- Beazley Group (Atlanta, GA)
- General Job Title: Claims Operations Team Leader Division: Claims Operations Reports To: As per Beazley's organization chart Key Relationships: Claims ... service providers Job Summary: To lead a team of Claims Assistants responsible for maintaining efficient claims ...as delivered by your line manager, Talent Management or assurance teams (compliance, risk, internal audit) either directly, via… more
- Beazley Group (Atlanta, GA)
- …and procedures as delivered by your line manager, Talent Management or assurance teams (compliance, risk, internal audit) either directly, via e-learning or the ... necessary for your role as outlined by your line manager, talent management or assurance teams (compliance, risk, internal audit) and ensure you keep up to date with… more
- AIG (Atlanta, GA)
- Claims , Quality Assurance Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and ... experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice...efficiency. How you will create an impact + Complete quality reviews on all files within program guidelines while… more
- Axis (Alpharetta, GA)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...of internal Severity and Coverage resources. + Compliance & Quality Assurance - Comply with best practices… more
- Carrington (Atlanta, GA)
- …funds/advances due CMS have been recovered. + Moderate ability to conduct quality assurance reviews. + Preferred Accounting Background--Must possess the ability ... amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible...related field preferred. + Two (2) or more years' quality assurance experience. + Three (3) or… more
- AIG (Atlanta, GA)
- …continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes + Contribute to maintenance of best ... interpretation What you will need to succeed + Basic specialist knowledge in LoB technical claims topics...+ Basic specialist knowledge in LoB technical claims topics + Policy language skills enabling accurate and… more
- Elevance Health (Atlanta, GA)
- …at least one of the following: AA/AS or minimum of 15 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least ... vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche knowledge of… more
- Elevance Health (Atlanta, GA)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least one ... Group (DRG) Coding/Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical… more
- Elevance Health (Atlanta, GA)
- …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
