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
- ...Pharmacy Audit Lead Consultant We are seeking a talented individual to join our Health... ...Consultant, you will lead complex pharmacy claims and pharmacy rebate audits from planning... ...knowledge of pharmacy benefits, claims adjudication, formulary administration, and specialty...SuggestedContract workWork at office3 days per week
$40k - $45k
Aon is looking for a Claims Specialist I 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...SuggestedTemporary workWork experience placementWork at officeLocal area- Zurich North America in Atlanta, GA is seeking an experienced Senior Claims Adjuster to handle auto bodily injury claims and work with internal and external attorneys to resolve complex cases. You will establish reserves, assess damages, and ensure regulatory compliance...SuggestedRemote work
- ...and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims. Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact,...SuggestedWork at office
$22 - $27 per hour
Recordkeeper (Remote) Location: Atlanta, GA Duration: 4 months + Possibility to Extend and/or Convert to FTE Pay Rate: $22 - $27/HR (W2 Only) Job/Role Description This role provides service and administrative support to the largest and most complex defined contribution...SuggestedRemote work$125k - $155k
Job Overview Job Type: Permanent. Build a bright future with Hiscox. Join our dynamic Claims team as a Complex Claims Specialist - Miscellaneous Professional Liability. In this individual contributor role you handle mid to high‑severity primary Miscellaneous Professional...Permanent employmentTemporary workWork at officeLocal area- Hyundai of Venice in Kennesaw, Georgia, is seeking a dedicated Warranty Administrator to handle warranty repair orders and claims submissions. You will work collaboratively with technicians and service advisors to ensure accuracy in claims documentation and manage communications...
- ...national service and local knowledge to our exclusive wholesale broker network and the businesses they serve. Responsibilities The Claims Specialist investigates, evaluates, negotiates, and resolves litigated and non-litigated property damage, personal and advertising injury...Local areaRemote work
$59.9k - $98.2k
...Auto Litigation Claims Specialist Zurich North America Claims acknowledges that work life‑balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility...Full timeTemporary workApprenticeshipCurrently hiringWork at officeLocal areaRemote workVisa sponsorship$80k - $95k
...Claims Specialist Atlanta, Georgia, United States; New York, New York, United States At-Bay is the world's first InsurSec provider designed from the ground up to help businesses tackle cyber risk head on. By combining industry-leading insurance with world-class cybersecurity...- ...Senior Claim Specialists We are seeking Senior Claim Specialists to join our Property Catastrophe Claims Team. The ideal candidate will have experience in handling personal and commercial property claims, particularly those related to natural disasters and catastrophic...Contract workWork at officeWeekend workWeekday work
$125k - $155k
...Join Our Dynamic Claims Team Build a brilliant future with Hiscox. Join our dynamic and forward-thinking Claims team! Here, you'll... ...Chicago, IL Manhattan, NY West Hartford, CT Complex Claims Specialist-Miscellaneous Professional Liability This individual...Temporary workWork at officeRemote work2 days per week- ...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. Your Team You will be working with a small but diverse team of claims professionals of various experience levels...Work at officeLocal area
$115k - $150k
...Complex Claims Specialist Put your claims skills to the test and join one of the top Professional Liability Insurers in the Industry as a Complex Claims Specialist! The US Claims team at Hiscox is a growing group of professionals with experience across private practice...Temporary workPrivate practiceWork at officeLocal area- ...Claims Specialist At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Specialist to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. Our Claims teams...
$75k - $150k
...Claims Specialist Position Description: The Claims Specialist is responsible for the coverage analysis, investigation, negotiation and settlement of financial lines claims, including cyber, D&O and/or E&O. Skills, Knowledge and Abilities: 5 years of claims or litigation...- ...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...Remote work
$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...$76.83k - $142.21k
...Property Claims Field Adjuster II If you're passionate about helping people restore their lives when the unexpected happens to their homes and providing the best customer experience, then our Mercury Insurance Property Claims team could be the place for you! Upon...Seasonal workLocal areaFlexible hours- ...• 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...
$85.47k - $111k
Claims Module Senior Business AnalystThis individual will play the role of Claims Domain... ...-on experience on claims processing and Adjudication processes.Must have good experience in... ...Types: Professional, Dental, Institutional, Pharmacy, Encounters and CapitationClaim Formats:...Remote workWork from home$124k - $199.8k
...business without sacrificing quality.Program ManagementParticipation in all aspects of program management such as actuarial pricing, claim or TPA oversight, reinsurance accounting and collateral management.Possesses a deep understanding of the business.Demonstrated...Full timeTemporary workWork at office3 days per week$96.4k - $140k
...direct responsibility for broker development and management within a book of business.· Develop risk pricing by analyzing exposures, claims experience, utilizing pricing tools and worksheets, comparison to similar risks, as well as experience in underwriting exposures...Full timeContract workWork at officeRemote workFlexible hours$90k - $115k
About At-BayAt-Bay is the insurance provider for the digital age. On a mission to build the next generation of insurance, At-Bay combines world-class technology with industry-leading insurance expertise to protect close to 40,000 businesses from Cyber, Tech E&O and Miscellaneous...$69.7k - $145.4k
...Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We’re all about people | We win together | We strive for better We enjoy the...Full timeWork at officeLocal areaWork from homeFlexible hours$152k - $225k
...pricing and risk selection standards that align with strategic goals and financial targets.Collaborate effectively with Actuarial, Claims, Loss Control, Operations, Finance, and IT teams.Stay informed about competitor strategies and the broader insurance marketplace.What...Full timeWork at officeRemote work$145k - $200k
Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible...Full timeWork at officeWorldwide$10k
...diversification in the portfolio.Partner with the actuarial team at improving/ updating current pricing tools.Collaborate with our operations, claims and accounting teams to ensure that the Latam Surety portfolio’s records are up to date.Review and model surety quota share treaty...Full timeContract workTemporary workWork at officeWorldwideRelocation3 days per week$67.5k - $172.5k
Job ID: R228089Posted: 2026-07-02Location: PA - Pittsburgh (15222); IL - Chicago; DC - Washington; GA - Atlanta; OR - Portland; TX - Dallas; CA - Calabasas; CA - San Francisco; OH - Cleveland; OH - Cincinnati; KS - Overland Park; MA - Boston; TN - Nashville; CA - San Diego...Full timeTemporary workPart timeWork experience placementWork at office$96k - $181k
Location:8117 Preston Road, Suite 400, Dallas TexasThe selected candidate will be responsible for performing comprehensive due diligence and underwriting activities for Fannie Mae, Freddie Mac, and Private Placement Affordable multifamily mortgage loans. This role requires...Full timeWork at officeFlexible hoursNight shift
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