- Axis (Alpharetta, GA)
- …request for candidates taking part in the selection process. Job Description: AXIS is seeking a Senior Claims Specialist - Excess Claims to join our ... as well as reporting and presenting about same to senior management * In-depth knowledge of claims ,...to senior management * In-depth knowledge of claims , litigation, arbitration, and trial processes as well as… more
- Axis (Alpharetta, GA)
- …direction, acts as highest level individual contributor directly reviewing excess casualty claims to determine nature of loss, coverage provided, and scope of claim ... and to make recommendation regarding settlement/disposition of claims . Please note this role is Hybrid/3 days in...transfer to the claim * Prepares required reports to senior management * Travels to mediations or settlement conferences… more
- Axis (Alpharetta, GA)
- …Heights, NJ, Princeton, NJ * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim ... for the timely evaluation, reserving and disposition of assigned claims * Documents coverage, investigation, damages, reserve rationale, negotiations, etc.… more
- Axis (Alpharetta, GA)
- …and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the ... damages issues in connection with complex primary and excess claims and maintaining appropriate documentation * Analyzes insurance coverage...letters * Collaborates in the defense and resolution of claims * Evaluates full pending of claims … more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement ... based on Zelis data points. During this call, the Claims Settlement Specialist must understand: (1) the...people who could be pretending to be recruiters or senior professionals at Zelis. As the leading healthcare payments… more
- Zurich NA (Atlanta, GA)
- RCIS CROP Claims Employee Development Specialist 112483 We are excited to announce an opening in our Rural Community Insurance Services (RCIS) Crop organization. ... for this exciting opportunity will engage leaders and executive stakeholders in Crop Claims and the RCIS organization to lead the planning, execution and measurement… 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 policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
- Zurich NA (Atlanta, GA)
- Senior Claim Specialist Construction Defect 112105 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims...Overland Park, Parsippany, Rancho Cordova or Schaumburg. As a Senior Claim Specialist Construction Defect you will… 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) to finalize account disposition and/or referring … more
- Highmark Health (Atlanta, GA)
- …Risk Adjustment Data Validation (RADV) audit coding review, including analysis of claims data to ensure chart acquisition is complete and documentation is ... Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None… more
- Travelers Insurance Company (Alpharetta, GA)
- …- $168,200.00 **Target Openings** 1 **What Is the Opportunity?** Reports to Specialist Manager, Boiler & Machinery. Performs boiler and machinery risk assessments ... to breakdown. Helps underwriting staff understand loss potentials. + Promptly investigate claims as requested by the claim department. Evaluate elements of the… more
- Emory Healthcare/Emory University (Decatur, GA)
- …and excellence of our academic community. **Description** As a People and Culture Specialist , the primary focus of the role is to ensure the efficient administration ... performance management, and learning and development. The People and Culture Specialist is critical in fostering a positive and efficient HR environment.… 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. ... and drives every decision we make. **Job Posting Title** SIU Pharmacy Intake Specialist - Remote - Must Reside in CA **Job Description Summary** Responsible for… more
- Defense Contract Management Agency (Marietta, GA)
- …management office activities in administering delegated contracts. Serves as the senior civilian 1102 for managerial, advisory, and technical functions of the ... of Employment Qualifications To qualify for a Supervisory Contract Specialist , your resume and supporting documentation must support: A....at the time of application) to support your educational claims . Or, if you are using education to qualify… more
- Sedgwick (Atlanta, GA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Compliance Specialist Sr, GRC **PRIMARY PURPOSE** **:** To advance the IT Compliance ... the controls. + Identifies gaps/actions in cases of non-compliance and works with senior members of the team to collaborate with solution owners to design and… more
- Acuity Brands (Conyers, GA)
- …mentoring new team members and facilitating department and Acuity Sales training. As a senior , it is expected to be self-efficient on daily tasks and activities. As ... a senior they may handle more complex accounts. **Key Tasks...customer under company policy. + Submit request for warranty claims for defective material and be the liaison between… more
- Highmark Health (Atlanta, GA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Highmark Health (Atlanta, GA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more