- 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
- 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
- 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
- Option Care Health (Peachtree Corners, GA)
- …the best and brightest talent in healthcare. **Job Description Summary:** The Senior Specialist , Patient Registration is responsible for facilitating new ... Care Health makes it easy to transition care. The Senior Specialist , Patient Registration works in conjunction...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… 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
- Molina Healthcare (Atlanta, GA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… 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
- 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