Current jobs related to Claims Representative I - Atlanta, Georgia - Elevance Health

  • Claims Adjuster

    7 days ago


    Atlanta, Georgia, United States Sedgwick Claims Management Services Full time

    Job SummaryWe are seeking a skilled Claims Representative to join our team at Sedgwick Claims Management Services. As a Claims Representative, you will be responsible for processing low-level general liability claims to determine benefits due, ensuring ongoing adjudication of claims within company standards and industry best practices, and identifying...


  • Atlanta, Georgia, United States PLS Claims Full time

    Job OpportunityWe are seeking an experienced Motor Truck Cargo Insurance Adjuster to join our team at PLS Claims.About the RoleInvestigate and evaluate complex cargo loss claims, working with insureds and other parties to resolve disputes.Evaluate and resolve commercial cargo claims across multiple states.Determine claim values and negotiate settlements...


  • Atlanta, Georgia, United States PLS Claims Full time

    Job OverviewPLS Claims is a reputable independent adjusting firm based in the Atlanta region, serving a diverse clientele that includes insurance providers, Lloyds Syndicates, self-insured entities, and third-party administrators.We are currently in search of a skilled MOTOR TRUCK CARGO Insurance Claims Specialist to enhance our team. This role offers the...

  • Claims Adjuster

    2 days ago


    Atlanta, Georgia, United States Sedgwick Claims Management Services Full time

    Job SummaryWe are seeking a skilled Claims Representative to join our team at Sedgwick Claims Management Services.Key ResponsibilitiesProcess low-level workers compensation claims to determine benefits dueEnsure ongoing adjudication of claims within company standards and industry best practicesIdentify subrogation of claims and negotiate settlements with...


  • Atlanta, Georgia, United States Higginbotham Insurance Agency Full time

    Higginbotham Insurance Agency is seeking a Claims Service Representative to join our team in Atlanta, GA. As a Claims Service Representative, you will be responsible for handling phone calls and coordinating communication via email or phone voice mails and relaying them to the appropriate party. The Claims Service Representative performs the administrative...


  • Atlanta, Georgia, United States Association County Commissioners of GA Full time

    Job OverviewGeneral Overview of ResponsibilitiesThe Claims Support Specialist I performs essential administrative functions, providing assistance with various office tasks, managing telephone communications, and maintaining comprehensive and/or confidential documentation and records.Key ResponsibilitiesDemonstrates exceptional customer service,...


  • Atlanta, Georgia, United States City of Atlanta Full time

    CLAIMS INVESTIGATOR - CLAIMS DIVISION The City of Atlanta Department of Law is in search of skilled candidates for the position of Claims Investigator within the Claims Division, which oversees claims lodged against the City of Atlanta. Position Overview and Classification Standards The individual selected for this role will be tasked with delivering...

  • Claims Manager

    1 week ago


    Atlanta, Georgia, United States Artera Full time

    {"Job Title": "Claims Manager", "Job Summary": "We are seeking a highly skilled Claims Manager to join our team at Artera. As a Claims Manager, you will be responsible for managing general liability claims while under the general supervision of the Senior Claims Director. Your primary goal will be to provide monthly updates and reporting, as well as...


  • Atlanta, Georgia, United States Higginbotham Insurance Agency Full time

    Higginbotham Insurance Agency is a leading independent insurance and financial services firm, recognized among the top 20 in the nation. We are currently seeking a Claims Consultant to join our dynamic team. The Claims Consultant serves as a key representative, providing essential updates and support regarding claims to both clients and producers. This role...


  • Atlanta, Georgia, United States VirtualVocations Full time

    A company is looking for a Commercial Auto Claims Representative - Property Damage (PD) professional to join their team. Key Responsibilities: * Investigate losses and identify coverage issues * Handle First Party Damages, Third Party Damages, Total Loss, Fire, Theft, and Glass Claims * Evaluate injury demands and negotiate settlements Required...

  • Claims Fraud Analyst

    4 weeks ago


    Atlanta, Georgia, United States AIG Full time

    Claims Fraud AnalystAs a vital member of our Claims department, the Claims Fraud Analyst plays a crucial role in enhancing your expertise in the field of Claims.Impactful ContributionsThe Claims Fraud Analyst is tasked with overseeing all facets of the investigative process, which includes developing investigation strategies, pinpointing and delegating...


  • Atlanta, Georgia, United States Association County Commissioners of GA Full time

    Job OverviewThe selected candidate must reside within the state of Georgia. The designated telecommuting workspace will be at the employee's home address.General Overview of ResponsibilitiesThis role involves proficient technical work in managing and resolving assigned property and liability claims for the Association's insurance programs. The aim is to...


  • Atlanta, Georgia, United States Reserv Full time

    Job OverviewAbout ReservReserv is an innovative insurtech company dedicated to developing advanced AI and automation solutions that enhance efficiency and simplify the claims process. Established by industry veterans with extensive experience in SaaS and digital claims, Reserv is supported by prominent investors and is committed to transforming the claims...


  • Atlanta, Georgia, United States Harrison Gray Search and Consulting LLC Full time

    Job Title: Chief Claims SpecialistHarrison Gray Search and Consulting LLC is seeking a highly skilled Chief Claims Specialist to join our team. As a key member of our Property unit, you will be responsible for providing specialized technical claim-handling expertise for our E&S commercial property line of business.Responsibilities:Handle a designated segment...


  • Atlanta, Georgia, United States Harrison Gray Search and Consulting LLC Full time

    About the RoleHarrison Gray Search and Consulting LLC is partnering with a leading specialty insurance carrier to find a highly skilled Chief Claims Specialist. Our client is a well-established company with a strong reputation in the industry, seeking a professional to join their Atlanta-based Claims department.Key ResponsibilitiesManage a designated segment...

  • Nurse Reviewer I

    3 days ago


    Atlanta, Georgia, United States Zelis Full time

    Job SummaryZelis is seeking a skilled Nurse Reviewer I to join our team. As a key member of our healthcare financial experience team, you will play a critical role in modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers.Key...

  • Nurse Reviewer I

    4 days ago


    Atlanta, Georgia, United States Zelis Full time

    Job SummaryZelis is seeking a skilled Nurse Reviewer I to join our team. As a key member of our healthcare financial experience team, you will play a critical role in modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers.Key...


  • Atlanta, Georgia, United States Reserv Full time

    Job OverviewAbout ReservReserv is an innovative insurtech company dedicated to developing and implementing advanced AI and automation solutions to enhance efficiency and simplicity in the claims process. Founded by industry experts with extensive experience in SaaS and digital claims, we are backed by prominent investors and have been operational since 2022....


  • Atlanta, Georgia, United States Reserv Full time

    Job OverviewAbout ReservReserv is an innovative insurtech firm dedicated to developing and implementing advanced AI and automation solutions aimed at enhancing efficiency and simplicity in the claims process. Established by industry veterans with extensive experience in SaaS and digital claims, we are supported by prominent investors and have been...

  • Senior Claims Analyst

    4 weeks ago


    Atlanta, Georgia, United States City of Atlanta Full time

    POSITION SUMMARY CLAIMS ANALYST - RISK MANAGEMENT DIVISIONThe City of Atlanta's Department of Law is in search of skilled candidates for the role of Claims Analyst within the Risk Management Division. This division is responsible for overseeing claims made against the City of Atlanta.Role Overview and Classification StandardsThe individual selected for this...

Claims Representative I

4 months ago


Atlanta, Georgia, United States Elevance Health Full time


Claims Representative I

Location: The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point (EST Preferred).

The Claims Representative I is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.

How you will make an impact:
  • Learning the activities/tasks associated with his/her role.
  • Works under direct supervision.
  • Relies on others for instruction, guidance, and direction.
  • Work is reviewed for technical accuracy and soundness.
  • Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
  • Researches and analyzes claims issues.
Minimum Requirements:

Requires HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:
  • Good oral and written communication skills preferred.
  • Previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.
  • Prior claims processing experience preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact assistance.