- Sedgwick (Atlanta, GA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- AIG (Atlanta, GA)
- Senior WC Claims Examiner Join us as a Senior Claims Examiner on the Federal team to grow your experience in Claims . Make your mark in Claims Our ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- AIG (Atlanta, GA)
- …way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. It's an opportunity to ... your mark in Federal Workers Compensation. Join us as a Senior Workers Compensation Claims Examiner to grow your experience in Defense Base Act Claims . The… more
- Sedgwick (Atlanta, GA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner **PRIMARY PURPOSE** : To analyze complex or technically ... difficult workers' compensation claims to determine benefits due; to work with high...to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication… more
- State of Georgia (Fulton County, GA)
- Claims Examiner Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/61619/other-jobs-matching/location-only) New ... is an equal opportunity employer. Description : Under limited supervision, the Claims Investigator is responsible for the accurate and timely processing of Victims… more
- Sedgwick (Atlanta, GA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner **PRIMARY PURPOSE** : To analyze and process complex auto ... and commercial transportation claims by reviewing coverage, completing investigations, determining liability and...RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are… more
- Sedgwick (Atlanta, GA)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- State of Georgia (Fulton County, GA)
- Adjudicator 2 (Stipulated Settlement Examiner ) Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/61304/other-jobs-matching/location-only) Hot ... supervision, reviews proposed stipulated settlement agreements for workers' compensation claims , ensuring compliance with applicable laws, rules and agency… more
- State of Georgia (Fulton County, GA)
- …minimum qualifications, meet one or more of the following: . Audit experience in medical claims and/or claims data. . Certification as a CPA or a CFE (Certified ... Fraud Examiner ). Additional Information: A criminal background check is completed...an accounting degree as well as auditing experience, medical claims and/or claims data. Certification as a… more
- Molina Healthcare (Atlanta, GA)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
- Humana (Atlanta, GA)
- …investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC ... of two years of leadership experience + CFE (Certified Fraud Examiner ) or AHFI (Accredited Healthcare Fraud Investigator) **Additional Information** + Benefits… more