The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand (1) the procedures bi

This is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team

This Consulting Actuary with a Medicare Part D focus on the Medicare Pricing team, will provide pricing, forecasting, and strategic support for all Blue Cross NC Medicare products with a particular emphasis on Medicare Part D. You will identify and evaluate risks and strategic opportunities involving Blue Cross NC's Medicare business through the deployment of actuarial co

Description & Requirements Womble Bond Dickinson (US) LLP seeks a highly qualified attorney to join its Mass Torts Practice Group focusing on litigation including products liability, coverage and commercial matters. This position will involve working in an active and dynamic practice that touches all aspects of litigation in multiple jurisdictions including discovery, dep

Location Address 2500 Windy Ridge Parkway, Atlanta, Georgia 30339 Work Shift Salary Exempt (United States of America) Altium Packaging, Our Culture Differentiates Us! We incorporate our Guiding Principles into all aspects and at all levels of the organization and use them as a framework for decision making. We believe our Guiding Principles foster a culture of excellence

Underwrite a profitable book of complex surplus lines Excess Casualty risks employing the appropriate analytical diagnostics to assess acceptability. Expertise in analyzing General Liability, Auto Liability, Professional liability, and pricing adequacy Ability to negotiate terms and conditions in a highly complex and competitive environment with a broad range of wholesale

Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International Director Enterprise Activities The following are the duties of this position at the full working level. If this vacancy includes more than one grade and you are s

Act as a strategic legal partner to the SAS Segment and its Group President by providing legal advice and counsel for a wide range of business activities. Manage legal issues, regulatory investigations, and litigation (with support from outside legal counsel) for global operations of SAS Segment. Prepare, review, edit, negotiate, and manage a variety of commercial agreeme

To direct and manage the US Miscellaneous Medical & Life Sciences (US MMLS) team within Healthcare. To deliver and execute the annual business plan, set and direct forecasts. To underwrite a Miscellaneous Medical account within the Healthcare team and provide counsel and advice on Underwriting and market issues. Provide technical expertise in this business area and mainta

An independent Claims Handler role focused on low to mid value claims with no significant coverage issues to help achieve the Beazley vision of being the highest performing specialist insurer. To contribute to the overall performance, development, and management of the Beazley claims function. To proactively manage claims, primarily at the individual level while gaining e

The Accounts Receivables (A/R) Representative assists in review and resolution of hospital claims under general supervision of the Patient Financial Services Supervisor. RESPONSIBILITIES MAY INCLUDE ONE OR MORE OF THE FOLLOWING Reports to Executive Director Managed Care and Payer Strategy. JOB QUALIFICATIONS Two years college level coursework in any field. Associate's deg

The Senior Member Advocate is a vital role in ensuring service excellence to Zelis clients and their members. The Senior Member Advocate is proficient in and supports all Preservice Outreach, Balance Bill Resolution, and No Surprises Act assignment categories. This position requires the ability to act independently within the scope of assigned duties and responsibilities

Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International, Director Withholding, Exchange, and International Individual Compliance (WEIIC), DFO FPP& AEOI and DFO EOS, EOI The following are the duties of this position at t

As the Atlanta Journal Constitution, AJC, transforms from a storied newspaper into a modern media company, we are seeking to hire a strategic and data driven individual to join our dynamic and growing organization. In the Strategic Growth, Senior Financial Analyst role, you will be responsible for conducting in depth analysis, identifying growth opportunities, conducting n

The Underwriter conducts due diligence and underwrites both new and existing relationships to ensure appropriate credit risk return. Job functions include the following Support Business Development in early stage prospect review. Perform quantitative and qualitative analysis and evaluation of a Prospect's business, to include Historical and projected financial spread mode