- Osmose Utilities Services (Atlanta, GA)
- Summary of position: The Claims Analyst will play a key role in supporting the Company's multi-jurisdictional workers' compensation program by managing, tracking, ... and analyzing employee injury claims . This position will ensure timely reporting, investigation, and...Description Physical Demands: The physical demands described here are representative of those that must be met by an… more
- GAP Solutions Inc (Atlanta, GA)
- …Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or ... each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... and professional needs. **ARE YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and low touch auto claims . If you… more
- Sedgwick (Atlanta, GA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative | PIP | Remote **PRIMARY PURPOSE** : To analyze and ... process low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage regarding PIP and lower level… more
- Elevance Health (Atlanta, GA)
- ** Claims Representative I** **Location** - **Virtual** : This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law. The ** Claims Representative I** is responsible for successfully completing the required basic training.… more
- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team. In this position, you… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that ... / provider** **associates researching the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies,… more
- Ryder System (Atlanta, GA)
- …**Job Description** : **SUMMARY** This position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program. **ESSENTIAL ... FUNCTIONS** Investigates and resolves low to high exposure worker's compensation claims pursued against Ryder and our insured customers Ensures the most appropriate… more
- Safran (Atlanta, GA)
- Claims Analyst **Job details** **General information** **Entity** Safran is an international high-technology group, operating in the aviation (propulsion, equipment ... - Customer support & services management (CSSM) **Job title** Claims Analyst **Employment type** Permanent **Professional category** Administrative staff **Part… more
- Command Investigations (Atlanta, GA)
- Command Investigations, LLC is looking for Claims Investigator to become part of a dynamic team. This is a great opportunity for individuals with prior SIU ... we pride ourselves on distributing available cases fairly. Position(s) Available: Claims Investigator Our employees have opportunities to grow within a nationally… more
- AIG (Atlanta, GA)
- …to manage risk. Join us as a Auto Property Damage Adjuster (Fast Track Representative ) to play your part in that transformation. It's an opportunity to grow your ... experience as a valued member of the team. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent… more
- AIG (Atlanta, GA)
- …your skills and experience as a valued member of the team. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Cardinal Health (Atlanta, GA)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Elevance Health (Atlanta, GA)
- **Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law._ The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- Highmark Health (Atlanta, GA)
- …issues while ensuring patient satisfaction. Discovers and initiates rebilling of insurance claims . Assists patients with applying for Charity Care. Works in a high ... system + Discovering unbilled insurance and facilitate billing of claims + Identifying deductibles, out-of-pocket expenses; co-payments, percentage payables,… more
- Graybar (Cartersville, GA)
- Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
- Highmark Health (Atlanta, GA)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... sales and customer service to respond to client/broker/member inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies. Consult with dental director/dental advisers regarding clinical-related questions and… more
- Molina Healthcare (Atlanta, GA)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- Molina Healthcare (Atlanta, GA)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- Molina Healthcare (Atlanta, GA)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... necessary information to providers, members and pharmacies. * Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. * Effectively communicates plan benefit information, including but not limited to: formulary… more
