- 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)
- …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
- Sedgwick (Atlanta, GA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Liability (REMOTE) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult general liability 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/63374/other-jobs-matching/location-only) Financial ... 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
- Molina Healthcare (GA)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- Sutherland Global Services (Atlanta, GA)
- …and Quality goals throughout Training and beyond. What you will be doing as a Claims Examiner : + Work independently, processing claims via data entry for ... performance. Delivering measurable results._ This is a full-time permanent healthcare claims adjudicator position. A claims adjudicator determines how much… more
- Sedgwick (Atlanta, GA)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- State of Georgia (Fulton County, GA)
- Adjudicator 2 (Stipulated Settlement Examiner ) Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/63654/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 (Augusta, 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
- Walmart (Statesboro, GA)
- …management. Responds to inquiries by regulatory authorities. Consults on complex claims and settlements. Designs preventative claims management processes (for ... Certifications such as Loss Prevention Certification (LPC), Certified Fraud Examiner (CFE), Associate Safety Professional; Certified Safety Professional; or… more
- Walmart (Lagrange, GA)
- …management. Responds to inquiries by regulatory authorities. Consults on complex claims and settlements. Designs preventative claims management processes (for ... Certifications such as Loss Prevention Certification (LPC), Certified Fraud Examiner (CFE), Associate Safety Professional; Certified Safety Professional; or… more
- BECU (GA)
- …using advanced internal systems and conduct interviews to thoroughly resolve fraud claims . . **Handle Multiple Case Types:** Efficiently manage and prioritize a ... Qualifications:** . Certified Financial Crime Specialist (CFCS) or Certified Fraud Examiner (CFE) certification preferred. . Ability to work independently and… more