- Axis (Alpharetta, GA)
- …request for candidates taking part in the selection process. Job Description: AXIS is seeking a Senior Claims Specialist - Excess Claims to join our ... as well as reporting and presenting about same to senior management * In-depth knowledge of claims ,...to senior management * In-depth knowledge of claims , litigation, arbitration, and trial processes as well as… more
- Axis (Alpharetta, GA)
- … Claims and Underwriting. * Makes effective recommendations for settlement/disposition of claims ; works successfully with senior Claims and Underwriting ... contributor directly reviewing primary and excess Financial Institutions and Management Liability claims to determine nature of loss, coverage provided, and scope of… more
- Axis (Alpharetta, GA)
- …Heights, NJ, Princeton, NJ * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... for the timely evaluation, reserving and disposition of assigned claims * Documents coverage, investigation, damages, reserve rationale, negotiations, etc.… more
- CRC Insurance Services, Inc. (Atlanta, GA)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential… more
- Axis (Alpharetta, GA)
- …available upon request for candidates taking part in the selection process. Grade H Senior Claims Specialist , Property Salary range: Alph: $95K-130K Job ... Summary: Under limited direction, acts as highest-level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of… more
- Lincoln Financial Group (Atlanta, GA)
- …73193 **The Role at a Glance** We are excited to bring on a highly motivated Life Claims Specialist to staff our ever-growing claims organization. As a Life ... completeness of submitted claims . * You will escalate claims issues/concerns to senior team members and/or management. **What we're looking for** Must-haves:… more
- Lincoln Financial Group (Atlanta, GA)
- …at a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. As an LTD Claims ... Specialist , you will manage a workload of Long-Term Disability claims independently in accordance with established procedures and guidelines. You will be… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement ... based on Zelis data points. During this call, the Claims Settlement Specialist must understand: (1) the...people who could be pretending to be recruiters or senior professionals at Zelis. As the leading healthcare payments… more
- Zurich NA (Atlanta, GA)
- RCIS CROP Claims Employee Development Specialist 112483 We are excited to announce an opening in our Rural Community Insurance Services (RCIS) Crop organization. ... for this exciting opportunity will engage leaders and executive stakeholders in Crop Claims and the RCIS organization to lead the planning, execution and measurement… 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …The Senior EUSHIP (Emory Student Health Insurance Plan) Insurance Specialist will prioritize customer service and provide direction to policyholder questions or ... enrollment processes for eligible students. Reconciles weekly and monthly enrollment, claims and utilization reports with internal and external partners, as needed.… more
- PruittHealth (Norcross, GA)
- …all Medicaid billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s) to finalize account disposition and/or referring … more
- Highmark Health (Atlanta, GA)
- …Risk Adjustment Data Validation (RADV) audit coding review, including analysis of claims data to ensure chart acquisition is complete and documentation is ... Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None… more
- Travelers Insurance Company (Alpharetta, GA)
- …- $168,200.00 **Target Openings** 1 **What Is the Opportunity?** Reports to Specialist Manager, Boiler & Machinery. Performs boiler and machinery risk assessments ... to breakdown. Helps underwriting staff understand loss potentials. + Promptly investigate claims as requested by the claim department. Evaluate elements of the… more
- Travelers Insurance Company (Alpharetta, GA)
- …to join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, latent injury, sexual misconduct, environmental claims ... will independently manage our most challenging high frequency and high severity claims and accounts which routinely present unique, complex liability and coverage… more
- Axis (Alpharetta, GA)
- … Workplace Specialist and/or call vendor * Concierge | Hospitality: o Assist Senior Specialist in providing "day 1" tour to all new staff, introduce ... cameras and card readers are operational. Report issues to Senior Workplace Specialist or vendor * Mail...requested o Preparing and shipping certified mail letters * Claims & Finance Support o Receive checks o Record… more
- State of Georgia (Fulton County, GA)
- …spent according to grant stipulations and deadlines. . Serving as backup to the senior grants specialist position in the division for audit compliance, research ... during site visits and for electronic assessments . Serving as backup to the senior grants specialist position in the division for quarterly, semi-annual and… more
- WestRock Company (Atlanta, GA)
- …The Global Paper organization within WestRock is seeking a Customer Account Specialist that will communicate with customers, as well as partnering and interfacing ... functions within WestRock, such as; sales, transportation, mills, technical associates, claims , billing, and credit departments. This individual will serve as the… more
- Sedgwick (Atlanta, GA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Compliance Specialist Sr, GRC **PRIMARY PURPOSE** **:** To advance the IT Compliance ... the controls. + Identifies gaps/actions in cases of non-compliance and works with senior members of the team to collaborate with solution owners to design and… 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