Pharmacy Claims Adjudication Specialist
Curant Health Georgia LLC
Curant Health in Smyrna, GA is seeking a Claims Adjudication Coordinator to manage billing and adjudication of prescription claims across primary, secondary, and tertiary insurance levels. The role emphasizes accuracy, timely communication with PCCs, and compliance with SOPs. The ideal candidate is a GA-registered Pharmacy Technician with at least 2 years of experience, ready to contribute to a fast-growing healthcare company and deliver quality patient service. #J-18808-Ljbffr Curant Health Georgia LLC
- Curant Health in Smyrna, GA is seeking a Claims Adjudication Coordinator to join our growing team. This role focuses on adjudication of prescription... ...the billing process. The ideal candidate is a GA-registered Pharmacy Technician with at least two years of experience, a detail-...Suggested
- ...Pharmacy Claims And Rebates Audit Consultant We are seeking a talented individual to join our Health & Benefits team, part of our People... .... Excellent knowledge of pharmacy benefits, claims adjudication, formulary administration, and specialty pharmacy, including...SuggestedContract workWork at office3 days per week
$117.22k - $197.72k
...Aviation Senior Claims Specialist We are looking for an Aviation Senior Claims Specialist to be based in our Alpharetta, GA or O'Fallon, MO locations. You will be working with a small but diverse team of claims professionals of various experience levels and backgrounds...SuggestedWork at officeLocal area$92.5k - $130k
...Liability Claims Specialist Location: Van Wert, OH; Dublin, OH; Waltham, MA; Alpharetta, GA; Irving, TX Work Model: Hybrid or Remote based on location Position type: Full-Time Central Insurance has been family owned and operating since 1876, and we're just...SuggestedFull timeTemporary workRemote work- ...Job Description Job Description JOIN OUR GROWING CLAIMS DEPARTMENT AT MEDLYTIX! The Claims Resolution Specialist plays a key role in resolving open receivables for our clients. You will process medical (physician and hospital) bills that involve motor vehicle...SuggestedRemote work
- ...Insurance Group is actively hiring a Casualty Evaluator for a remote role in the United States. The specialist handles mostly simple to moderate auto liability claims, including injury cases, with exposure under $50,000, across multiple states. The position supports...Work at officeRemote work
$59.9k - $98.2k
...At Zurich North America Claims we acknowledge that work life‑balance and flexibility are a priority when it comes to choosing your next... ...North America is currently hiring an Auto Litigation Claims Specialist, and this person will report to an Auto Claims Handling Manager...Full timeTemporary workApprenticeshipCurrently hiringWork at officeLocal areaRemote workVisa sponsorship$25 per hour
Experienced Envelope Machine AdjustersCenveo, a leading North American envelope manufacturer, is hiring Experienced Envelope Machine Adjusters for our Smyrna, GA facility. Expertise in machine setup, troubleshooting, changeovers, and operation of multiple machine types...Monday to FridayShift workDay shift- Signature Performance, Inc. is seeking a Follow Up Specialist to ensure timely and accurate reimbursement for outstanding insurance claims. You will analyze account activity, investigate denied or unpaid claims, and collaborate with payers and internal teams to expedite...
- ...experience supporting customers with insurance-related inquiries, claims, and benefits. The successful candidate will play a key role... ...of Medicare Supplement insurance and healthcare claims adjudication processes. Strong customer service background with a focus on...Full timeTemporary workWork at officeLocal area
$59.9k - $98.2k
Litigated Claims Specialist, General Liability At Zurich North America, we are seeking a Litigated Claims Specialist to join our high-performing Commercial General Liability team. If you're passionate about resolving complex issues, collaborating with sharp legal and business...Full timeTemporary workApprenticeshipWork experience placementWork at officeLocal areaRemote workVisa sponsorship- Chubb External in Alpharetta, GA is seeking a claims professional to deliver superior customer service to insureds, claimants, agents and underwriters. The role emphasizes timely assessments, effective communication and strong teamwork to achieve goals. You will maintain...
$53k - $85.47k
The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic indemnity claims within... ...for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings...Minimum wageFull timeWork at officeLocal areaRemote workFlexible hours- Model 1 Commercial Vehicles is seeking a Warranty Administrator in College Park, GA. The role focuses on processing warranty claims, verifying coverage, and coordinating with manufacturers and service teams to ensure timely payments and accurate documentation. The ideal...
$117.22k - $197.72k
We are looking for an Aviation Senior Claims Specialist (m/f/d), to be based in our, Alpharetta, GA or O’Fallon, MO locations. Your Team You will be working with a small but diverse team of claims professionals of various experience levels and backgrounds, in a collegial...Permanent employmentFull timeContract workWork at officeLocal areaRemote workWorldwideFlexible hours$250k
...Description Job Description Who we are: The $250B insurance claims industry runs on fax machines, phone tag, and adjusters buried... ...About you: ~5+ years of experience in auto claim adjudication, with at least 1 years handling injury severity losses. ~ Has...Work at office$70k - $95k
A financial services company is seeking a Workers' Compensation Specialist to manage end-to-end workers' compensation claims for an injury-prone EMS workforce. This hybrid position involves coordinating with brokers, ensuring compliance, and leading return-to-work programs...- ...Job Description Job Description General Liability Claims Adjuster - Construction Defect Who says you can't have it all? At Cottingham & Butler Claims Services, you can build your claims career, handle meaningful and challenging work, and enjoy the flexibility of...For contractorsWork at officeRemote workWork from home
- Southern Company Gas is seeking an administrative claims support professional to assist the claims and leave management teams along with leadership across Southern Company Gas and its subsidiaries. The role emphasizes accurate data entry, strong customer service, and interpersonal...Work at office
- Southern Company Gas is seeking a detail‑oriented Claims Assistant in Atlanta, GA to provide administrative support to the claims and leave management teams and leadership. You will manage intake, data entry, correspondence, payment processing, and file maintenance, ensuring...Work at office
- ...maintain strong producer relationships, driving growth and retention of a profitable book of business.Collaborate with actuarial, claims, and risk control teams to optimize risk selection and portfolio profitability.Mentor and provide technical guidance to junior underwriters...Worldwide
$75k - $102k
Senior UnderwriterReports to: Manager, UnderwritingDepartment: Business Resource GroupLocation: RemoteGrade: 16About Priority Commerce:Priority Commerce is a leading financial technology company on a mission to deliver a personalized, easy-to-adopt financial toolset that...- We are seeking a talented individual to join our Underwriting team at Torrent Technologies. This role will be based in Kalispell , or can be performed Remotely Nationwide . As a Flood Underwriter, you will work under the supervision of the Underwriting Manager, ...Work at officeLocal areaRemote workFlexible hours3 days per week1 day per week
- ...• Ability to work overtime as needed. • Perform other duties as assigned. SPECIALIZED DUTIES & RESPONSIBILITIES Benefit Claims • Deactivate deceased retiree accounts according to State law and Agency guidelines. Verify and document accounts with death information...
$80 per hour
...Summers , and Jack Dorsey . Position: Senior Multiline Claims Examiner Type: Contract Compensation: $80/hour Location... ...high attention to detail. ~ Can distinguish ordinary claim adjudication from complex coverage, litigation, regulatory, and actuarial...Hourly payContract workFor contractorsSummer workImmediate startRemote work$107.6k - $209.1k
...regulatory and rating guidelines. Effectively communicate with underwriting, actuarial, legal, underwriting service department and claims staff to ensure profitability of accounts. Maintain and service a book of business by analyzing endorsement requests, participating...Contract workFlexible hours$103.12k - $185.62k
National Accounts Strategic Underwriter Apply below after reading through all the details and supporting information regarding this job opportunity. Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity...Contract workWork experience placementWork at officeLocal area2 days per week1 day per week- Surety UnderwriterUFG is hiring for a Surety Underwriter who will actively work towards building and maintaining a profitable mix of new and existing surety business by developing and maintaining strong working relationships with the agency force. Demonstrate strong analytical...Contract workFor contractorsTraineeshipWork at officeNight shift
$150k - $200k
...* Establishes and executes effective and efficient producer and client visits (with appropriate business units – Risk Engineering, Claims and Marketing Representatives) in order to maintain and increase new business.* Enhances technical expertise in the area of Industrial...Temporary workWork experience placementInterim roleWork at officeLocal areaFlexible hoursNight shift- ...broker relationships through responsive communication, excellent service, and market knowledge. Collaboration: Work closely with the claims, actuarial, and loss control teams to monitor trends and ensure sound underwriting practices. Documentation: Prepare and issue...Work at officeWorldwide
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