• Senior Claims Specialist

    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 team reporting to the Manager of Casualty Claims . This position requires senior claims...files is accurate. + Collaborate with Underwriting, Distribution, and Senior Claim Management in driving deeper relationships… more
    Axis (03/26/25)
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  • Senior Estimate Review Specialist

    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
    Sedgwick (03/20/25)
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  • Senior Corporate Compliance…

    Fujifilm (Atlanta, GA)
    **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
    Fujifilm (05/21/25)
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  • Senior Specialist , Provider Network…

    Molina Healthcare (Atlanta, GA)
    …timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
    Molina Healthcare (05/10/25)
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  • Senior Claim Benefit

    CVS Health (Atlanta, GA)
    …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists. - Makes outbound calls to obtain required information ... handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication… more
    CVS Health (05/16/25)
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  • Sr. Claims Specialist , Workers'…

    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. ... career with a company that values expertise, growth, and work-life balance. The Senior Workers' Compensation Claims Specialist will manage multi-party… more
    Zurich NA (05/08/25)
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  • Senior Regional Production…

    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
    AIG (04/23/25)
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  • General Aviation Claims Specialist

    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 ... and payments within granted authority and referring over authority claim decisions to appropriate Senior Claim...and accurate reporting of individually handled significant NA Aerospace claims to NA Aerospace Claim leadership +… more
    AIG (03/04/25)
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  • Claim Governance and Control Lead

    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, ... adjuster licensing process and leading efforts on various Global Claim initiatives. You will have oversight of Claims...plus. + Ability to influence and collaborate effectively with senior managers across claims . + Excellent written… more
    AIG (05/19/25)
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  • Healthcare Claims Denials Specialist

    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 ... the coordination of claim activities and designated agencies, and the timely reimbursement...timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily.… more
    CenterWell (04/18/25)
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  • RCM Healthcare Claims Denials Manager

    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
    CenterWell (04/10/25)
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  • A/R Billing and Collections Specialist

    Synergy Healthcare Solutions (Dunwoody, GA)
    …Remote | 1040 Crown Pointe Pkwy, Dunwoody, GA, USA **A/R Billing and Collections Specialist - Medicaid (Atlanta, GA based)** **Position is hybrid with the ability to ... our Atlanta, GA based office as needed.** **Perks and Benefits ** + **Pay rate:** Competitive pay, along with holiday...Our Learning Management System offers over 1,500 courses for senior care, health and human services industry. Data base… more
    Synergy Healthcare Solutions (04/17/25)
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  • Senior Medical Stop Loss Underwriter

    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...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
    Highmark Health (05/21/25)
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  • Senior Corporate Compliance Manager…

    United Therapeutics (Atlanta, GA)
    …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
    United Therapeutics (05/21/25)
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  • Associate Medical Stop Loss Underwriter

    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...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
    Highmark Health (04/04/25)
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  • Actuary - Canada Casualty Pricing

    AIG (Atlanta, GA)
    …Join us as an Actuary - Canada Casualty Pricing to make more of your specialist expertise and experience. At AIG, we are reimagining the way we help customers to ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an… more
    AIG (05/03/25)
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  • Specimen Processor (Overnight)

    Antech Diagnostics (Atlanta, GA)
    …and board-certified specialist support services. _Antech offers an industry competitive benefits package and continues to invest in and evolve benefits ... according to established SOPs and reflect current manufacturing processes and label claims . May assemble equipment as needed. Prepares and ships supplies, including… more
    Antech Diagnostics (04/28/25)
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