- Axis (Alpharetta, GA)
- …experience required Typically requires 7 to 10 years of related experience handling claims in a primary commercial casualty insurance environment or equivalent ... Red Bank, NJ and Alpharetta, GA. Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim… more
- Sedgwick (Atlanta, GA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Claims Specialist , Professional Liability ** PRIMARY PURPOSE** : To analyze ... complex or technically difficult medical malpractice 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 senior members of the team where necessary * Obtain...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
- CenterWell (Marietta, GA)
- …a part of our caring community and help us put health first** As an **RCM Claims Denial Specialist - MAV1/A** **c** **counts Receivable Specialist ** , you ... timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily....at the center. As the nation's largest provider of senior -focused primary care, one of the largest… more
- J&J Family of Companies (Atlanta, GA)
- …2406201224W **Description** Johnson & Johnson Innovative Medicine, is recruiting for a Senior Manager, Hematology Area Business Specialist (ABS) Team located ... Senior Manager, Hematology ABS Team - Johnson and...such as eligibility and benefit verification, pre-authorization, billing, coding, claims , and appeals / grievances; practice management, as well… more
- Highmark Health (Atlanta, GA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- AIG (Atlanta, GA)
- …to make more of your specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice for clients, ... Compliance activities across the Globe, acting as the primary liaison between Enterprise Risk Management (ERM), Internal Audit...plus. + Ability to influence and collaborate effectively with senior managers across claims . + Excellent written… more