Claims Manager jobs in Atlanta, GA

Claims Manager manages the operations of an insurance claims department to meet operational, financial, and service requirements. Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Claims Manager recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation. Typically requires a bachelor's degree. Typically reports to a director. The Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Network Account Manager
  • LE011 Zelis Claims Integrity, LLC
  • Atlanta, GA FULL_TIME
  • Position Overview At Zelis, we're seeking a Network Account Manager to spearhead the management of key leased network partner relationships within an assigned portfolio. Your primary focus will be on ensuring client retention, pinpointing growth opportunities, and optimizing revenue streams. Collaborating closely with our VP and Director of Network Solutions, as well as the broader Business team, you'll play a pivotal role in delivering top-tier service and proactive solutions to uphold and strengthen our network relationships Key Responsibilities Lead check-in meetings with Network Partners; maintain log of open issues and initiatives for each assigned Network Partner Maintain Implementation Guide for assigned Networks Analyze Network utilization to manage any mitigation of changes in volume Maintain rates for each assigned network partner, ensure rates are in line with client contracts in addition to maintaining network partner rates on published Network Rate Sheet Identify risk, such as volume decrease, service gaps, changes in network level relationships and key advocates Acquire an understanding of network expectations, objectives, initiatives and opportunities for growth Remain abreast of changing and evolving healthcare landscape, regulations and related health plan/payer trends Partner with Project Management and Business Support throughout the implementation process of newly assigned networks Partner with Strategic Account Management, Client Services, EDI Teams, and Accounting on client/network partner needs Coordinate with Zelis Third Party Risk Management for Network discussions and reviewing policy Maintain current overview and rules of engagement for network partners in Zelis tools and/or Customer Relationship Management (CRM) tools Required Qualifications 2 years of experience working with/for Health Insurance companies, TPAs or PPO Networks in account management or similar role Experience utilizing SalesForce or other CRM tool Preferred Qualifications Ability to communicate, present and influence key stakeholders at all levels of an organization, including executive and C-level Strong communication skills; ability to synthesize complex issues and communicate clearly to both network partners as well as internal stakeholders Proven ability to juggle multiple account management projects at a time, while maintaining sharp attention to detail Thorough knowledge of Excel and other MS Office products #LI-RZ1 As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process. Commitment to Diversity, Equity, Inclusion, and Belonging At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis. As the leading healthcare payments company, we price, pay and explain care for payers, providers, and healthcare consumers. Zelis was founded on a belief there is a better way to determine the cost of a healthcare claim, manage payment-related data, and make the payment because more affordable and transparent care is good for all of us. We partner with over 700 payers, 1.5 million providers, and millions of members -- enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and an integrated pre-payment through payments platform to manage the complete payment process.
  • 2 Months Ago

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Manager - Claims
  • Inspire Brands
  • Atlanta, GA FULL_TIME
  • The Manager - Claims is responsible for implementing efficient claims management procedures and establishing protocols for successful claims resolution for all commercial insurance policies through de...
  • 12 Days Ago

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Claims Manager
  • Coalition, Inc.
  • Atlanta, GA FULL_TIME
  • About us Coalition is the world's first Active Insurance provider designed to help prevent digital risk before it strikes. Founded in 2017, Coalition combines broad insurance coverage with a digital r...
  • 3 Days Ago

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Commercial General Liability Claims Adjuster
  • TheBest Claims Solutions
  • Alpharetta, GA FULL_TIME
  • Commercial General Liability Claims Adjuster ALPHARETTA, GA 30022 | TEMPORARY $35.00 - $45.00 PER HOUR, DEPENDING ON EXPERIENCE Job Description Our client is seeking to add multiple Commercial General...
  • 1 Month Ago

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GA - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Atlanta, GA FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 27 Days Ago

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Administrative Assistant
  • Cat Claims
  • Atlanta, GA FULL_TIME
  • Cat Claims is a leading national independent adjusters and claims handling firm. We provide a comprehensive line of service offerings including daily claims, commercial property, auto claims, as well ...
  • 2 Months Ago

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0 Claims Manager jobs found in Atlanta, GA area

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Property and Liability Claims Manager
  • Georgia Municipal Association
  • Atlanta, GA
  • Created in 1933, the Georgia Municipal Association (GMA) is the only state organization that represents municipal govern...
  • 4/17/2024 12:00:00 AM

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AVP, Claim Manager
  • Berkley
  • Atlanta, GA
  • Company Details: W. R. Berkley Corporation, founded in 1967, is one of the nations premier commercial lines property cas...
  • 4/16/2024 12:00:00 AM

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Property and Liability Claims Manager
  • Georgia Municipal Association
  • Atlanta, GA
  • Created in 1933, the Georgia Municipal Association (GMA) is the only state organization that represents municipal govern...
  • 4/16/2024 12:00:00 AM

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Legal Assistant / Case Manager
  • Bross Mcallister & Williams Llc
  • Suwanee, GA
  • Job Description Job Description BROSS, MCALLISTER & WIILIAMS Busy law firm located in Johns Creek/Suwanee is currently s...
  • 4/16/2024 12:00:00 AM

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Financial Analyst
  • The Intersect Group
  • Norcross, GA
  • Our team is seeking a Financial Analyst to join our growing company! We are the 2nd largest independent providers of cla...
  • 4/14/2024 12:00:00 AM

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Senior Counsel - Insured Litigation and Claims (Director level)
  • BrandSafway
  • Atlanta, GA
  • A leading provider of specialized services to the global industrial, commercial and infrastructure markets, BrandSafway ...
  • 4/13/2024 12:00:00 AM

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Financial Analyst
  • The Intersect Group
  • Peachtree Corners, GA
  • Our team is seeking a Financial Analyst to join our growing company! We are the 2nd largest independent providers of cla...
  • 4/13/2024 12:00:00 AM

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Estimator
  • Southern Signature Group Llc
  • Buford, GA
  • Job Description Job Description Job Title Cost Estimator Job Summary Works closely with property owners after traumatic ...
  • 4/13/2024 12:00:00 AM

Atlanta (/ætˈlæntə/) is the capital of, and the most populous city in, the U.S. state of Georgia. With an estimated 2017 population of 486,290, it is also the 38th most-populous city in the United States. The city serves as the cultural and economic center of the Atlanta metropolitan area, home to 5.8 million people and the ninth-largest metropolitan area in the nation. Atlanta is the seat of Fulton County, the most populous county in Georgia. A small portion of the city extends eastward into neighboring DeKalb County. Atlanta was originally founded as the terminating stop of a major state-sp...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Manager jobs
$118,344 to $158,579
Atlanta, Georgia area prices
were up 1.4% from a year ago

Claims Manager in Richmond, VA
All matters relating to the Services and these Terms of Use and any dispute or claim arising therefrom or related thereto (in each case, including non-contractual disputes or claims), shall be governed by and construed in accordance with the internal laws of the State of California without giving effect to any choice or conflict of law provision or rule (whether of the State of California or any other jurisdiction).
February 07, 2020
Claims Manager in Raleigh, NC
The Start Date and End Date refer to the Procedure Date of qualifying charges needing claims created.
January 26, 2020
Claims Manager in Rochester, NY
In this sense, claims managers and administrators assume the role of insurance investigators for the vast majority of incidents reported at some of the largest companies in the country.
January 18, 2020