- MultiPlan (Atlanta, GA)
- …subject to defined work output standards and production which involves high volume claims resolution . Work involves direct contact with internal and external ... overcome objections and apply effective telephone negotiation skills to reach successful resolution on negotiated claims . * Up to 40% of time will be on phone… more
- Zurich NA (Atlanta, GA)
- Claims Specialist II, General Liability 110492 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... should be expected. Zurich is currently looking for a ** Claims Specialist II** to report out of...develop and execute a negotiation strategy and plan for resolution . + Ability to identify subtleties in customer/client and/or… more
- Travelers Insurance Company (Alpharetta, GA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Sedgwick (Atlanta, GA)
- …Great 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 high exposure surety claims ; to coordinate case management… more
- Aveanna (Atlanta, GA)
- Workers Compensation Claims Specialist ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: Compliance Salary: $45,000 ... - $55,000 per year Position Details Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna… more
- Axis (Alpharetta, GA)
- …jurisdictions in which the claims arise * Monitor and investigate assigned claims and develop resolution strategy * Attend mediation, arbitration and other ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
- USAA (Atlanta, GA)
- …+ Partners with vendors and internal business partners to facilitate complex claims resolution . May also involve external regulatory coordination to ensure ... so special! **The Opportunity** We are seeking a dedicated Property Adjuster Specialist Currently located in **Cobb County or** **Fulton Counties,** **GA** to join… more
- Sedgwick (Atlanta, GA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medicare Specialist (Remote) **PRIMARY PURPOSE** **:** To coordinate, analyze and facilitate ... nurses for analysis; and provides guidance and advice on processing claims based on nurses' analysis. + Requests rated-ages; tracks files/requests/submissions… more
- PruittHealth (Norcross, GA)
- …all Medicaid 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)...billing and are skilled at problem solving and account resolution . They work well within a team and help… more
- Altium Packaging (Atlanta, GA)
- …and Respect + Seeking Fulfillment in your Work The Leaves of Absence Specialist is responsible for overseeing and administering leaves of absence and accommodation ... and all other leave programs. The Leave of Absence Specialist will serve as the subject matter expert for...drive meetings with employees and internal/external stakeholders for issue resolution and follow-up. + Manage and escalate complex LOA/ADA… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …**Description** The Senior EUSHIP (Emory Student Health Insurance Plan) Insurance Specialist will prioritize customer service and provide direction to policyholder ... enrollment processes for eligible students. Reconciles weekly and monthly enrollment, claims and utilization reports with internal and external partners, as needed.… more
- Elevance Health (Atlanta, GA)
- **Coordination of Benefits Specialist III** **Schedule:** 1-2 days per week in the office (Hybrid 1) **Location:** This position will work on a hybrid model (remote ... one of our Elevance Health PulsePoint locations. The **Coordination of Benefits Specialist III** is responsible for researching and investigating other coverage for… more
- J&J Family of Companies (Atlanta, GA)
- Technical Documentation Specialist - Abiomed - 2406181920W **Description** Abiomed, part of Johnson & Johnson MedTech, is recruiting for a Technical Documentation ... Specialist located in Danvers, MA. This role is open...per software and country. + Assist in managing product Claims matrixes and Clinical Publication Library for promotional and… more
- Elevance Health (Atlanta, GA)
- **Pharmacy Quality Assurance Specialist ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one ... Pharmacy is looking to hire a Quality Assurance (QA) Specialist ** . This **Pharmacy Quality Assurance Specialist ,**...are processes related to prescription fulfillment and billing and claims processing, as well as customer service written and… more
- Waystar (Atlanta, GA)
- …THIS POSITION** About This Position We are currently searching for a talented Collections Specialist to join our team. The ideal candidate will be one of our key ... members to assist with client questions and provide timely resolution to billing concerns. This team member will be...management software is a plus + Knowledge of medical claims billing/insurance is a plus + College degree is… more
- Quadient (Atlanta, GA)
- …a platform for your growth! **What you will do:** The Portfolio Specialist is a highly regarded collection's professional within the company's Collections ... office management to communicate status of accounts and expedite resolution . **What you offer:** + 2-4 years of commercial collections/customer… more
- Sedgwick (Atlanta, GA)
- …Loved Workplace(R) Forbes Best-in-State Employer Provider Network Negotiation Specialist **PRIMARY PURPOSE** **:** To negotiate fee-for-service ancillary contracts ... + Identifies current issues and probable future issues; guides staff through resolution . + Documents contracts; updates contracts as changes occur. + Coordinates… more
- Republic Finance, LLC (Stone Mountain, GA)
- …in the financial services industry for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... core values, company policies, operational procedures and compliance. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides… more
- Republic Finance, LLC (Lawrenceville, GA)
- …in the financial services industry for you, apply today! As a Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... to quickly and efficiently resolve any customer issues. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides excellent… more
- PruittHealth (Norcross, GA)
- …of Private billing and are skilled at problem solving and account resolution . This position will work under general supervision. This position will function ... DUTIES, AND RESPONSIBILITIES:** * Prepare and transmit Georgia Private Billing claims . * Research, correct and re-bill outstanding Private Billing claims… more
