- Sedgwick (Atlanta, GA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead (Auto) **PRIMARY PURPOSE** : To supervise the operation of… more
- Sedgwick (Atlanta, GA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation REMOTE **PRIMARY PURPOSE** : To analyze ... complex or technically difficult workers' compensation claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Atlanta, GA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... surety and surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Atlanta, GA)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- Carrington (Atlanta, GA)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims...and requirements that resulted in the loss. + Keep Supervisor informed of all trends and problems including, but… more
- Highmark Health (Atlanta, GA)
- …are met. Represent the department in compliance audits as it relates to the supervisor functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- Centene Corporation (Atlanta, GA)
- …integrity, accuracy, and trends and provide recommendations + Oversee the resolution of claims payment and provider set-up issues + Create and maintain KPIs and ... Proficient in Microsoft Office applications including Access and Excel. Supervisor /lead experience preferred.Pay Range: $54,000.00 - $97,100.00 per year Centene… more
- Metro One Loss Prevention Services Group (Atlanta, GA)
- …of all new hire paperwork, following-up as required. . Manage all workers' compensation claims - work directly with our insurance carrier to file and provide all ... claim information and identify training or process improvements to reduce future claims . . Administer benefits program - ensure accuracy of all benefits enrollments… more
- PruittHealth (Norcross, GA)
- …all Insurance 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
- Travelers Insurance Company (Alpharetta, GA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Travelers Insurance Company (Alpharetta, GA)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Walmart (College Park, GA)
- …Manages facility-level training and execution of asset protection, safety, and claims and receiving procedures by reviewing the application of policies, procedures, ... training needs. Develops and delivers training as needed. Manages claims and receiving operations by ensuring proper policies and...of college. Option 2: 1 year's experience as a supervisor in a multi-department environment. Option 3: 1 year's… more
- Mathematica (Atlanta, GA)
- …large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide decision-making about ... and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and Medicare or Medicaid...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- CROSSMARK (Marietta, GA)
- …clean and secured in the agreed upon area of the backroom. * When Supervisor is absent, communicate with store management about the upcoming events and the execution ... of past events in their store. * When Supervisor is absent, be the point person for all...the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related… more
- Sedgwick (Atlanta, GA)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- State of Georgia (Fulton County, GA)
- …a hybrid position that requires in-office and remote work with the approval of your supervisor . Your days of frequency in the office can change at any time during ... of professional job-related experience in accounting, billing, and collection systems or claims ; or Two (2) years of professional job-related experience in general… more
- PruittHealth (Norcross, GA)
- …DUTIES, AND RESPONSIBILITIES:** * Prepare and transmit Georgia Private Billing claims . * Research, correct and re-bill outstanding Private Billing claims ... state and federal laws and regulations and report violations to the appropriate supervisor . * File and organize all appropriate paperwork related to job duties.… more
- Walgreens (Mcdonough, GA)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels' patients and answers their ... ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with… more
- Intermountain Health (Atlanta, GA)
- …with business systems or in healthcare, with a thorough understanding of claims processing and billing + Intermediate proficiency to demonstrate skills with the ... labor market analysis have been included. Other duties may be assigned by the supervisor . All positions subject to close without notice. Thanks for your interest in… more
- CVS Health (Atlanta, GA)
- …Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... referral to clinical resources and other interdisciplinary team members.* Consults with supervisor and others in overcoming barriers in meeting goals and objectives,… more