NewSenior Account Manager - Claims LTC (Remote USA) Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)Senior Account Manager - Claims LTC (Remote USA)Atlanta, GARemoteThis position will lead or participate in external claim audits, prepare audit reports, identify training opportunities, potential fraud and process gaps, deliver client training, present at industry meetings, engage with LTCI Consortium, evaluate and propose strategic initiatives for clients and Munich Re, lead projects, monitor performance, analyze production reports, and develop practical claim tools and resources for clients. Experience developing or delivering claim training, presenting at client or industry meetings, conducting claim trend analysis, preparing analytical business reports, and leading or supporting claim-related projects preferred.
NewProperty Adjuster Insurance Claims Elevate Claims SolutionsProperty Adjuster Insurance ClaimsFayetteville, GeorgiaElevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders.
Claims Adjuster, Warranty American International GroupClaims Adjuster, WarrantyAtlanta, GAAIG Warranty delivers a full range of service solutions including warranty management administration, extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. Position Overview: Reporting to a Claims Team Manager, the Adjuster, Complex Claims works directly with the insured, service contractors, clients, and other internal and external stakeholders to support the Warranty claims team.
Unemployment Claims Associate - GA - On Site Vensure Employer ServicesUnemployment Claims Associate - GA - On SiteDuluth, GAVensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). Other Benefits : Life insurance, short term disability, long term disability, employee assistance program (EAP), flexible spending account (FSA), health savings account (HSA), Identity theft protection, critical illness, accident, cancer, hospital protection, legal and pet insurance.
Claims Domain Test Manager Group Nine LLCClaims Domain Test ManagerAtlanta, GADrive the test strategy and process, domain knowledge, performs analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Should be able to run queries and perform basic system analysis, RCA etc., Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos.
Senior Claims Specialist- Financial Lines Westfield Insurance CoSenior Claims Specialist- Financial LinesAlpharetta, GAThe role also evaluates claims for reserve and settlement, executes settlement strategy, negotiates settlements proactively, attends arbitrations and ensures appropriate file documentation. Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims.
Workers Compensation Claims Medical Only Adjuster - Hybrid GA Charles TaylorWorkers Compensation Claims Medical Only Adjuster - Hybrid GALawrenceville, GeorgiaThe right person will maintain timely correspondence and determine the best course of action with low to medium levels of autonomy while working closely with clients, their employees and attorneys as a new to experienced claims professional. Charles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers’ compensation, and auto/liability.
Claims Auditing Specialist IV Kaiser PermanenteClaims Auditing Specialist IVAtlanta, GASupports the resolution of payment discrepancies for services by: using advanced knowledge of business practices to select and use collection and recoupment strategies needed to remediate payments from members or provider services; responding to findings and/or disputes between KP and payers, which requires expertise and judgment, escalating as needed; communicating with other departments to ensure compliance and payment accuracy from outside providers are documented; and monitoring and posting specialized transactions, refunds, adjustments, or overpayments to notify members and providers of payment owed. Investigates claims reviews and appeals by: performing comprehensive, moderately complex audits of medical claims payment and invoice data (e.g., claim adjustments, refunds, provider disputes) to validate conformance with specified coverage policies and payment methodologies using independent judgment; and analyzing data to identify problems of a moderate scope relating to service utilization, utilization review, referrals, transfers/diverts, claims and financial strategies of providers.
Claims Specialist I Aon CorporationClaims Specialist IAlpharetta, Georgia$40,000–$45,000 / yearAs part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions as part of our Aon’s Affinity business group within Aon Integramark. We provide individuals with disabilities reasonable accommodations to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment in accordance with applicable law.
NewClaims and Compliance Manager Lazer Logistics IncClaims and Compliance ManagerAlpharetta, GAOversee the administration and management of Auto Liability, General Liability, Property, Cargo Loss, and Environmental claims in the US within assigned regions in accordance with Lazer Spot''s Claim Handling SOPs, serving in the Claims Management capacity rather than adjuster authority. The Claims and Compliance Manager is a member of the Safety and Risk Management team, accountable for the oversight and governance of Auto Liability, General Liability, Property, Cargo, and Environmental claims in alignment with Lazer Logistics'' Claim Handling SOPs.
Claims Specialist- Liab Crawford & CompanyClaims Specialist- LiabPeachtree Corners, GAFull timeVerifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves within designed authority, as necessary, during the processing of the claim. Keep Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refer matters beyond limits of authority and expertise to Team Manager for direction.
Claims Team Lead Southeastrans, Inc.Claims Team LeadVilla Rica, GAResponsible and accountable for updating management on changes and/or extraordinary circumstances affecting the company and/or transportation provider. Correlate the reimbursement request forms and resubmissions by provider per day in chronological order.
Claims Processor Flex Benefits NFP CorpClaims Processor Flex BenefitsGA$43,000–$50,000 / yearPosition Summary:The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans, Lifestyle Accounts, Parking and more. American Benefits Group (ABG) is one of the nation's leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services.
NewClaims Team Lead, Auto Sedgwick Claims Management Services, Inc.Claims Team Lead, AutoGAPRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership/management skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies.
Indemnity Claims Specialist CorVel Enterprise Claims, Inc.Indemnity Claims SpecialistLawrenceville, GARemote$52,999–$85,473 / yearPart timeThe Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Adjuster II Commercial P and C Claims CopperPoint Insurance CoAdjuster II Commercial P and C ClaimsAtlanta, GARemote5+ years of experience adjusting casualty claims (auto liability, general liability) is preferred, though candidates with exceptional large-loss or specialized casualty experience may be considered. With significant autonomy to evaluate coverage, assess liability, and negotiate resolutions, youll drive fair claim outcomes while protecting the interests of our insureds.
Unemployment Claims Associate - GA - On Site Vensure Employer Services IncUnemployment Claims Associate - GA - On SiteDuluth, GAVensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). Other Benefits: Life insurance, short term disability, long term disability, employee assistance program (EAP), flexible spending account (FSA), health savings account (HSA), Identity theft protection, critical illness, accident, cancer, hospital protection, legal and pet insurance.
Community Connect Epic PB / Claims Analyst StratAcuity Staffing Partners IncCommunity Connect Epic PB / Claims AnalystAtlanta, GA$80–$115 / hourIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.
Field Claims Specialist - Workers' Compensation Great American Insurance Group (DBA)Field Claims Specialist - Workers' CompensationMinnesota, GA$105,000–$115,000 / yearTypically requires 10+ years of workers' compensation claims handling experience; exceptional candidates with 7+ years of proven success handling complex or high-exposure Minnesota workers' compensation claims will be considered. In this role, you will investigate, evaluate, negotiate, and resolve claims while partnering closely with injured workers, employers, medical providers, and legal counsel to achieve timely and effective outcomes.
Claims Coordinator MariettaClaims CoordinatorMarietta, GeorgiaIf you thrive in a fast-paced environment, enjoy helping people, and are highly organized—we want to meet you. Join our team and help guide homeowners through one of the most important processes after a disaster—restoring their peace of mind.