Senior Claims Analyst - Healthcare and Lawyers Professional Liability The Hartford Insurance Group IncSenior Claims Analyst - Healthcare and Lawyers Professional LiabilityAlpharetta, GA$108,800–$163,200 / yearPlan, recommend, reserve, and execute file strategies including investigation, valuation, disposition, and settlement of assigned claims of low to moderate exposure and/or complexity, in a manner consistent with corporate claim settlement policies and procedures, and statutory, regulatory and ethics requirements. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Claims Analyst Southeastrans, Inc.Claims AnalystVilla Rica, GASUMMARY: The Claims Analyst is responsible for analyzing a percentage of processed claims for accuracy according to the provider contract and company policies and procedures by performing the following and other duties that may be assigned. Minimum 2 years of relevant claims processing experience, preferably in a health care environment or a minimum of six months of internal claims processing experience.
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.
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 Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEAtlanta, GARemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Claims Analyst IV - General Liability American International GroupClaims Analyst IV - General LiabilityAtlanta, GA$76,000–$93,000 / yearOur 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. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family.
Claims Analyst IV-Auto and GL American International GroupClaims Analyst IV-Auto and GLAtlanta, GA$72,500–$96,700 / yearOur 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. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family.
Claims Analyst IV - Auto and General Liability American International Group Inc (AIG)Claims Analyst IV - Auto and General LiabilityAtlanta, GA$76,000–$93,000 / yearOur 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. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.
NewAviation Claims Analyst IV American International GroupAviation Claims Analyst IVAtlanta, GAOur 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. The position requires an experienced claims adjuster with a demonstrated ability to work independently, efficiently, and consistently in support of the client centric NA Aerospace claim proposition.
Claims Data Quality Analyst Arch Capital Group LtdClaims Data Quality AnalystAlpharetta, GA$62,000–$80,000 / 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.
Business Analyst III- Data Mining Overpayment and Operations/Payment Integrity- WGS Claims Elevance Health IncBusiness Analyst III- Data Mining Overpayment and Operations/Payment Integrity- WGS ClaimsAtlanta, GAPerforms analysis of structured and unstructured data to identify trends, solve complex business problems, and support overpayment detection using automation/AI tools. 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.
Claims Management Analyst American International Group Inc (AIG)Claims Management AnalystAtlanta, GAOur 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. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeGAEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Claims Business Analyst (Healthcare Payer) Group Nine LLCClaims Business Analyst (Healthcare Payer)Atlanta, GARemoteShould have basic understanding concepts like web services, relational databases etc., Should be able to run queries and perform basic system analysis, RCA etc., Should be able to create mapping documents for the various interfaces and include business rules, transformation and DB mapping. Should have excellent communication (written and spoken ) skills to engage with different stake holders like QA/dev team, clients, end users of Clients and Business Units.
Commercial Claims Quality & Performance Analyst III - Remote CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - RemoteHome Teleworkers, GARemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more}. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.
Sr Business Insights Analyst (Property Claims) Assurant IncSr Business Insights Analyst (Property Claims)Atlanta, GA$74,600–$124,700 / yearA Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world's leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products. Acts as the customer / IT liaison during analysis, requirements definition and design activities; develop and maintain an understanding of the business, business strategies and roadmap; collaborates with business stakeholders to define and document business requirements and with technical staff to develop solution alternatives.
Claims TPA Governance Analyst American International GroupClaims TPA Governance AnalystAtlanta, GAReporting directly to the Claims TPA Regulatory Manager, the role will support the oversight of all North American state and province regulatory matters relating to third-party administrators handling claims on behalf of AIG. The Claims TPA Governance Analyst shall be responsible for the following activities: Monitor changes in state, federal, and market conduct regulatory requirements impacting claims handling and TPA activities.
Claims Law Firm Junior Analyst American International GroupClaims Law Firm Junior AnalystAtlanta, GADocumentation and website updates, keeping business facing documents / webpages which reflect AIG’s commercial positions with Law Firms accurate and current; Assist Claims Law Firm Managers in handling law firm inquiries and provide support to internal Claims stakeholders as necessary, including performing searches/queries via AIG’s e-billing and law firm management platform and monitoring team’s inbox. Reporting directly to the NAM Head of Law Firm Management, the role will be responsible for supporting the contracting of claims Law Firms, engaging in the collection of Law Firm due diligence, issuing contract documentation, supporting rate negotiations, and storing and uploading all commercial agreements.
EPIC Applications Analyst (1-4): Professional Billing Admin and Professional Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Professional Billing Admin and Professional Billing Claims - IT Services - Full TimeGAEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
VP, Construction Claims (Remote, US) NFP CorpVP, Construction Claims (Remote, US)Telecommuter, GARemote$110,000–$167,000 / yearThis role serves as a key management leader for the Construction & Infrastructure Claims Team, supporting overall team direction, operational consistency, and high-level execution across client accounts and complex claims matters. Lead coverage advocacy on complex and disputed claims by directing policy analysis, challenging adverse carrier positions, coordinating supporting facts and arguments, and advancing strategies designed to maximize available coverage and claim outcomes for clients.
Business Consultant - Data Mining Overpayment and Operations/Payment Integrity- WGS Claims Elevance Health IncBusiness Consultant - Data Mining Overpayment and Operations/Payment Integrity- WGS ClaimsAtlanta, GAAnalyze structured and unstructured data using automation/AI tools to identify trends, solve complex business problems, and uncover overpayment risks. Minimum Requirements: Requires a BA/BS and minimum of 8 years business analysis experience, which should include analysis and project management; or any combination of education and experience which would provide an equivalent background.
Auto Telephone Claims Adjuster Allstate Insurance CompanyAuto Telephone Claims AdjusterGA$47,500–$61,600 / yearThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, Detail-Oriented, Insurance Claims Investigations, Insurance Policies, Investigative Skills, Multitasking.
Claims Specialist, Cyber AXA SAClaims Specialist, CyberAtlanta, GA$83,500–$145,500 / yearCoordinating and managing communication with internal colleagues and key external stakeholders (e.g., clients, brokers, reinsurers, vendors, etc.) ensuring we are providing the highest level of customer service Responsive claims management in direct coordination with a diverse team of specialists: computer forensics, data breach notification and call center services, credit and ID monitoring, public relations and expert legal counsel. Managing assigned complex Cyber and Technology claims across multiple jurisdictions, setting the case strategy for these claims in partnership with the Cyber Practice Leader and Claims Management, and taking all available steps to achieve the optimal outcome.
VP, Claims Jackson Healthcare LLCVP, ClaimsAlpharetta, GAJackson Healthcare and our family of companies provide healthcare systems, hospitals and medical facilities of all sizes with the skilled and specialized labor and technologies they need to deliver high quality patient care and achieve the best possible outcomes while connecting healthcare professionals to the temporary engagements, contract assignments and permanent placement employment opportunities they desire. Champion the continued maturation of Origami as the authoritative system of record partnering with the Risk Teams analytics resources to advance severity scoring, workflow automation, integrated data feeds, and the evaluation of emerging AI applications for triage, document review, summarization, and predictive insight.
Casualty Claims Representative IV Georgia Farm Bureau MICCasualty Claims Representative IVMACON, GAPart timeWhileperformingthedutiesofthisjob,theemployeeisrequiredtooperateinanormaloffice environment with occasional travel necessary to visit office locations, conduct investigations, attend conferences/training classes and. Investigate, evaluate and negotiate complex automobile claims including non-injury, serious injury claims, fatality losses, UMBI exposures, and out of state losses.
Claims - Subrogation Specialist Auto\Casualty Georgia Farm Bureau MICClaims - Subrogation Specialist Auto\CasualtyMACON, GAPart timeDetermine liability, identify subrogation rights, confirms damages, prepares for litigation, status reports, and negotiate subrogation settlements in the best advantage of the company, considering factors such as litigation cost, value of the insured's auto claim, continued recovery attempt expense, comparative negligence of the insured, statutory limits, and current Case Law. Update system information concerning subrogation claim status; Print or request printing of necessary data from claim system to meet external documentation requirements responsible for receiving, reviewing, and issuing demands on all automobile subrogation claims where recovery potential exists.
Claims - Subrogation Specialist Auto\\Casualty Georgia Farm BureauClaims - Subrogation Specialist Auto\\CasualtyMacon, GeorgiaDetermine liability, identify subrogation rights, confirms damages, prepares for litigation, status reports, and negotiate subrogation settlements in the best advantage of the company, considering factors such as litigation cost, value of the insured's auto claim, continued recovery attempt expense, comparative negligence of the insured, statutory limits, and current Case Law. Update system information concerning subrogation claim status; Print or request printing of necessary data from claim system to meet external documentation requirements responsible for receiving, reviewing, and issuing demands on all automobile subrogation claims where recovery potential exists.
Claims - Field Claims Representative Georgia Farm BureauClaims - Field Claims RepresentativeSavannah, GeorgiaWhile performing the duties of this job, the employee is required to occasionally operate in a normal office environment with occasional travel necessary to visit office locations, conduct investigations, attends conferences/training classes and meetings. The representative must possess basic skills with personal computer; experience with Windows, word processing, and internet, Xactware products experience, and other documents as required.
CLAIMS SPECIALIST - LIABILITY Allianz SECLAIMS SPECIALIST - LIABILITYAlpharetta, GA$102,182–$170,509 / yearSome of your specific responsibilities could include: • Investigate claims that involve complex liability issues on domestic and multinational claims • Input and maintain accurate claims records for designated accounts, within appropriate AzC Claims administration systems • Select and direct independent external service providers (e.g., Lawyers, Independent Adjusters, Experts) • Evaluate and address coverage issues and determine appropriate reserving levels • Negotiate and resolve high exposure, complex claims ensuring cost effective, service orientated solutions • Support training, developing and coaching of less experienced staff • Ensure all claims handled within authority limits, and in line with AzC Claims complex procedures and guidelines • Refer cases outside of authority level, preparing referral documentation and materials as appropriate • Support establishment of claims management procedures on new business accounts in association with clients, brokers and loss adjusters • Proactively support acquisition of new business and retention of existing business (including client and broker negotiations where necessary). 5-7 years' experience in proven track record in handling Liability claims involving complex coverage and damage issues Demonstrate established relationships with brokers at peer group level and well established within local market Have an expert understanding of Liability products and portfolio, with expert understanding of coverage and application in the adjustment process In-depth understanding of regional / local Liability insurance markets and competitor landscape Detailed understanding of legal and regulatory framework Experience working in a complex, global matrix organization The ability to utilize AI tools to support day-to-day tasks, improve efficiency, and contribute to data-driven decision-making is valuable Bachelor's degree in a relevant discipline.
Claims Manager - Trucking (APD) ReservClaims Manager - Trucking (APD)Atlanta, GAFounded 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. At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success.
Community Connect Epic Cadence / Grand Central Analyst StratAcuity Staffing Partners IncCommunity Connect Epic Cadence / Grand Central AnalystAtlanta, GA$90–$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.
Analyst, Risk Management BrandSafwayAnalyst, Risk ManagementAtlanta, GAThe ideal candidate will work cross-functionally with Legal, Safety, Contracts, Finance, and Operations teams to identify potential risks, support mitigation strategies, and ensure accurate reporting and documentation across various risk management programs. This position offers the opportunity to work across multiple business functions while gaining exposure to corporate risk management, insurance programs, claims administration, compliance initiatives, and enterprise risk activities within a leading industrial services organization.
Analyst, Risk Management Brand Industrial Services IncAnalyst, Risk ManagementAtlanta, GAThe ideal candidate will work cross-functionally with Legal, Safety, Contracts, Finance, and Operations teams to identify potential risks, support mitigation strategies, and ensure accurate reporting and documentation across various risk management programs. This position offers the opportunity to work across multiple business functions while gaining exposure to corporate risk management, insurance programs, claims administration, compliance initiatives, and enterprise risk activities within a leading industrial services organization.
NewTrade Settlement Analyst Nesco Resource, LLCTrade Settlement AnalystSt Simons Island, GA$29–$29 / hourThe ideal candidate will possess strong analytical skills, proficiency in Excel, and the ability to work collaboratively with customers, sales teams, and internal stakeholders to resolve complex settlement and pricing issues. Experience in accounting, accounts receivable, deductions management, trade settlements, claims processing, customer deductions, or related financial operations preferred.
Ability Analyst Paid Family Medical Leave The Hartford Insurance Group IncAbility Analyst Paid Family Medical LeaveAlpharetta, GA$46,222–$52,900 / yearActual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. Candidates who do not live near an office should maintain their current work arrangement, with the expectation of coming into the office as business needs arise.
HR Safety - RCP011, Safety & Complnc Spec 2 (PG: J) "Liability Analyst" - Atlanta, GA State of GeorgiaHR Safety - RCP011, Safety & Complnc Spec 2 (PG: J) "Liability Analyst" - Atlanta, GAAtlanta, GAPay grade J. Job Summary: The Safety Analyst supports the organization's safety, compliance, and risk management functions by conducting data analysis, preparing reports, and assisting with third party insurance claim documentation, maintaining CMR (Claims Management Reporting) records, maintaining SPAR (Special All Risk) insurance records, and supporting Workers' Compensation and reporting. Actions that may disqualify an applicant include letters of reprimand (active for 12 months after issuance date); suspension without pay or disciplinary demotion (active for 12 months from the effective date); Performance Improvement Plans (PIP) and Leave Restriction Plans (active until 12 months after the date of issuance).
DRG Ops Analyst Zelis Healthcare, Inc.DRG Ops AnalystAtlanta, GA$54,000–$68,400 / yearWhat you'll do: Managing the screening and distribution processes of Expert Claim Review Claims supporting the end-to-end workflow audit for Zelis Prepay and Post-pay Programs. Accountable for the deployment of resources for the management of daily claims screening, distribution, and referral processes, including ECR and ECR-EDI, DRG Validation and DRG Outlier pricing.
Senior Analyst, Insurance and Risk - Construction QTS Realty Trust LLCSenior Analyst, Insurance and Risk - ConstructionDuluth, GACollaborate with internal teams such as Real Estate Program Management, Legal, Finance, Accounting, Development, EHS, and Procurement to execute on the coordinated approach to insurance management during the development cycle of campus infrastructure and ongoing operation of data center assets. Who You Are: The Senior Analyst, Insurance and Risk Management - Construction will serve as a key leader in executing corporate and risk management strategies for the development of large-scale data center campuses.
NewTrade Settlement Analyst On-Board CompaniesTrade Settlement AnalystSt Simons Island, GA$29–$29 / hourToday, On-Board is a thriving privately held family of companies with services including: Consulting, Professional Engineering, Industrial Maintenance and Facility Management, Contracted Manufacturing and Production Services, as well as Temporary Staffing and Recruiting throughout North America. Manage trade settlements (disbursements and customer deductions), which includes validation of the settlement, resolving discrepancies with the customer, obtaining proper approvals.
Appeals Analyst - Full Time Hughston Clinic PCAppeals Analyst - Full TimeColumbus, GAPosition Goal: Utilize coding certification knowledge and experience to monitor contractual allowances; analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance. Monitors and tracks contractual, billing, registration, and posting errors, and provides continuous feedback to the Director of Revenue Optimization Management.
Long Term Disability Analyst The Hartford Insurance Group IncLong Term Disability AnalystAlpharetta, GA$48,071–$72,107 / yearThe Senior Ability Analyst supports the organization's mission of helping customers rebuild their lives after an unexpected illness or event by delivering empathetic service, sound decision‑making, and consistent claim management throughout the long-term disability lifecycle. Candidates who live near one of our office locations (Hartford, CT, Lake Mary, FL, San Antonio, Alpharetta, GA, Naperville, IL or Scottsdale, AZ) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Insurance Analyst II Fresenius Medical Care AG & Co KGaAInsurance Analyst IIKennesaw, GAPRINCIPAL DUTIES AND RESPONSIBILITIES: Utilize applied knowledge of insurance in the facilitation of underwriting processes to support the assigned business unit(s); collaborating with cross-divisional teams as necessary to ensure data accuracy and integrity of compiled information. Maintain applicable database within the assigned function(s) in compliance with company policies and procedures, Sarbanes-Oxley Act (SOX) and other regulatory requirements; assisting in the preparation and distribution of requested database reports.
Long Term Disability Senior Ability Analyst The Hartford Insurance Group IncLong Term Disability Senior Ability AnalystAlpharetta, GA$44,400–$79,800 / yearAdditional Information: For full-time, occasional, part-time, or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Mifi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused initial and ongoing Long Term Disability benefit determinations using vocational, medical, and financial claim management.
Reporting Analyst, PBM Marpai Administrators LLCReporting Analyst, PBMAtlanta, GARemoteThis role will support MarpaiRx by translating pharmacy claims data into accurate, actionable reporting used for implementation, client readiness, clinical programs, performance guarantees, RFP support, and ongoing operational monitoring. Knowledge of PBM concepts such as claims adjudication, NDCs, drug spend, AWP, rebates, generic dispensing rate, specialty drugs, mail order, retail pharmacy, reject codes, and performance guarantees preferred.
Business Analyst SSGBusiness AnalystColumbus, GeorgiaRemoteProfessional CertificationsNone requiredYears of Professional Experience10 years of professional (an additional 10 years of experience may be substituted for education)Desired experienceExperience working in an Agile environment. Citizenship required for this specific opportunitySecurity Clearance RequirementsMust possess or qualify for a Public Trust (MBI)CRITICAL NOTES: SSG will not make assumptions regarding your qualifications.
SIU & Payment Integrity AI Analyst Codoxo.SIU & Payment Integrity AI AnalystDuluth, GAMust have expertise in core coding and billing fraud waste and abuse and 2 of the three areas below Professional Claims Facility Claims Experience reviewing medical records for coding discrepancies High-value differentiators DRG/APR-DRG auditing MS-DRG/APR-DRG assignment validation upcoding/DRG creep LOS & medical necessity review experience with medical necessity triggers high-cost drug/services pharmacy & DME integrity behavioral health and Psychotherapy coding. Synthetic Healthcare Data Curation Reviewing and curating synthetic datasets generated by AI and data engineering teams to ensure they accurately reflect real-world healthcare claims medical records and diagnostic imaging clinical scenarios.
Appeals Analyst - Full Time Hughston ClinicAppeals Analyst - Full TimeColumbus, GAUtilize coding certification knowledge and experience to monitor contractual allowances; analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance. Monitors and tracks contractual, billing, registration, and posting errors, and provides continuous feedback to the Director of Revenue Optimization Management.
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteHome Teleworkers, GARemote$110,700–$123,000 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).
Payment Integrity Analyst Health One AlliancePayment Integrity AnalystDalton, GeorgiaA Payment Integrity Analyst reviews healthcare claims, payments, and billing to find errors, fraud, waste, or abuse, ensuring compliance with rules (like CMS) and policies, using strong data analysis, medical coding (CPT/ICD-10), and auditing skills to prevent financial loss and improve accuracy, often working with vendors and internal teams. Key duties include auditing claims, investigating anomalies, analyzing data for trends, collaborating on billing edits, and preparing reports to support cost containment for health plans.
Oliver Wyman Actuarial - Full-Time Consultant and Analyst Roles - 2027 Marsh & McLennan Companies IncOliver Wyman Actuarial - Full-Time Consultant and Analyst Roles - 2027Atlanta, GA$65,000–$110,000 / yearWe bring a combination of broad-based expertise with specialized knowledge of specific risks, allowing us to provide independent, objective advice in the three primary areas of risk: healthcare, life and annuity, and property and casualty. If interested in the ICG, feel free to check out our ICG job simulation here, Oliver Wyman Integrated Consulting Group - Forage, for an immersive experience designed to introduce you to the high-impact work of the strategy, risk, and transformation work we do.*.