Medical Claims Investigator

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 INVESTIGATOR - CLAIMS GROUPThe City of Atlanta Department of Law is seeking qualified applicants for a Claims Investigator within the Claims Group. The Claims Group which manages claims filed against the City of Atlanta.General Description and Classification StandardsThe individual in this position is responsible for providing investigative legal...

Property Claims InvestigatorCrawford & Company is seeking a skilled Property Claims Investigator to join our team. As a Property Claims Investigator, you will be responsible for resolving residential and commercial property claims by investigating losses, interpreting coverages, and negotiating settlements.Key Responsibilities:Examine claims forms, policies,...

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...

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring...

Imagine a workplace that encourages you to interpret, innovate and inspireOur employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive changeYou can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring...

Job DescriptionJob DescriptionPLS Claims is an independent adjusting company headquartered in the Atlanta area. PLS Claims represents numerous clients, including insurance companies, Syndicates at Lloyds, self-insureds and third-party administrators.We are seeking an experienced MOTOR TRUCK CARGO Insurance Adjuster to become a part of our organization. While...

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...

About AIGAt AIG, we are redefining how we assist clients in managing risk. As a Senior Claims Investigation Specialist, you will play a crucial role in this evolution, enhancing your skills and expertise as a vital member of our organization.Impactful ContributionsIn this role, you will oversee all facets of the investigation process, which includes the...

About the RoleWe are seeking a highly skilled Claims Fraud Investigator to join our team at AIG. As a Claims Fraud Investigator, you will play a critical role in identifying and investigating suspicious insurance claims to minimize the risk of fraud to our organization.Key ResponsibilitiesConduct thorough investigations of high-frequency, low-complexity...

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring...

Job SummaryAs a Nurse Investigator with the Georgia Department of Law, you will play a critical role in uncovering and preventing healthcare fraud within the Medicaid program. Under the direction of the Fraud Unit Director, you will assist in conducting thorough investigations by reviewing provider and recipient records, making determinations of medical...

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

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...

Title: Claims RepresentativeLocation:Atlanta, GA Primary Responsibilities:Handle policy conditions and settle coverage and liability issues for assigned claimsCreate reservation of rights letters, non waiver agreements, and coverage disclaimersHandle and investigate claim reserves to ensure that potential exposure is properly reflectedInvestigate claims and...

Job SummaryRose International is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing complex workers' compensation claims to determine benefits due. This role requires strong analytical and interpretive skills, as well as excellent oral and written communication skills.Key ResponsibilitiesAnalyze...

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...

The Office of the Attorney General Georgia Department of Law Nurse Investigator- Medicaid Fraud Division *To move forward in the recruiting process ALL applicants are required to: · Attach a current Resume · Cover Letter · Attach copies of official undergraduate transcripts(unofficial accepted during application process) The mission of...

JCW is currently working with a specialty insurance company that has recently been growing their claims department in various lines. As a complex claims specialist you will play a key role in the claims department by investigating and analyzing EPL and D&O claim submissions. Responsibilities Adjust complex/severe claims in all phases of litigation Actively...

JCW is currently working with a specialty insurance company that has recently been growing their claims department in various lines. As a complex claims specialist you will play a key role in the claims department by investigating and analyzing EPL and D&O claim submissions.ResponsibilitiesAdjust complex/severe claims in all phases of litigationActively...