 to 10 years of related experience handling claims in a primary commercial casualty insurance environment or equivalent ... Red Bank, NJ and Alpharetta, GA. Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim… more
- CRC Insurance Services, Inc. (Atlanta, GA)
- …activities may change from time to time. 1. Manage and Evaluate General Liability claims affecting primary and excess policies in a fast-paced E&S Claim ... 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… 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
- CenterWell (Atlanta, GA)
- …time position scheduled 20 hrs per week. As a **Part Time** **Accounts Receivable Specialist /RCM Healthcare Claims Denials Specialist ** , you will: + Ensure ... 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… 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 ... and key officials in operation planning, the development of the organization's primary mission goals and objectives based on contracting considerations and advising… 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
- AIG (Atlanta, GA)
- …to make more of your specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice for clients, ... Compliance activities across the Globe, acting as the primary liaison between Enterprise Risk Management (ERM), Internal Audit...plus. + Ability to influence and collaborate effectively with senior managers across claims . + Excellent written… more
- Wolters Kluwer (Atlanta, GA)
- …increase operational efficiency and reduce costs. Corporate legal and insurance claims departments trust our innovative technology and end-to-end customer experience ... other potential partners to identify client needs and industry requirements. The primary objective is to formulate and execute effective, value-added plans that… more