Construction Claims Representative - Complex Claims Unit The Hartford Insurance Group IncConstruction Claims Representative - Complex Claims UnitAlpharetta, GA$56,391–$84,587 / yearRESPONSIBILITIES: Provide proactive communications and respond to inquiries from customers and business partners in the management of claims; Review and analyze complex policies and coverage parts; Write and articulate coverage positions; Conduct investigations regarding claims and/or lawsuits; Manage litigation with counsel and/or other carriers; Make liability and damages assessments; Pursue risk transfer against other liable parties and insurance carriers; Attend mediations and trials, as necessary; Keep management informed of claim developments; Manage expenses, reserves and financial transactions; QUALIFICATIONS: Strong verbal and written communication skills; Strong analytical, problem solving and critical thinking skills; Strong customer service and active listening skills; Strong time management and organization skills; Strong negotiation and conflict resolution skills; A desire to learn and grow and work as part of a team toward common goals; Proficiency in Microsoft Office applications, including Outlook, Word, Excel, PowerPoint, and Microsoft Teams, with the ability to effectively leverage these tools in a fast-paced professional environment. The Claim Representative will demonstrate the ability to proactively manage high excess and lower-exposure primary claims with an analytical focus, demonstrating the ability to comprehend and communicate facts, issues, and resolution strategies to management and other stakeholders.
NewMedical Claims Recovery Specialist (Subrogation) - Tucker, GA - Hybrid Gainwell Technologies LLCMedical Claims Recovery Specialist (Subrogation) - Tucker, GA - HybridTucker, GA$30,500–$43,500 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. To work effectively as a teleworker or hybrid employee, you must have broadband internet with a minimum speed of 24 Mbps download and 8 Mbps upload (higher speeds recommended for optimal performance).
Fast Track Claims Adjuster, Auto PD American International GroupFast Track Claims Adjuster, Auto PDAtlanta, GAThe role of a Fast-Track Claim Adjuster is to investigate, evaluate and resolve first and third-party auto liability claims, and occasionally minor injury claims and low complexity general liability losses. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Bodily Injury Claims Specialist Auto-Owners Insurance GroupBodily Injury Claims SpecialistDuluth, GAThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Revenue Cycle Fertility Account Specialist Azalea Health Innovations IncRevenue Cycle Fertility Account SpecialistAtlanta, GAFull timeHigh School diploma or GED 3-5 years' experience in medical billing/collection practices and customerservice Candidate should have the following knowledge for the Fertility role: Case Rate Management, Medical Record Management, CycleManagement/Treatment Mapping, Fertility Coding, Global/BundledServices Management, Genetic Testing Management, Embryology Billing,ASC/Facility Billing, Fertility AR Follow Up Candidate should have the following knowledge for the Rural Health Center role: Medicare RHC Bundling Rules, UB04/Institutional Billing, MedicareAdvantage Bundling Rules, Medicaid Bundling Rules, A/R RHC, AIR Rate &RHC Reimbursement, RHC Qualifying Visits, RHC Modifiers, RHC ProviderEligibility, RHC Lab Billing, Computer data entry Understanding of payment application processes Working knowledge of Microsoft Office and Google Workspace Ability to follow instruction and adhere to company policies and procedures Must be a team player and willing to learn and take on new responsibilities Problem solving and analytical skills Strong oral and written communication skills Familiarity with insurance companies (medical) coverage and benefits Intermediate to advanced medical billing knowledge Accounting knowledge Ability to represent the Company in a professional manner at all timesSUCCESS LOOKS LIKE. Competitive and comprehensive benefits: Coverage options to support the wholeperson, including full medical, dental, vision, and life insuranceo Generous employer sponsored subsidy towards employee's medicalinsurance premiumso Azalea Health covers 100% of the premiums for Life AD&D andLong-Term Disability for all eligible full-time employees Balance and flexibility: Simple Paid Time Off (PTO) options.
Medical Biller SYDIERA Healthcare StaffingMedical BillerAtlanta, GeorgiaThis role supports healthcare providers by helping manage insurance claims, patient billing, coding processes, and revenue cycle operations. Previous medical billing, medical coding, healthcare administration, or customer service experience is a plus but not required.
NewClaims Data Quality Analyst Arch Capital Group LtdClaims Data Quality AnalystAlpharetta, GA$75,000–$95,000 / yearCollaborate and maintain cross-functional working relationships with team members of multiple business units; Claims Third-party Administrators (TPA), Programmers, and approved vendors to analyze and correct data quality errors. Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs.
Senior Claims Examiner, Professional Liability Arch Capital Group LtdSenior Claims Examiner, Professional LiabilityAtlanta, GARemote$111,100–$172,465 / yearTotal individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines.
Claims Customer Service Representative Lee Hecht HarrisonClaims Customer Service RepresentativeAtlanta, GA$46,000–$48,000 / yearLHH is seeking a Customer Service Representative to join a growing team focused on providing exceptional support to policyholders and healthcare providers. The successful candidate will play a key role in delivering accurate information, resolving concerns efficiently, and creating a positive customer experience.
APD Claims Team Lead ReservAPD Claims Team LeadAtlanta, GAIdentify topics and trends to discuss in team Huddles and Elevated Claims Experience Workshops lead/ co-lead by Team Leads, Managers, and other Reserv employees. 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.
Employment Practices Liability Claims Analyst The Hartford Insurance Group IncEmployment Practices Liability Claims AnalystAlpharetta, GA$82,800–$124,200 / yearCandidates should demonstrate the following competencies: Excellent oral and written communication skills; Strong strategic thinking abilities and execution skills; An ability to communicate thoughts clearly and concisely, and to influence and persuade others; Superior interpersonal skills, with an ability to work well as part of a team and/or in supporting roles. Experience, education and skills: Bachelor's degree required; professional designation and/or legal degree a plus; Insurance company (or law firm) experience a plus; Basic knowledge/understanding of professional lines, and/or litigated coverage and liability exposure desired; EPL a plus.
Claims Adjuster- Bilingual American International GroupClaims Adjuster- BilingualAtlanta, 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. Your Contribution: The Claims Examiner- Bilingual are the ones our clients turn to in times of need and will act with speed, composure, compassion and knowledge to solve problems and the work they do every day is the heart of AIG's business.
Claims Specialist, Construction Endurance Services LimitedClaims Specialist, ConstructionAlpharetta, Georgia$70,000–$125,000 / yearOur in-house insurance claims professionals work with underwriters, risk control specialists, and distribution partners to build collaborative relationships with insureds, understand clients’ changing needs, and provide direct access to experienced claims professionals with extensive industry and product knowledge. Sompo is committed to providing outstanding claims service that delivers fair and appropriate outcomes for our insureds, efficient service, timely responses, fast payment of agreed claims, and value-added expertise from product and industry specialists.
Corporate Claim Litigation Attorney Expert (Remote) Allstate Insurance CompanyCorporate Claim Litigation Attorney Expert (Remote)GARemote$130,000–$180,000 / yearClaim Litigation Counsel will be expected to provide advice and counsel to the Claims Organization regarding insurance claims of heightened exposure, complex extra-contractual matters, bad faith, and other major claim-related litigation. The ideal candidate will have at least 7 years of relevant substantive experience in a law firm or in-house legal department related to insurance defense work, and some experience managing or litigating bad faith or extra-contractual allegations.
Claims Operations Analyst Berkshire Hathaway Specialty Insurance CoClaims Operations AnalystAtlanta, GAEvaluate, review, and analyze policies compared to new claim loss reports to determine claim type and appropriate policy coverage provisions; decision making for correct coding and claims handler assignments as well as responses to brokers, insureds, and third-party administrators (TPA). Part of Berkshire Hathaway's insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character.
Claims Operation Support Specialist - Marine Starr CompaniesClaims Operation Support Specialist - MarineAtlanta, GAAt Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Provide administrative support to the Claims Processing Department as needed for all other profit centers, including Marine.
Commercial General Liability Claims Adjuster Western International StaffCommercial General Liability Claims AdjusterAtlanta, GeorgiaMust have an active adjuster license and a minimum of 3 years experience handling commercial general liability claims with an insurance company or TPA. This position is handled inside, working remotely from your residence.
General Liability Claims Manager CNA Financial CorpGeneral Liability Claims ManagerAtlanta, GA$72,000–$141,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Oversees the work activities of a team of claims professionals and has full management responsibility by setting and communicating expectations, providing direction and coaching, facilitating training and development, managing employee performance, and contributing to employee engagement. Builds and maintains collaborative relationships with internal and external work partners by participating in round table discussions, working with claims operations and coverage resources, providing insights to underwriters, partnering with SIU and Recovery Services and interacting with external customers, brokers and vendors as appropriate.
NewExperienced Catastrophe Claims Representative Auto-Owners Insurance CoExperienced Catastrophe Claims RepresentativeStonecrest, GAOur group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. The position requires the following, but is not limited to: Frequent travel up to 21 days at a time and is required upon short notice to location of catastrophe, which would most likely be out of state.
Claims Examiner I HCC Life Insurance CompanyClaims Examiner IAlpharetta, GA$46,600–$69,800 / yearThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. As an insurance company, we comply with certain federal, state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions.