Claims Representative I
1 week ago
Claims Representative I (Health & Dental) Location: Must live within 50 miles of the Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, TX, Indianapolis, IN, Atlanta, GA, Miami, FL, or Tampa, FL PulsePoints. 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, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly 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 elevancehealthjobssupportelevancehealth.com for assistance.
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Claims Director
6 days ago
Atlanta, United States Reserv Claims Analysis LLC Full timeDescriptionAbout ReservReserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating...
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Claims Director
7 days ago
Atlanta, United States Reserv Claims Analysis LLC Full timeDescriptionAbout ReservReserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating...
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Claims Representative I
1 week ago
Atlanta, United States Elevance Health Full timeClaims Representative I (Health & Dental) Location: Must live within 50 miles of the Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, TX, Indianapolis, IN, Atlanta, GA, Miami, FL, or Tampa, FL PulsePoints. The Claims Representative I is responsible for successfully completing the required basic training. Able to perform basic job functions...
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Claims Manager
6 months ago
Atlanta, United States Artera Full timeJOB PURPOSE: Manage general liabilityclaims while under the general supervision of the Senior Claims Director. Provide monthly updates and reporting. Coordination and database management; and other projects as assigned by the management team. ESSENTIAL RESPONSIBILITIES: Receive initial notification of claims and guide employees on how to properly...
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Complex Claims Director
2 months ago
Atlanta, United States AIG Full timeAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Direcrot to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.Make your mark in AL/GL ClaimsOur Claims teams are the proven problem solvers of choice for clients, delivering consistent...
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Claims Recovery Specialist
3 months ago
Atlanta, United States AIG Full timeAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Recovery Specialist to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.Make your mark in ClaimsOur Claims teams are the proven problem solvers of choice for clients, delivering consistent...
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Customer Care Representative I
3 weeks ago
Atlanta, United States Elevance Health Full timeAnticipated End Date: 2024-11-15 Position Title: Customer Care Representative I Job Description: Customer Care Representative I Location : This is a fully remote position. Candidates must reside within 50 miles of an Elevance Health PulsePoint office location in Georgia to be considered (Atlanta, Savannah, Augusta, Columbus, GA). A proud member of the...
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Payment Variance Follow Up Representative
2 months ago
Atlanta, United States Yasmesoft Full timeHi, Greetings from Yasmesoft..!! I am Santhosh, a Sr. Recruiter with YASME SOFT INC a leading IT staffing organization. I came across your profile in one of the job boards and feel that your skills and professional experience would be a good fit for a position with one of our premier clients. Please review the job description below. If you are...
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Property and Liability Claims Manager
1 month ago
Atlanta, United States Georgia Municipal Association Full timeThe purpose of this position is to coordinate, manage and oversee claims operations of the Georgia Interlocal Risk Management Agency (GIRMA). This includes oversight of defense firms and third-party administrators (TPA) providing claims services to GIRMA. The position is also charged with providing coverage opinions and recommendations. Facilitate...
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Property and Liability Claims Manager
1 month ago
atlanta, United States Georgia Municipal Association Full timeThe purpose of this position is to coordinate, manage and oversee claims operations of the Georgia Interlocal Risk Management Agency (GIRMA). This includes oversight of defense firms and third-party administrators (TPA) providing claims services to GIRMA. The position is also charged with providing coverage opinions and recommendations. Facilitate...
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Property and Liability Claims Manager
1 month ago
atlanta, United States Georgia Municipal Association Full timeThe purpose of this position is to coordinate, manage and oversee claims operations of the Georgia Interlocal Risk Management Agency (GIRMA). This includes oversight of defense firms and third-party administrators (TPA) providing claims services to GIRMA. The position is also charged with providing coverage opinions and recommendations. Facilitate...
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Property and Liability Claims Manager
3 weeks ago
Atlanta, United States Georgia Municipal Association Full timeThe purpose of this position is to coordinate, manage and oversee claims operations of the Georgia Interlocal Risk Management Agency (GIRMA). This includes oversight of defense firms and third-party administrators (TPA) providing claims services to GIRMA. The position is also charged with providing coverage opinions and recommendations. Facilitate...
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AR Follow Up Representative
3 months ago
Atlanta, United States Yasmesoft INC Full timeHi, Greetings from Yasmesoft..!! I am Santhosh, a Sr. Recruiter with YASME SOFT INC a leading IT staffing organization. I came across your profile in one of the job boards and feel that your skills and professional experience would be a good fit for a position with one of our premier clients. Please review the job description below. If you are...
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Property Claims Advocate
1 week ago
Atlanta, United States Aon Full timeAon is looking for a Property Claims Advocate in our Aon Global Risk Consulting Group Are you ready to begin a new challenge and work with the best Insurance Professionals in the business? Then this just maybe the new opportunity you are looking for! As part of an industry-leading team, you will help empower results for our clients by delivering innovative...
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Property Claims Advocate
2 weeks ago
Atlanta, United States Aon Full timeAon is looking for a Property Claims Advocate in our Aon Global Risk Consulting Group Are you ready to begin a new challenge and work with the best Insurance Professionals in the business? Then this just maybe the new opportunity you are looking for! As part of an industry-leading team, you will help empower results for our clients by delivering innovative...
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Clinical Pharmacist I
1 month ago
Atlanta, United States ICONMA Full timeOur Client, a Medical center company, is looking for a Clinical Pharmacist I for their Remote location. Responsibilities: Reporting to the Manager of Pharmacy Operations, the Clinical Pharmacist I is primarily responsible for the pharmacy utilization management (UM) activities, including review of all pharmacy prior authorization requests,...
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Clinical Pharmacist I
4 weeks ago
Atlanta, United States ICONMA Full timeOur Client, a Medical center company, is looking for a Clinical Pharmacist I for their Remote location. Responsibilities: Reporting to the Manager of Pharmacy Operations, the Clinical Pharmacist I is primarily responsible for the pharmacy utilization management (UM) activities, including review of all pharmacy prior authorization requests, oversight of...
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Clinical Pharmacist I
4 weeks ago
Atlanta, United States ICONMA Full timeOur Client, a Medical center company, is looking for a Clinical Pharmacist I for their Remote location. Responsibilities: Reporting to the Manager of Pharmacy Operations, the Clinical Pharmacist I is primarily responsible for the pharmacy utilization management (UM) activities, including review of all pharmacy prior authorization requests, oversight...
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North America Claims Operations Manager
3 months ago
Atlanta, United States AIG Full timeManager – North America Claims OperationsAt AIG, we are reimagining the way we help customers to manage risk. Join us as Manager - North America Claims Operations to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team and to work with some of the industry’s top talent.Make your...
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Field Representative
2 weeks ago
Atlanta, United States The Auto Club Group Full timeIt‘s a great time to join AAA The Auto Club Group!JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARDJob Type:Full timeExempt/Non Exempt:SalaryJob Description:Why Choose a Career with the AAA The Auto Club Group (ACG)You are great at providing excellent customer service, organized and have an analytical mind. You enjoy a position that will keep you...
