- Axis (Alpharetta, GA)
- …is available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior ... Claims Specialist to join our North America Claims team reporting to the Manager of Casualty Claims . This position requires senior claims … more
- Sedgwick (Atlanta, GA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability (A&E, D&O) **ESSENTIAL ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- CVS Health (Atlanta, GA)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( ... ), FI ( _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized ...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Axis (Alpharetta, GA)
- …Bank, NJ; and Alpharetta, GA. * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... Utilize working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which the claims arise. In particular, utilize a… more
- CVS Health (Atlanta, GA)
- …handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CenterWell (Atlanta, GA)
- …of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure ... timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily....HIPAA information. CenterWell Home Health offers a variety of benefits to promote the best health and well-being of… more
- AIG (Atlanta, GA)
- …the way we help customers to manage risk. Join us as a General Aviation Claims Specialist III to play your part in that transformation. It's an opportunity ... valued member of the team. Make your mark in Claims Stewardship Our Claims teams are the...authority and referring over authority claim decisions to appropriate Senior Claim leadership + Ensure prescriptive and cost effective… more
- AIG (Atlanta, GA)
- Join us as a Senior Claims Adjuster to grow your experience in handling Federal Workers Compensation claims . Make your mark in Claims Our Claims ... and litigation / procedural requirements for Federal Workers Compensation claims . + Specialist knowledge of Defense Base...connected environment for our team and clients alike. Enjoy benefits that take care of what matters At AIG,… more
- CVS Health (Atlanta, GA)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Sedgwick (Atlanta, GA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- Gilead Sciences, Inc. (Atlanta, GA)
- …will improve the lives of patients with life-threatening illnesses worldwide. As a Senior Field Activation Specialist within Gilead's HIV Prevention team, you ... insurance plans*. For additional benefits information, visit: https://www.gilead.com/careers/compensation- benefits -and-wellbeing * Eligible employees may participate in benefit… more
- Molina Healthcare (Columbus, GA)
- …experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits , subrogation, and ... complaints from Molina members, providers and related outside agencies. + Research claims appeals and grievances using support systems to determine appeal and… more
- AIG (Atlanta, GA)
- …strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners, ... connected environment for our team and clients alike. Enjoy benefits that take care of what matters At AIG,...why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work… more
- CenterWell (Atlanta, GA)
- …Develop department tools and training programs, along with the Training Specialist , to encourage growth and development. Analyze/monitors their implementation. **Use ... HIPAA information. CenterWell Home Health offers a variety of benefits to promote the best health and well-being of...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- Prime Therapeutics (Atlanta, GA)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description**...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Highmark Health (Atlanta, GA)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… 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, ... plus. + Ability to influence and collaborate effectively with senior managers across claims . + Excellent written...connected environment for our team and clients alike. Enjoy benefits that take care of what matters At AIG,… more
- WTW (Atlanta, GA)
- …This role is also eligible for an annual short-term incentive bonus. **Company Benefits ** WTW provides a competitive benefit package which includes the following ... the growing WTW Global Aviation & Space team, a specialist line of business with long-term career potential. In...ensuring binder and policy accuracy, and preparing documentation for senior broker review. + Maintaining accurate account files by… more
- Highmark Health (Atlanta, GA)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more
- CenterWell (Columbus, GA)
- …. Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed appropriately and coordinating ... team at the branch to ensure other billing requirements are satisfied to release claims timely. . Adhere to and participate in Agency's mandatory HIPAA / Privacy… more