- Sedgwick (Atlanta, GA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex ... to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices and… more
- Axis (Alpharetta, GA)
- …working knowledge of Construction and New York Labor Law. Investigate assigned claims and develop resolution strategy, including investigation of Construction ... Bank, NJ; and Alpharetta, GA. * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim… more
- Travelers Insurance Company (Atlanta, GA)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... severe/complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O … more
- Aveanna Healthcare (Atlanta, GA)
- …Position Details This is a remote position. Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the ... Workers Compensation Specialist - Remote ApplyRefer a FriendBack Job Details...Job Functions Investigating, reviewing, evaluating, and administering workers' compensation claims Reviewing medical reports Setting reserves Filing… more
- Travelers Insurance Company (Atlanta, GA)
- …claimants or their legal representatives. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff ... evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle… more
- Travelers Insurance Company (Alpharetta, GA)
- …employs creative resolution strategies. + Promptly and properly disposition all claims within delegated authority. + Negotiates disposition of claims with ... or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff… more
- PruittHealth (Norcross, GA)
- …EXPERIENCE REQUIRED:** * Demonstrates experience and a proven track record in Insurance Claims in a medical setting of moderate size and complexity, information ... billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and...billing and are skilled at problem solving and account resolution . They work well within a team and help… more
- Peachtree Orthopedics (Atlanta, GA)
- …patients. Essential Duties and Responsibilities + Responsible for a variety of medical office /clerical tasks relating to claims processing; contact patients ... edits and other billing messages to resolve any claims denials to ensure prompt resolution . +...education degree (GED) required. + Minimum 5 years of medical billing and account follow up experience preferred. +… more
- Sedgwick (Atlanta, GA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Billing Specialist **SCHEDULE:** Monday - Friday: 10am-7pm EST **PRIMARY PURPOSE** : To provide ... corrections on true-ups. + Coordinates correction activities and follows through to resolution . + Completes task book assignments. + Identifies customer needs and… more
- Gilead Sciences, Inc. (Atlanta, GA)
- …the lives of patients with life-threatening illnesses worldwide. As an Therapeutic Specialist - HIV Treatment you are responsible for representing Gilead's products ... events, and other miscellaneous external expenditures. + Partner with Medical Scientists, National Account Managers, Therapeutic Center Specialists, Marketing, and… more
- Cognizant (Atlanta, GA)
- …In this role, the successful candidate performs advanced level work related to resolution of hospital denials. This position will be responsible for root cause ... Coding Initiative Edits (NCCI), technical payer policies, appeal documentation and resolution . In addition, this position will be responsible for identification,… more
- Highmark Health (Atlanta, GA)
- …cases of the change or problems and takes appropriate steps to effect resolution . (10%) + Reviews and interprets medical information, classifies that information ... related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding,… more