• Rose International (Atlanta, GA)
    Primary purpose:To analyze complex or technically difficult workers '' compensation claims to determine benefits due; to work with high exposure claims ... functions and responsibilitiesAnalyzes and processes complex or technically difficult workers '' compensation claims by investigating and gathering… more
    JobGet (09/08/24)
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  • Rose International (Atlanta, GA)
    To analyze complex or technically difficult workers '' compensation claims to determine benefits due; to work with high exposure claims involving ... FUNCTIONS and RESPONSIBILITIESAnalyzes and processes complex or technically difficult workers '' compensation claims by investigating and gathering… more
    JobGet (09/08/24)
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  • Rose International (Atlanta, GA)
    PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within ... CA Claims WC experience required.ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages workers compensation claims determining compensability and benefits due… more
    JobGet (09/08/24)
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  • Workers Compensation Complex

    Sedgwick (Atlanta, GA)
    …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Complex Claims Advisor | Remote **This ... manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to...preferred. **Skills & Knowledge** + Subject matter expertise in worker 's compensation claims and/or liability… more
    Sedgwick (06/18/24)
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  • Claims Examiner - Workers

    Sedgwick (Atlanta, GA)
    …Lake Mary, FL) **PRIMARY PURPOSE** : To analyze complex or technically difficult workers ' compensation claims to determine benefits due; to work with ... + Analyzes and processes complex or technically difficult workers ' compensation claims by investigating and gathering information to determine… more
    Sedgwick (09/04/24)
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  • Claims Examiner

    Sedgwick (Atlanta, GA)
    … Examiner **PRIMARY PURPOSE** **:** To analyze complex or technically difficult workers compensation claims to determine benefits due; to work with ... specific requirements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult claims by investigating and… more
    Sedgwick (08/20/24)
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  • Workers Compensation Claims

    Sedgwick (Atlanta, GA)
    …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | CT, MA, NH, RI, VT ... brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of...experience. **PRIMARY PURPOSE OF THE ROLE:** To analyze high-level Workers Compensation claims on behalf… more
    Sedgwick (08/17/24)
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  • Senior Claims Examiner - Workers

    Crawford & Company (Atlanta, GA)
    …with 4-8 years experience in Claims or similar organization. + Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. ... Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal...part of the One Crawford family. + Our total compensation plans provide each of our employees with far… more
    Crawford & Company (08/22/24)
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  • Claims Team Lead - Workers

    Sedgwick (Atlanta, GA)
    …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Workers Compensation **PRIMARY PURPOSE:** To ... of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues'...claims in the teams including frequent diaries on complex or high exposure claims . **ESSENTIAL FUNCTIONS… more
    Sedgwick (08/31/24)
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  • Claims TPA Regulatory Governance…

    AIG (Atlanta, GA)
    …balance the needs of multiple stakeholders, making sound decisions, utilizing your claims , workers ' compensation , regulatory experience, judgment, and risk ... various states and venues, with a heavy emphasis in Worker 's Compensation . This role is responsible for...and Claims Technical level experience, preferably within Workers ' Compensation . This role will be responsible… more
    AIG (08/13/24)
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  • Return to Work, Workers Compensation

    Travelers Insurance Company (Alpharetta, GA)
    …Range** $63,700.00 - $105,100.00 **Target Openings** 1 **What Is the Opportunity?** Manage Workers ' Compensation claims with lost time to conclusion and ... paid out. With close to moderate supervision, may handle claims of greater complexity where Injured worker ...**What Will Our Ideal Candidate Have?** + 2 years Workers Compensation claim handling experience preferred. +… more
    Travelers Insurance Company (06/25/24)
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  • Director, Global Claims

    The Coca-Cola Company (Atlanta, GA)
    …and accountants, and third-party claims administrators (TPAs) and insurers handling workers ' compensation , property, and liability claims and working ... the insurance broker for claims handled under the broker's authority ( workers ' compensation , etc). + Provide settlement authority within Scope of Authority… more
    The Coca-Cola Company (08/29/24)
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  • Senior Claims Specialist - General…

    CRC Insurance Services, Inc. (Atlanta, GA)
    …This is a role focused on technical claim handling of moderate to complex general liability claims , both litigated and non-litigated. This role requires ... individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement or… more
    CRC Insurance Services, Inc. (08/31/24)
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  • Property Field Claims Adjuster (Athens, GA)

    American Family Insurance - Corporate (Atlanta, GA)
    …territories, or other equivalent experience. + Demonstrated experience handling moderately complex claims , or other equivalent experience. + Solid knowledge ... contractors, experts, special investigation unit, other adjusters, public personnel. *Identifies complex issues and seeks assistance. Handles claims on a… more
    American Family Insurance - Corporate (08/21/24)
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  • Manager - Card Fraud Claims

    UMB Bank (Atlanta, GA)
    …change to ensure the best customer experience. + Review and decide high-value and complex card fraud claims . + Prepare regular reports on card fraud ... **Duties & Responsibilities** The Manager, Card Fraud Claims , will oversee and manage the UMB card...College Degree + TSYS TS2 and/or TSYS TMS experience ** Compensation Range:** Minimum: $69,230.00 - Maximum: $179,300.00 _The posted… more
    UMB Bank (07/05/24)
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  • Claims Account Executive - P&C Insurance

    Truist (Atlanta, GA)
    …Producers by servicing clients enterprise-wide. Expected to manage and deliver assigned complex claim and coverage evaluations on all insurance lines. Deliver value ... needs, ensuring accuracy, timeliness of client-related communications. 2. Handle all claims within the upper and Jumbo segments with little direct supervision.… more
    Truist (08/30/24)
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  • Sr Tech Specialist, Workers Comp

    Travelers Insurance Company (Alpharetta, GA)
    …Opportunity?** Under limited supervision, effectively evaluate and manage high exposure Workers Compensation claims including catastrophic loss, specified ... serious injury and other complex claims . Attempt to resolve through innovative...Have?** + College degree highly preferred. + 5+ years Workers Compensation experience strongly preferred. + Analytical… more
    Travelers Insurance Company (07/20/24)
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  • HR Specialist

    MarketSource (Alpharetta, GA)
    …leaves of absence Triage all incoming calls and emails from employees regarding worker 's compensation claims and administer intake paperwork for reporting ... injury ensuring complete data is provided Establishes and maintains workers compensation data in appropriate portals and... data in appropriate portals and systems Intake new claims and coordinate with worker 's compensation more
    MarketSource (08/28/24)
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  • eCOB Specialist III

    Elevance Health (Atlanta, GA)
    …member on multiple platforms. Fully proficient in all key areas; performs multi complex functions and interprets complex rules, laws and contracts. Accountable ... entitled. + Determines primacy on each case using a complex set of Primacy Rules as mandated by State...enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well… more
    Elevance Health (09/06/24)
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  • RN Hospital Bill Audit/Appeal Lead

    Elevance Health (Atlanta, GA)
    …and procedures. + Investigates potential fraud and over-utilization by performing the most complex medical reviews via prepayment claims review and post payment ... and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review....in good faith believes is the range of possible compensation for this role at the time of this… more
    Elevance Health (09/06/24)
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