- Sedgwick (Atlanta, GA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
- Ryder System (Atlanta, GA)
- …small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. **ESSENTIAL FUNCTIONS** Investigates, ... to medium exposure 3rd party property damage and cargo claims pursued against Ryder Ensures the most appropriate and...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- IQVIA (Atlanta, GA)
- **Experienced Patient Support Medical Claims Processing Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team. In this position, you will provide… more
- Elevance Health (Atlanta, GA)
- **Title: Claims Representative I (Health & Dental) - FEP** **Location:** This position will work a **hybrid model ( remote and office)** . The ideal candidate ... the first 12 weeks of training. Start date: 3/10/2025.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Elevance Health (Columbus, GA)
- Job Description **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates ... 50 miles of one of our PulsePoint locations. The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- CRC Insurance Services, Inc. (GA)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential… more
- Mass Markets (Savannah, GA)
- …Internet Service Provider services. Do you know what it means to "Pair a Remote "? + Trouble shoot data, video, and voice (VoIP Phone) service disruptions with a ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Prime Therapeutics (Atlanta, GA)
- …decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is responsible for supporting ... levels of leadership within the organization, acting as a representative of the broader Reporting and Analytics team +...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- United Therapeutics (Atlanta, GA)
- …the pharmaceutical and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code, the Sunshine ... to the Food Drug and Cosmetic Act, the False Claims Act, Anti-Kickback Statute, the Sunshine Act and other...healthcare related laws and regulations + Serve as Legal representative on the Company's promotional review committee, including review… more
- Mass Markets (Savannah, GA)
- POSITION OVERVIEW CUSTOMER SERVICE REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS Looking to rewarding work, from the safety and comfort of your own ... $11.10 - $16.10 / hour - POSITION RESPONSIBILITIES WHAT DOES A CUSTOMER SERVICE REPRESENTATIVE DO EVERY DAY? In this role, you will be responsible for handling… more
- HealthEdge Software Inc (Atlanta, GA)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- HealthEdge Software Inc (Atlanta, GA)
- …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
- HealthEdge Software Inc (Atlanta, GA)
- …issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite ... of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working...None **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- HealthEdge Software Inc (Atlanta, GA)
- …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... and deliver excellent software and services to our customers._ **Geographic Responsibility:** Remote but ideal candidate would live within the driving distance to… more
- Elevance Health (Columbus, GA)
- **Title: Utilization Management Representative II** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within ... 50 miles of one of our PulsePoint locations. The **Utilization Management Representative II** will be responsible for managing incoming calls, including triage,… more
- Rexel USA (Atlanta, GA)
- …Manager at Rexel USA today! **The position of EPC/Large Project Manager will be Remote !** Employee's level and pay will be dependent on their level of experience, ... vendors, customers, and sales teams on pricing, order placement, claims and returned goods, and account management to ensure...and Physical Demands The physical demands described here are representative of those that must be met by an… more