Claims Specialist Jobs in Atlanta, GA
Vaco LLC
$45000 - $50000
Brookhaven, GA
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Careers Integrated Resources Inc
Atlanta, GA
Additional responsibilities include supporting provider network development initiatives through research, coordination of provider outreach, contract documentation management, and maintaining organized contract files that support operational transparency and compliance. · This role supports provider contracting and agreement management activities across hospitals, physician groups, and ancillary providers to maintain a high-quality, cost-effective provider network.
Medline Industries - Transportation & Operations
Lithia Springs, GA
Position requires exposure to the environmental/atmospheric conditions: Indoor conditions, cold/hot temperature changes, wet, noise, vibration, fumes, odors, dust and mechanical / electrical / chemical hazards. Under general supervision, responsible for leading the implementation of Employee Health and Safety programs, policies, management systems and strategies in support of all facilities in assigned region.
Alaska Air Group, Inc.
$25 - $60
Atlanta, GA
The role focuses on scheduling, documentation, communication, and process execution to ensure smooth transitions for employees and independent professionals. Help develop a vendor team focused on driving customer retention and satisfaction while ensuring excellence in customer service with every customer contact.
TravelNurseSource
$1924
Stockbridge, GA
A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
Premier Physicians Group
$50000 - $60000
Atlanta, GA
This organization is a regional network of credentialed physicians dedicated to improving the health status of patients and the communities they serve. This role is responsible for accurate and timely billing of inpatient, skilled nursing facility (SNF), and Medicare claims.
Dane Street
Lawrenceville, GA
Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes . Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits .
TemPositions Group Of Companies
$41.75 - $43.75
Decatur, GA
A prestigious government agency is addressing the backlog of special education claims in New York City to ensure timely and fair resolution of disputes between parents and the city regarding educational plans for children with special needs. Training and Collaboration: Collaborate with special education specialists, technical experts, and attorneys; provide training to field staff and clinical staff on compliance with education laws.
Berkshire Hathaway GUARD Insurance Companies
Alpharetta, GA
With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers. Good things are happening at Berkshire Hathaway GUARD Insurance Companies—an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway.
Axis Capital Holdings
$130000 - $160000
Alpharetta, GA
Senior Claims Specialist - EPL/Fiduciary Job Code 13574 About the Team AXIS is hiring a Senior Claims Specialist – EPL and Fiduciary Claims for its North America Claim Team. Our focus is on hiring, developing, retaining, and rewarding individuals who excel in: Purposeful Action: Delivering top-tier work with a data-driven approach and operating at AXIS speed.
Aaron's Inc
$13.7 - $17.75
Atlanta, GA
An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, shift, travel requirements, sales or revenue-based metrics, any collective bargaining agreements, and business or organizational needs. + Assists Aaron's stores with filing Club claims on behalf of the customer, ensuring all needed documentation is completed and sent to BMS, and all stores/customers are provided with high-quality claim handling.
Axis Capital Holdings
$73000 - $146000
Alpharetta, GA
We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals. Our focus is on hiring, developing, retaining, and rewarding individuals who excel in: Purposeful Action: Delivering top-tier work with a data-driven approach and operating at AXIS speed.
American International Group
Atlanta, GA
Key Responsibilities include: analyzing coverage; evaluating liability and damages, establishing accurate reserves throughout the life of the file; maintaining and managing a diary system to efficiently manage and resolve cases; communicating file updates and reserves to the broker, insured, and underwriter when appropriate; attending mediations to resolve cases; participating in roundtables to discuss reserves and strategy. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions.
Axis Capital Holdings
$100000 - $125000
Alpharetta, GA
Collaborate with Underwriting, Distribution, and Senior Claim Management in driving deeper relationships with key strategic distribution partners including targeted “peer to peer” contact at these distribution partners, delivery of a best-in-class claim service to the end user/insured. • Claim Performance: Ensure timely and appropriate claim handling, legal and vendor expenses, exposure evaluations, and reserving- including appropriate use of signal reserves as well as the sensitivity projection process, to drive optimal claims resolutions for insureds and Axis.
Axis Capital Holdings
$110000 - $150000
Alpharetta, GA
Collaborate with Underwriting, Distribution, and Senior Claim Management in driving deeper relationships with key strategic distribution partners including targeted “peer to peer” contact at these distribution partners, delivery of a best-in-class claim service to the end user/insured. • Claim Performance: Ensure timely and appropriate claim handling, legal and vendor expenses, exposure evaluations, and reserving- including appropriate use of signal reserves as well as the sensitivity projection process, to drive optimal claims resolutions for insureds and Axis.
American International Group
Atlanta, GA
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. 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.
Zurich NA
Atlanta, GA
Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals.
American International Group
$73000 - $96000
Atlanta, GA
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. #insurancecareers #insurancejobs #claimsexaminer #WorkersCompClaims #WorkersCompensationClaims #paralegalcareers.
Berkley
$64000 - $112000
Lawrenceville, Georgia
BSIG provides local underwriting, risk services, claim, marketing and audit services for agents and policyholders in Alabama, Georgia, Mississippi, South Carolina, North Carolina and Tennessee. Responsibilities: The Property Claim Specialist position is responsible for the quality handling and resolution of a wide variety of commercial property claims in a timely and professional manner with emphasis on providing quality service while controlling expenses.
Berkley
$110000 - $140000
Lawrenceville, Georgia
The ideal candidate will possess strong analytical and negotiation skills, a collaborative approach, and the ability to navigate multi-jurisdictional legal environments with precision and confidence, while delivering exceptional service to insureds, agents, and internal stakeholders. BSIG provides local underwriting, risk services, claim, marketing and audit services for agents and policyholders in Alabama, Georgia, Mississippi, South Carolina, North Carolina and Tennessee.
American International Group
$84000 - $98000
Atlanta, GA
Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution. Analyze and process general liability property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans.
Humana
$223800 - $313100
Atlanta, GA
The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.
American International Group
Atlanta, GA
As aLiability Claims Adjuster you will handle a portfolio of lower-complexity Liability claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure, while communicating developments and outcomes as necessary to all key internal and external stakeholders. 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.
Association County Commissioners of GA
Atlanta, GA
Enters a variety of program related information into the Association's database including but not limited to deductible payments received, workers' compensation and/or property and liability claims; ensure policy/insurance data is attached to the claim before forwarding to Claims Examiner by appropriate party; verifies statistical or other records for accuracy and completeness; enters and retrieves sensitive and restricted information into the Association computer system. Supports the Association's "Four Pillars," civic engagement, leadership development, legislative advocacy, and membership services through the support of division or program staff and interaction with local governments and authorities; has knowledge of and general understanding of the programs and services offered by the Association and provides outstanding customer support that reflects well on the entire Association.
Iconma
Alpharetta, GA
Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner. Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity.
Emory Healthcare
Atlanta, Georgia
NANA Healthcare Management, LLC
Doraville, GA
The Collections Specialist is responsible for collections of outstanding accounts receivable dollars from the existing client base and all other aspects of collections, resolving customer billing problems and reducing accounts receivable. Experience:Must have two-years of continuous sobriety prior to hire, if a recovering alcoholic or drug addict and participate in a self-help program.
Aon Corporation
$40000 - $45000
Alpharetta, Georgia
As part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions as part of our business group within Aon Integramark, a debt cancellation service administrator for the U.S. lending industry. Provide outstanding inbound service to our customers by initiating benefits, answering questions, and handling complaints for Debt Cancellation programs.
Emory Healthcare/Emory University
Atlanta, GA
Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. + Strong analytical and problem-solving abilities + Excellent verbal and written communication skills + Proficiency in EMR systems, payer systems, and financial tools + Ability to interpret and apply managed care contracts + Strong organizational and time management skills + Ability to work independently and collaboratively .
CarePerks LLC
Tucker, GA
As a Medical billing specialist at CarePerks LLC, you will play a crucial role in ensuring that our healthcare providers receive accurate and timely reimbursement for the services they provide. CarePerks LLC is a leading healthcare provider in Tucker, GA dedicated to providing compassionate care and exceptional service to our patients.
NANA Healthcare Management, LLC
Atlanta, GA
Knowledge And Training Required at Time of Hire:Must have two-years of continuous sobriety prior to hire, if a recovering alcoholic or drug addict and participate in a self-help program. Creative, self-disciplined and capable of identifying and completing critical tasks independently and with a sense of urgency required.
A&C Private HomeCare
Norcross, GA
This role is responsible for ensuring accurate claim submission, timely reimbursement, and compliance with all state and federal billing guidelines. The ideal candidate will have a strong background in medical billing, specifically with Medicaid and Veterans Affairs (VA) programs.
Yamaha Motor Corporation, U.S.A.
Marietta, GA
The Protection Products Specialist II will provide assistance with Protection Products issues for Yamaha customers, Yamaha Dealerships and various Yamaha departments. Responsible for assisting Yamaha customers and dealers with Protection Products related issues to resolve any questions/issues in a timely manner.
Oscar Health
Atlanta, GA
Maintain existing and incoming provider demographic information to ensure accuracy and quality of the network by supporting run-state, repeatable issues of moderate complexity. This role involves regular communication with providers via email to confirm request completion, obtain additional information, and address follow-up inquiries.
Ortho Sport and Spine Physicians
Atlanta, GA
The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents or patients will form a large part of the job. As our Coder, your daily duties will include entering and coding patient services and charges into our EMR system and generating invoices to mail out to patients.
Ortho Sport and Spine Physicians
Atlanta, GA
The Credentialing Specialist is responsible for managing all aspects of the credentialing, recredentialing, and privileging processes for providers delivering patient care within the clinic and Ambulatory Surgery Center (ASC). The Specialist will maintain accurate provider data across credentialing databases and systems, ensure timely renewal of all required documents, and support organizational compliance with payer and agency requirements.
Atlanta Rehabilitation & Performance Center
Snellville, Georgia
Creative Times Academy
$30 - $45
Lawrenceville, Georgia
VA Insurance System Setup and Integration:Guide the clinic to complete registration and credentialing with SAM.gov, CCN (Community Care Network), and TriWest/Optum. Clinical Service Compliance SupportProvide guidance to massage therapists on SOAP note documentation to ensure HIPAA compliance.
OTR Solutions
Roswell, GA
As an Accounts Receivable Specialist, you are a key facilitator in OTR's critical Invoice-to-Cash ("I2C") process, working with our robust portfolio of more than 10k transportation clients to maintain an efficient cash flow cycle. Three pillars that are crucial to supporting that mission are outstanding customer service, technology that creates efficiency for ourselves and our customers, and a culture that provides the opportunity for employees to achieve greatness.
Applied Risk Solutions
Atlanta, GA
Continued enhancement to the client's established loss control programs for general industry, construction, hospitality, and service industries to include client compliance with OSHA, DOT, NFPA, and other regulatory agency criteria. Job Overview: The Commercial Insurance Loss Control & Risk Management Specialist is responsible for providing Loss Control and Risk Management services to designated Applied Risk Solutions clients.
SalesDraft Recruiting
$85000 - $150000
Milton, GA
At GP Roof & Paint, we're a performance-driven roofing company dedicated to delivering high-quality roofing solutions and helping homeowners navigate the insurance claim process with honesty, professionalism, and care. As we continue to grow, we're looking for motivated SalesClosers who can turn warm, qualified leads into completed projects and happy customers.
AIG
Atlanta, GA
Manage indemnity, medical and legal aspects of highest valued, complex WC claims, for California (CA), Arizona (AZ), and other jurisdictions, through use of various resources available (i.e., utilizing medical management services in controlling medical treatment as necessary, coordinating independent medical evaluations where appropriate). In addition, we’re proud to offer a range of competitive benefits, a summary of which can be viewed here: US Benefits Overview (https://sprcdn-assets.sprinklr.com/248/c93e06c6-6661-4d7d-9e44-0b1edfc3704e-1908744075/New_Hire_Benefits_Overview.pdf) .
RLI Insurance Company
$68556 - $98036
Atlanta, GA
This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.
Intermountain Health
$26.93 - $40.98
Atlanta, GA
This role plays a key part in CMS Stars initiatives, including but not limited to medication adherence, MTM (Medication Therapy Management), SUPD (Statin Use in Persons with Diabetes), and other targeted projects aimed at improving CMS Star Ratings. + Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
Waystar
Duluth, GA
Waystar’s healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun.
Republic Finance, LLC
Marietta, Georgia
Your primary responsibility is to ensure a positive total customer experience while originating consumer loans, completing loan applications, developing strong customer relationships and meeting sales goals. Company-wide, we participate in various philanthropic efforts such as volunteer opportunities, food drives and back to school drives as well as an annual fund raiser for St. Jude Children's Research Hospital.
Republic Finance, LLC
Marietta, Georgia
Your primary responsibility is to ensure a positive total customer experience while originating consumer loans, completing loan applications, developing strong customer relationships and meeting sales goals. Company-wide, we participate in various philanthropic efforts such as volunteer opportunities, food drives and back to school drives as well as an annual fund raiser for St. Jude Children's Research Hospital.
American International Group
Atlanta, GA
The Senior Production Specialist is expected to work effectively in an independent manner to successfully manage his/her book of business of new and renewal production along with executing the profitability strategy for the territory’s portfolio. A Senior Production Specialist must be able to illustrate sufficient technical analysis and underwriting acumen combined with marketing and sales skills to meet underwriting goals (i.e., achieve growth targets and maintain overall profitability).
CentiMark Corporation
Atlanta, GA
This position involves the Safety and Risk management of multiple office locations and crews working in the assigned Region consisting of 15 to 40 million in revenue annually. Frequent travel to various job and office locations throughout the assigned region in order to conduct: on-site safety inspections, training and .
NANA Healthcare Management, LLC
Doraville, GA
This role requires strong knowledge of payer guidelines, medical documentation, and revenue cycle processes to ensure maximum reimbursement and reduce claim denials. The Appeals Specialist is responsible for managing and resolving insurance claim denials by submitting timely, accurate, and compliant appeals.