- 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 ... RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on… 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 team. This position requires claims management and handling expertise for both the oversight...for both the oversight and management of commercial property claims . This is primarily a property position, but multi-line… more
- CVS Health (Atlanta, GA)
- …And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ... ), FI ( _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing… more
- Axis (Alpharetta, GA)
- …variety of loss scenarios as well as reporting and presenting about same to senior management * In-depth knowledge of claims , litigation, arbitration, and trial ... process. This role will be responsible for: * Direct management of claims including the investigation, analysis and evaluation of coverage liability within best… 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
- Axis (Alpharetta, GA)
- …presenting to senior management and outside partners + Knowledge of claims and litigation management, dispute resolution processes, and trials and appeals as ... selection process. **Job Description** AXIS is seeking a **_Claims Specialist - Management Liability_** to join our North America... - Management Liability_** to join our North America Claims team. The selected candidate will work closely with… more
- 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 ... valued member of the team. Make your mark in Claims Stewardship Our Claims teams are the...authority and referring over authority claim decisions to appropriate Senior Claim leadership + Ensure prescriptive and cost effective… more
- 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 ... timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily....at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- Axis (Alpharetta, GA)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals to ... senior members of the team where necessary Obtain relevant...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising Prepare coverage positions… 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 ... regulatory and litigation / procedural requirements for Federal Workers Compensation claims . + Specialist knowledge of Defense Base Act claims is preferred.… more
- Sedgwick (Atlanta, GA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… 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 ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… 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
- Gilead Sciences, Inc. (Atlanta, GA)
- …will improve the lives of patients with life-threatening illnesses worldwide. As a Senior Field Activation Specialist within Gilead's HIV Prevention team, you ... seamless customer experience through access, activation, and handoff to the Prevention Specialist team. * Share best practices and implement those learned from… more
- Komatsu (Cartersville, GA)
- Senior EHS Specialist - Cartersville, GA Date: Jun 7, 2025 Location: Cartersville, GA, US, 30121 Req ID: 33030 Onsite or Remote: Onsite Position Komatsu is an ... Communication, Rigging/Crane Operator Safety Training. + Knowledge of Workers' Compensation Claims Management and best management practices. + Capability to maintain… more
- AIG (Atlanta, GA)
- …strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners, ... (Business Development Managers and/or Client Directors) to effectively maximize our distribution partner network. + Effectively negotiate and secure policy terms that align with the company directives, especially utilizing new product and service offerings to… more
- CenterWell (Marietta, GA)
- …Develop department tools and training programs, along with the Training Specialist , to encourage growth and development. Analyze/monitors their implementation. **Use ... that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of home health services, and… more
- Prime Therapeutics (Atlanta, GA)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description**...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more