- Sedgwick (Atlanta, GA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation **PRIMARY PURPOSE** : To analyze complex or ... technically difficult workers' compensation claims to determine benefits due; to work with high...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
- Sedgwick (Atlanta, GA)
- …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...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- Sedgwick (Atlanta, GA)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- Highmark Health (Atlanta, GA)
- …supervisor functions. + Act as subject matter expert for benefit plan and claims processing + Research and investigate any privacy or compliance concerns ... (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate, which may involve working across teams and with different levels of… 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
- Walmart (College Park, GA)
- …by ensuring proper policies and procedures are followed. Ensures the timely processing of claims (for example, damaged, defective, returned, liquidated items) ... Manages facility-level training and execution of asset protection, safety, and claims and receiving procedures by reviewing the application of policies, procedures,… more
- Mathematica (Atlanta, GA)
- …, and Medicare or Medicaid (T-MSIS, TAF) data), healthcare informatics, or healthcare claims processing . * Ability to describe difficult technical problems and ... secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Zurich NA (Atlanta, GA)
- …is currently hiring a Reinsurance Financial Analyst reporting to the Reinsurance Financial Supervisor on the Reinsurance CoE team. The ideal candidate can work in ... training and oversight reviews of peer and vendor assigned transactional processing . Key Accountabilities: + Identify, calculate, record, report and settle premium… more
- Fresenius Medical Center (Kennesaw, GA)
- …AND RESPONSIBILITIES: + Under general supervision, identify and resolve routine outstanding claims . + Generate and analyze diverse reports and work lists in the ... from past due accounts. + Ensure timely receipt of claim payments; processing payments accordingly and reconciling all necessary data. + Perform all responsibilities… more
- Walgreens (Atlanta, GA)
- …Seeks new and better ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment ... the unique communities we serve as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. Operations + Counsels' patients and… more
- Walgreens (Atlanta, GA)
- …pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more
- Walgreens (Atlanta, GA)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... management. Reviews KPI's with Pharmacy Manager, Store Manager, and Healthcare Supervisor . + Develops and maintains good relationships with local medical community… more
- Microsoft Corporation (Atlanta, GA)
- …and outbound deliveries as instructed by management. You will initiate warranty claims and process returns on failed equipment. This opportunity will allow you ... incoming/outgoing deliveries (eg purchase order [PO] receiving, Rack Movement Supervisor [RMS] activities). Documents inbound/outbound packages. Receives, confirms, tracks,… more
- IQVIA (Atlanta, GA)
- …of insurance and adjudication processes + Understanding pharmacy and medical co-pay claims processing + Proficient in cross training in various departments, ... and experience. + Five years of relevant work experience. + Call center management/ supervisor experience. + One to two years of experience using IQVIA data and… more