- Sedgwick (Atlanta, GA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** ... : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY ... PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury … more
- Sedgwick (Atlanta, GA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr . (Repair Solutions) **PRIMARY PURPOSE:** To review all estimates ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your… more
- 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 ... + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and...of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and officers, life… 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)
- …+ High School Diploma or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare collection procedures ... of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure… 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 ... of legal / regulatory and litigation / procedural requirements for Federal Workers Compensation claims . + Specialist knowledge of Defense Base Act claims is… more
- Molina Healthcare (Atlanta, GA)
- …complaints from Molina members, providers and related outside agencies. + Research claims appeals and grievances using support systems to determine appeal and ... grievance outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business… more
- Komatsu (Cartersville, GA)
- Senior EHS Specialist - Cartersville, GA Date: Jul 6, 2025 Location: Cartersville, GA, US, 30121 Req ID: 33030 Onsite or Remote: Onsite Position Komatsu is an ... housing, infrastructure, water, pipeline, minerals, automobile, aerospace, electronics and medical , through its many brands and subsidiaries, including TimberPro,… more
- AIG (Atlanta, GA)
- …+ Produce, underwrite, manage and service a profitable book of miscellaneous medical facilities and allied healthcare business. + Utilize underwriter authority in ... strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners,… more
- CenterWell (Marietta, GA)
- …hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech -language pathologists, home health aides, and medical social ... Develop department tools and training programs, along with the Training Specialist , to encourage growth and development. Analyze/monitors their implementation. **Use… 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
- NDCP (Duluth, GA)
- …exposure. The ideal candidate has experience adjusting workers' compensation lost time and medical only claims in an insurance company, third party administrator ... is timely and accurate. + Communicate, as needed, with injured employees, third-party claims representatives, medical clinics, etc. to ensure the timely delivery… more
- WTW (Atlanta, GA)
- …exciting opportunity to join the growing WTW Global Aviation & Space team, a specialist line of business with long-term career potential. In this role, the analyst ... comparison, ensuring binder and policy accuracy, and preparing documentation for senior broker review. + Maintaining accurate account files by organizing binders,… more