- Travelers Insurance Company (Alpharetta, GA)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... complexity and location of the role; the skills, education, training , credentials and experience of the candidate; and other...**What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and… more
- CVS Health (Atlanta, GA)
- …to make health care more personal, convenient and affordable. Position Summary The Sr Mgr, PBM Benefits Modernization is responsible for managing the technical needs ... with other technical leaders of the PBM space & Claims Adjudication team to assess business goals, strategic objectives...in different development environments. They will work closely with senior leaders to ensure that investments are aligned to… more
- Humana (Atlanta, GA)
- …of our caring community and help us put health first** The Sr . Value-Based Programs professional supports successful value-based provider relationships with a focus ... performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care +...VBP financial modeling and impact analysis + Experience performing claims data analysis to inform VBP provider performance +… more
- Amentum (Atlanta, GA)
- The ** Senior Director of Contracts** will report to the Vice President of Contracts and lead the Contracts team supporting the Critical Missions operating group at ... Amentum. The Senior Director will provide strategic direction and functional expertise...and interfacing with the government and commercial customers. Provides training to technical, program and other functional staff on… more
- Lincoln Financial Group (Atlanta, GA)
- …72347 **The Role at a Glance** This role is for a hands-on Senior Software Engineer (Java-focused primarily) to join Lincoln's emerging Employer Benefits & Insurance ... exchanging activity/data between internal systems of record (including Admin, Policy, Claims systems, etc) and partner platforms (including Workday, ADP, Plansource,… more
- Golden State Foods (Conyers, GA)
- …information regarding orders, products, promotions, ordering processes ( training ), etc. Communicates regarding purchase order discrepancies, shipping/arrival ... in order to provide freight pricing for customers. Resolves disputes with suppliers claims and carriers freight claims . Is responsible for overall success of… more
- AIG (Alpharetta, GA)
- Senior Claims Analyst Join us as a...+ You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit ... Senior Claims Analyst to take on key responsibilities within a...a deputy for the Team Manager, and will provide training , and be a technical referral point for colleagues.… more
- Axis (Alpharetta, GA)
- …stakeholders on training initiatives, job aids, guidelines to continuously improve claims handling quality and execution in support of team and individual ... successful candidate should possess the ability to implement, develop and lead a successful Claims Quality Assurance and Compliance program for Axis Claims .… more
- Axis (Alpharetta, GA)
- …guidelines, and workflows to ensure a center of excellence within TPA & Program claims + Collaborating with Claims Quality Assurance and Compliance to ... internal and external stakeholders + Ensuring superior customer service quality , delivering a holistic and consistent contract management process,... Claims , and Head of TPA & Program Claims , to support, create and/or deliver training … more
- Zurich NA (Atlanta, GA)
- …experience in the Claims and/ or Litigation Management area.OR + Completion of Zurich Claims Training Program and 6 or more years of experience in the ... Senior Claim Specialist Construction Defect 112105 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it… more
- Crawford & Company (Peachtree Corners, GA)
- …and maintains client account information in the PeopleSoft financial system and CMS2 claims system. The Senior Account Administrator also organizes, writes, and ... fee billing parameter documents, and other instructional memoranda. In addition, the Senior Account Administrator assists the manager with the review of work… more
- Walgreens (Atlanta, GA)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training and completes PPLs requested ... and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- ADM (Kennesaw, GA)
- **83651BR** **Job Title:** Senior Regulatory Affairs Manager - Kennesaw, GA **Department/Function:** Legal, Compliance, Regulatory Affairs, Corporate Security **Job ... Description:** ** Senior Regulatory Affairs** **Manager - Kennesaw, GA** This is...members. + Leverage regulatory feedback on topics related to claims and marketing materials in US (in collaboration with… more
- Cardinal Health (Atlanta, GA)
- …for business clients. **_Job Summary_** We are currently looking to fill a Senior Legal Counsel role for the Cardinal Health at-Home Solutions ("AHS") business, a ... with critical products and services required for hospital-level care at home. As Senior Counsel, you will report directly to the Vice President, Legal, supporting… more
- Sevan Multi-Site Solutions Inc (Atlanta, GA)
- Senior Architect/Engineer Department:Construction Services Location:Atlanta, GA Sevan Multi-Site Solutions provides construction services, program management, site ... and program management. Sevan is an INC. 5000 Fastest-Growing Company. Summary: The Senior Construction Manager works as part of a program management team managing a… more
- Prime Therapeutics (Atlanta, GA)
- …A successful Senior Analyst will ensure a high level of quality and accuracy through benefit configuration, test execution and validation efforts while serving ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Benefit Plan Configuration Analyst - Preferably Remote in the California market… more
- Ankura (Atlanta, GA)
- …office. Remote locations will be considered on a case-by-case basis. As a Director / Senior Director, you can expect to: + Be a key contributor to project delivery ... activities and initiatives. Demonstrate a high degree of professionalism, ethics, quality , and integrity. + Contribute meaningfully to various practice development… more
- Ferguson Enterprises, LLC. (Tucker, GA)
- …teams + Observe installations and provide feedback as part of the installers ongoing training + Help resolve claims and customer issues + Maintain parts storage ... right individual to fill an immediate need for a ** Senior Appliance Delivery and Installation Associate** . This role...equal importance as technical proficiency. You will ensure the quality and completion of installations are achieved. You will… more
- Highmark Health (Atlanta, GA)
- … quality .20% + Develops and presents process improvement and training initiatives to improve efficiency and accuracy of departmental coding practices.Regularly ... audits. Works closely with colleagues, leadership, enterprise matrix partners (such as quality and compliance), and/or physicians to identify and deliver high … more
- Travelers Insurance Company (Alpharetta, GA)
- …the scope, complexity and location of the role; the skills, education, training , credentials and experience of the candidate; and other conditions of employment. ... assessments and claim investigations on the most complex risks and provides high quality reports to business partners to allow for informed decisions to maximize… more