- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Sedgwick (Atlanta, GA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Atlanta, GA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **TAKING CARE OF YOU** + Flexible work ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Claims Adjuster TPA Oversight to play your part in that transformation. It's an opportunity to ... member of the team. Make your mark in TPA Claims Our Claims teams are the proven...evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage… more
- Sedgwick (Atlanta, GA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **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
- Ryder System (Atlanta, GA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Travelers Insurance Company (Alpharetta, GA)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Cardinal Health (Atlanta, GA)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- Walgreens (Atlanta, GA)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Walgreens (Douglasville, GA)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and assists in community events as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. **Operations** + Under direct supervision… more
- Cardinal Health (Atlanta, GA)
- …to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work patient accounts to ensure timely resolution and ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- Sedgwick (Atlanta, GA)
- …initial and ongoing clinical assessment through provider outreach, specialized document review , and analysis and interpretation of interventions for the preparation ... clear and concise information with handling planner, specialist, client, and supervisor while maintaining client's privacy and confidentiality; adheres to ethical,… more
- Cardinal Health (Atlanta, GA)
- …payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with insurance carriers for reimbursement ... + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange +...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cummins Inc. (Forest Park, GA)
- …of repair based on parts and labor availability; reviews plan with the Service Supervisor /Team Lead prior to customer contact. - Review work orders to ensure ... - Identify customer's needs, gathers pertinent information, provides quotes, develops claims , prepares repair plans and provides status updates to customers on… more
- Truist (Atlanta, GA)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** The Truist Legal Department is looking for ... Truist on consumer litigation, working on a variety of matters, including claims relating to deposit transactions, consumer lending (mortgage and retail), and… more
- Axis (Alpharetta, GA)
- …department receives the opportunity to offer proposals. Make strategy recommendations to the supervisor . + Review and evaluate primarily new business based on ... - MPL** operates within established guidelines and market parameters to analyze, review , evaluate, and monitor new and renewal accounts for the Miscellaneous… more
- Walgreens (Chamblee, GA)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more