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Claims Review Nurse jobs - Atlanta, GA

Viewing 1 - 10 of 129 jobs

  • Nurse (VISN 7 Quality Management Officer)

    U.S. Department of Veterans Affairs - Duluth, GA

    measures o Credentialing and Privileging o Tort Claims/National Practitioner Databank Reporting/Tracking o Risk ... Development and Change Management o Internal Review o Employee Education and Training Work Schedule:...

    6 days ago from U.S. Department of Veterans Affairs

  • Clinical Quality Assurance Coordinator - RN, LPN

    Examworks - Atlanta, GA

    Quality Assurance Coordinator is responsible to ensure Peer Review case reports are of the highest quality and integrity ... · Knowledge of the insurance industry preferably claims management relative to one or more of the following...

    16 days ago from Advanced Healthcare Network

  • RN Medical Case Manager - Worker's Comp

    Travelers - Alpharetta, GA

    Contact medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appr ... jurisdictions. For nurses handling Workers Compensation Claims, perform Utilization Review according to established...

    15 days ago from MiracleWorkers.com

  • RN, Targeted Review(344652)

    Kaiser Permanente - Atlanta, GA

    Refers the patient to the home care review team &/or social workers as appropriate ... Coordinates & assists the Specialty Care Review Srv Sup’v w/ongoing physician education...

    14 days ago from Kaiser Permanente

  • Registered Nurse Disability Claims

    Lincoln Financial - Atlanta, GA

    · Supports Senior Nurse Disability Consultants in providing training and mentoring to new claims staff, peers and/or oth ... Utilization Review and/or nurse case management preferred · Certified Disability Management Specialist (CDMS)...

    2 days ago from Lincoln Financial

  • Claims Coordinator

    Sava Senior Care - Atlanta, GA

    internal departments to ensure compliance and completion of claims data. Job Responsibilities: Identify unreported ... for auditor review. Distribute medical records for nurse review. Perform other duties as assigned. Position...

    14 days ago from Sava Senior Care

  • Senior Clinical Appeals Reviewer

    UnitedHealth Group - Atlanta, GA

    Physical Therapist, etc. (Positions responsible for Claims Appeals can be found in the Claims job family.) Primary Responsibilities: Extensive work experience, possibly in multiple functions. Work does not usually require established...

    30+ days ago from United Health Group

  • Property Field Claims Specialist - Commercial Lines

    CNA Financial - Atlanta, GA

    We seek an adjuster who has handled commercial property claims. This unit handles property claims up to %24250,000 ... 30 new claims per month and carry an average pending of 60 claims. Candidates with personal lines property claims...

    30+ days ago from CNA Financial Corporation

  • Claim Rep, General Liability

    Travelers Insurance - Alpharetta, GA

    investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to ... within delegated authority. Negotiates disposition of claims with insureds and claimants or their representatives.

    6 days ago from Travelers Insurance

  • Claim Rep Auto Liability Job

    Travelers - Alpharetta, GA

    for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, ... in claims handling. Advanced level knowledge and skill in claims and litigation. Basic working level knowledge and...

    10 days ago from Travelers