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$193k - $242k
...Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...RiskFull timeDatavant
Atlanta, GA2 days ago$19.6 per hour
...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskRemote jobFull timeWork at officeFlexible hours$26 - $36 per hour
Overview The State Office of Risk Management (SORM) is currently seeking an experienced Claims Adjuster or Insurance Adjuster who specializes in adjusting Workers’ Compensation claims. The ideal candidate will have high-level knowledge and experience in investigating,...RiskFull timeWork at office$77.97k - $141.37k
Overview Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks...RiskRemote jobWork experience placement$50.2k
...recommends process improvements for efficiencies. May provide guidance to Associate level employees. This role sits within our Risk Adjustment team - it is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk...RiskFor contractorsWork at officeLocal areaRemote work- JOB SUMMARY The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes complex encounter inbound/outbound process issues, using data from internal and external sources to provide insight...RiskWork experience placementImmediate start
$145k - $170k
...professional, educational and life experiences to realize our bold vision for healthcare. Role Overview As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products...Risk$50k
...Job Description Job Description Sr. General Liability Claims Adjuster - Property Damage Work-From-Home Comprehensive... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator that...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
Atlanta, GA3 days ago$29 - $33 per hour
...professional, educational and life experiences to realize our bold vision for healthcare. Responsibilities As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate...RiskRemote jobHourly payFull timeFlexible hours- ...qualified personnel for larger maintenance concerns. Monitoring risk management as it pertains to the theatre, i.e., cast member and... ...vision, peripheral vision, depth perception and ability to adjust focus. Qualifications Skills Behaviors : Motivations...RiskFull timeWork at officeLocal area
Regal Cinemas, Inc.
Atlanta, GA2 days ago - Overview Join to apply for the Claims Adjuster,TPA Oversight role at AIG . At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Adjuster TTPO Claims to play your part in that transformation. It’s an opportunity to grow your skills and...RiskWork at office
- ...personnel management, strategic planning, financial management, risk management, and outstanding customer service and resident... ...programs; identify trends and recommend appropriate strategies and adjustments Develop yearly operating budgets/forecasts. Accurately prepare...Risk16 hoursFull timeTemporary workWork at officeLocal areaMonday to FridayShift workNight shiftWeekend work
Centricity Res
Atlanta, GA19 days ago $200k - $325k
...Chief Growth Officer Private Risk Management (Personal Lines) This is a hybrid role with the flexibility to work both virtually and... ...internal equity and alignment with market data. The salary may also be adjusted based on applicants geographic location. This position is...RiskFull timePart timeWork at officeLocal areaAon
Atlanta, GA1 day ago- Overview Join to apply for the Claims Adjuster- TPA Claims role at AIG. At AIG, we are reimagining the way we help customers manage risk. This role focuses on TPA Claims within a collaborative environment and offers an opportunity to grow your skills as a valued team member...RiskFull timeWork at office
- ...liability claims? Join our Major Case Unit as a Senior Liability Adjuster, where you'll play a pivotal role in managing high-stakes... ...contracts and insurance policies to identify coverage issues and risk transfer strategies. Proactively negotiate claims to achieve favorable...RiskWork at office
$60k - $65k
...Daily customer interaction to gather feedback and resolve issues. ~Ensure adherence to client company policies and procedures. Risk Management and Compliance ~Ensure compliance with company policies, procedures, and regulations. ~Resolve compliance issues in a...RiskHourly payFull timeContract workTemporary workWork at officeLong distanceMonday to FridayAll shiftsFlexible hoursShift workDay shiftKeystone Management LLC
Atlanta, GA12 days ago- ...Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions Are... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeFlexible hours
$90k - $100k
...business approach, staffing needs/changes and make appropriate strategic adjustments accordingly. Conduct regular (weekly) site inspections of all managed areas in order to maintain safety, risk management, customer service (client, resident, guest, member) and the...RiskFull timeTemporary workSeasonal workWork at officeLocal areaTier1usa
Atlanta, GA1 day ago$15k
...Best Workplaces in Financial Services & Insurance Experienced Desk Adjuster - Remote Primary Purpose PRIMARY PURPOSE : Handles losses and... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeLocal area$135k - $170k
...sources of capital, enabling us to design the optimal insurance and risk management program. We work closely with various clients -... ...all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to...RiskFull timeTemporary workPart timeWork at officeLocal areaAon
Atlanta, GA19 hours ago- Overview Complex Claims Director - Auto and GL Adjuster Join us as a Claims Complex Director to take on key responsibilities within a world... ..., businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We...RiskWork experience placementWork at officeWork from homeFlexible hours
- ...General Liability Claims Adjuster - Construction Reserv is an insurtech creating and incubating cutting-edge AI and automation technology... ...Auto, Garagekeepers, BOP's, Dwelling) Construction Liability. Risk Transfer. Contractual Analysis. New York Labor Law Employers...RiskRemote job
- ...branding, to their merchant base. With YouLend's AI-driven credit risk assessment solutions, more merchants and SMEs than ever can... ...Delivering actionable insights and recommendations to optimise risk-adjusted returns. Stakeholder Collaboration: Working with internal...RiskWork at officeWorldwideFlexible hours
YouLend
Atlanta, GA1 day ago - ...Description The Senior Casualty/Property Liability Adjuster manages all aspects of liability claims in a variety of business... ...; evaluating potential coverage issues, liability and damages, risk transfer opportunities, litigation and settlement matters within...RiskFull timeContract workFor contractorsWork at office
- ...efficiency. How You Will Create An Impact As a Liability Claims Adjuster you will handle a portfolio of lower-complexity Liability claims... ..., businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We...RiskFlexible hours
- ...Marine Claims Major Loss Adjuster At AIG, we are reimagining the way we help customers to manage risk. Join us as a Marine Claims Major Loss Adjuster to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member...RiskWork at office
$77.97k - $155.51k
...Design scalable workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity. Technology... ...change management (training, SOPs, job aids, communications). Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations...RiskWork experience placement$60k - $65k
...Fortune Best Workplaces in Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you’ll... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskLocal areaWork from homeFlexible hours$66.46k - $120k
Overview The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team. This position collaborates... ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine...RiskRemote jobWork experience placementWork at office$50k - $70k
Contents Adjuster By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
