- Trustmark (Atlanta, GA)
- …our colleagues, clients and communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & ... of claim handling process and procedures and experience in handling claims appropriately in accordance with the corporate claim philosophy, policy provisions… more
- Zurich NA (Atlanta, GA)
- … Specialist, Workers' Compensation 123366 Zurich North America is looking for a skilled Senior Claims Specialist in Workers' Compensation to join our team. We ... company that values expertise, growth, and work-life balance. The Senior Workers' Compensation Claims Specialist will manage...and/ or Litigation Management area.OR + Completion of Zurich Claims Training Program and 6 or more… more
- Axis (Alpharetta, GA)
- …upon request for candidates taking part in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the ... performance, oversight, and ongoing improvement of Claims support activities performed within our North America ...performance metrics, including Task Volumes, adherence to Service Levels, Quality , and Exception rates. + Performing Quality … more
- Deloitte (Atlanta, GA)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... configuration and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any… more
- Molina Healthcare (Atlanta, GA)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. +… more
- Robert Half Legal (Atlanta, GA)
- …understanding of workers' compensation law and a dedication to delivering high- quality legal services. * Represent clients in workers' compensation defense cases, ... Collaborate with colleagues and stakeholders to manage insurance defense litigation claims . * Maintain accurate documentation and adhere to billable hours… more
- Intermountain Health (Atlanta, GA)
- …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... hospital personnel as needed. + Acts as a mentor. As assigned, coordinates training , direction and review of those working with reimbursement functions. + Manages… more
- Axis (Alpharetta, GA)
- …upon request for candidates taking part in the selection process. AXIS is seeking a Senior Claims Specialist, E&S Property to join our North America Claims ... for both the oversight and management of commercial property claims . This is primarily a property position, but multi-line...of internal Severity and Coverage resources. * Compliance & Quality Assurance - Comply with best practices measured by… more
- Highmark Health (Atlanta, GA)
- …reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. ... disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services)… more
- AIG (Atlanta, GA)
- Join us as a Senior Claims Adjuster to take on key responsibilities within a world - class claims function. Make your mark in Claims Our Claims teams ... claims expert and thought leader. + As a senior member of the team , you will act...+ You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional… more
- Axis (Alpharetta, GA)
- …the claim backlog and future deliverables to ensure the development team delivers high- quality features that meet claims and stakeholders needs and align with ... user acceptance testing (UAT) and gather feedback from claims handlers, claims managers, and other end-users. Drive training , documentation, and change… more
- AIG (Atlanta, GA)
- …of claim file quality . + Conduct periodic claim file audits of field claims practices and results. + Training and developing staff, maintaining team metrics ... an impact + Responsible for the performance of a claims team comprised of Casualty Adjusters and Complex Directors...and communicating with underwriters, insureds, brokers and senior claim management. What you'll need to succeed +… more
- CenterWell (Atlanta, GA)
- …**Key Responsibilities:** + **Operational Reporting:** Oversee the medical and prescription claims processes, including quality , audits, and reporting. Manage ... community and help us put health first** As a Sr . Business Intelligence Engineer for CenterWell Primary Care, you...operations & BI reporting and a passion for data quality and process improvement. The ideal candidate will have… more
- Prime Therapeutics (Atlanta, GA)
- …our passion and drives every decision we make. **Job Posting Title** Senior Health Outcomes Researcher - Remote **Job Description** The Health Outcomes Researcher ... focused on drug utilization, combined medical and pharmacy drug claims , with a view to the impact on patient...of Principal Health Outcomes Researcher, Principal Data Scientist, or Sr Dir Health Outcomes, define and document complex study… more
- Cherry Bekaert (Atlanta, GA)
- **Description** **Summary of Responsibilities:** The Senior Associate will work closely with the Cherry Bekaert FAO (Finance & Accounting Outsourcing) team, ... for our clients in the insurance, service and related industries. The Sr . Associate will also assist in an administrative project management capacity, spearheading… more
- United Therapeutics (Atlanta, GA)
- …practices, you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training , Communications and Policy will ... experiences. Detail-oriented yet creative, you balance policy management with innovative training strategies that resonate across all levels of the organization. You… more
- Kemper (Alpharetta, GA)
- …Analyze management report data to identify trends that impact customer service, quality and profitability. + Proactively assess claims processes and develop ... technical expertise, staff development and guidance as well as provides training as appropriate and necessary. **Position Responsibilities:** + Facilitate severity… more
- Humana (Atlanta, GA)
- …of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission ... considerable latitude in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims… more
- Atlas (Atlanta, GA)
- …at any and every step of the project, and with a heart-led approach that puts quality and safety at the center of everything we do. We're just built to be better. ... Description** Atlas is looking for someone to join our Legal Team as ** Senior Litigation Counsel (Engineering / Construction)** to be located in one of our… more
- Walgreens (Douglasville, GA)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training and completes PPLs requested ... and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more