- Sedgwick (Atlanta, GA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze ... complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… 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 ... necessary Obtain relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising Prepare coverage positions to be reviewed… 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 ... necessary * Obtain relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage positions to be… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …referrals, authorizations, and account follow-up to secure reimbursement of claims . + Provides support to leadership facilitating quality improvement by ... knowledge of applicable EMRs, patient accounts, payer, and financial tools. + Specialist is required to review, analyze and understand the Managed Care Contracts… more