10 professional liability claims examiner jobs found in Atlanta, GA

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) As a Senior Healthcare Economics Data Analyst in Optum’s Product Analytics organization, you will perform critical data analytics that examine the effect of Optum Health’s Care Management products on costs and utilization of the members served.  Your role will include helping source data, helping develop and maintain data marts, partnering with internal stakeholders to understand and document data requirements, and...

Combine two of the fastest-growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s no room for error. Join us and start doing  your life’s best work. (sm) This position is responsible for reviewing, investigating and completing the resolution of Provider Disputes in writing as set forth in laws pertaining to AB1455 for Commercial Health Maintenance Organization (HMO) Enrollees of Provider Disputes and Medicare Appeals for Medicare HMO Enrollees. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews written dispute requests received from providers of denied or incorrect payments based on...

Combine two of the fastest-growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s no room for error. Join us and start doing  your life’s best work. (sm) This position is responsible for reviewing, investigating and completing the resolution of Provider Disputes in writing as set forth in laws pertaining to AB1455 for Commercial Health Maintenance Organization (HMO) Enrollees of Provider Disputes and Medicare Appeals for Medicare HMO Enrollees. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews written dispute requests received from providers of denied or incorrect payments based...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) As a Senior Healthcare Economics Data Analyst in Optum’s Product Analytics organization, you will perform critical data analytics that examine the effect of Optum Health’s Care Management products on costs and utilization of the members served.  Your role will include helping source data, helping develop and maintain data marts, partnering with internal stakeholders to understand and document data requirements, and...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) As a Senior Healthcare Economics Data Analyst in Optum’s Product Analytics organization, you will perform critical data analytics that examine the effect of Optum Health’s Care Management products on costs and utilization of the members served.  Your role will include helping source data, helping develop and maintain data marts, partnering with internal stakeholders to understand and document data requirements, and...

Combine two of the fastest-growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s no room for error. Join us and start doing  your life’s best work. (sm) This position is responsible for reviewing, investigating and completing the resolution of Provider Disputes in writing as set forth in laws pertaining to AB1455 for Commercial Health Maintenance Organization (HMO) Enrollees of Provider Disputes and Medicare Appeals for Medicare HMO Enrollees. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews written dispute requests received from providers of denied or incorrect payments based on...

Combine two of the fastest-growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s no room for error. Join us and start doing  your life’s best work. (sm) This position is responsible for reviewing, investigating and completing the resolution of Provider Disputes in writing as set forth in laws pertaining to AB1455 for Commercial Health Maintenance Organization (HMO) Enrollees of Provider Disputes and Medicare Appeals for Medicare HMO Enrollees. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews written dispute requests received from providers of denied or incorrect payments based...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) The Investigations Consultant reports directly to the Manager of Investigations. The Investigations Consultant is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The Investigations Consultant will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patterns. The Investigations Consultant is responsible to conduct investigations which may include field work to perform interviews and obtain records and/or other relevant documentation. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)   If you are located within Ontario, CA you will have the flexibility to work remotely* as you take on some tough challenges POSITION OVERVIEW Processing of medical claims including verification, adjudication and accuracy.                   Primary Responsibilities: Accurately process professional claims Responsible for editing and adjusting of claims per the EDI daily audit report Analyze and...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)   If you are located within Ontario, CA you will have the flexibility to work remotely* as you take on some tough challenges POSITION OVERVIEW Processing of medical claims including verification, adjudication and accuracy.                   Primary Responsibilities: Accurately process professional claims Responsible for editing and adjusting of claims per the EDI daily audit report Analyze and...