analyst, healthcare medical coding - disputes, claims & investigations

appeals specialist - hospital billing, underpayments

complex claims specialist - general liability

accounts payable specialist Jobs in Atlanta

accounts payable specialist

analyst, healthcare medical coding - disputes, claims & investigations Jobs in Atlanta

appeals specialist - hospital billing, underpayments Jobs in Atlanta

complex claims specialist - general liability Jobs in Atlanta

credentialing verification specialist Jobs in Atlanta

credentialing verification specialist

fraud specialist i check claims

Truist

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  The position is described below. If you want to apply, click the Apply Now button at the top or bottom of this page. After you click Apply Now and complete your application, you'll be invited to create a profile, which will let you see your application status and any communications. If you already have a profile with us, you can log in to check status.
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  If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to
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  Accessibility
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  (accommodation requests only; other inquiries won't receive a response).
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  Regular or Temporary:
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 Regular
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  Language Fluency:
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 English (Required)
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  Work Shift:
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 1st shift (United States of America)
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  Please review the following job description:
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 Perform research and loss mitigation efforts across multiple intake channels to decision Fraud Solution Service Delivery related cases and alerts. Researches and analyzes account activity to assess the level of risk and make decision in accordance with applicable corporate and departmental policies and procedures.
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  Essential Duties And Responsibilities
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 Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
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   Analyze and decision Fraud Solution Service Delivery related cases or alerts.
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   Utilize banking systems to investigate and research all transactional information to ensure that Fraud Solution Service Delivery requirements are met.
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   Conduct client research.
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   Use critical thinking skills to make well supported decisions relative to the alert type.
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   Utilize internal and external applications to assist in the investigation and research of all applicable alerts.
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   Efficiently and effectively resolve cases or alerts with awareness of all timelines as directed by Fraud Solution Service Delivery functions.
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   Support effective communication with internal and external partners or clients.
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   Participate Fraud related training that may include webinars, periodicals and self -study in order to stay abreast of any related changing laws and regulations.
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  Qualifications
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  Required Qualifications:
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 The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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   High school diploma or equivalent education and related training
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   One year of banking, financial industry or related experience; preferably in a branch, audit, compliance, legal, risk or lending related capacity
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   Ability to learn and perform complex processes in order to meet the spirit and letter of the procedures, policies and regulations that govern the department
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   Strong investigative, analytical, and critical thinking skills
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   Strong work prioritization and time management skills
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   Strong interpersonal, communication and client service skills
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   Demonstrated proficiency in basic computer applications such as Microsoft Office software products
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   Ability to work in a high-stress, fast-paced, rapidly changing environment.
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   Ability and willingness to work flexible hours as required by the function
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  Preferred Qualifications:
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   Associate Degree
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   Experience in investigation, law enforcement, or lending role
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   Knowledge of Fraud regulations and/or related compliance requirements, including reporting and record retention requirements
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   Experience in Fraud and/or compliance-related role, whether in a client facing or backroom/operational role
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  General Description of Available Benefits for Eligible Employees of Truist Financial Corporation:
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 All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position. Truist offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on Truist&rsquo;s generous benefit plans, please visit our Benefits site. Depending on the position and division, this job may also be eligible for Truist&rsquo;s defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.
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   Truist is an Equal Opportunity Employer that does not discriminate on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status, or other classification protected by law. Truist is a Drug Free Workplace.
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 EEO is the Law E-Verify IER Right to Work
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Fraud Specialist I-Check Claims

Safe-Guard Products International, LLC

<p>Please do not respond to direct messages with your personal information. All job applications and your sensitive, personal information should only be submitted via our official job platform.<br/></p><p>External Job Title: Bi-lingual Customer Support Representative- Spanish or French<br/>Internal Job Title: Claims Support Specialist<br/>Location: US - SC - Greenville - Onsite<br/></p><p>FLSA: Non-exempt<br/></p><p>Shift Times: 11-8<br/></p><p>Class Start Date: 9/8/2025<br/></p><p>Job Overview:<br/></p><p>This position provides support to agents, clients, and customers by adjudicating claims, providing claims status, and resolving or escalating customer issues. Communicate effectively with all levels of the organizations. In executing the duties of the role, claims adjuster will ensure the proper documentation, adjudicate per the terms and conditions of the contract, utilizing available resources, and meet schedule expectations informing management of any changes.<br/></p><p>Job Responsibilities:<br/></p><p>Handling claims related calls per work schedule performing within defined metrics<br/>Order inspection when applicable<br/>Follow proper claims procedures as outlined in training and feedback provided by QA or Supervisor<br/>Master understanding of clients, agents, and contract terms and conditions<br/>Understand exceptions based upon dealership, agent, or client as noted in system<br/>Escalate issues to team lead, supervisor, or managers when unable to de-escalate<br/>Notify Supervisor when possible fraud is suspected<br/>Participate in all training as required to perform the duties of the role<br/>Keep record phone calls and transmit claim forms to Dealership or Repair Facility<br/>Drive the status of the claim within the Safe-Guard system<br/>Receive documentation and organize by claim number<br/>Order an appraisal when claim is over threshold amount or possible fraud<br/>Send letters to customers and copy dealership if necessary<br/>Send missing information letters to customers if documents are missing and copy Dealership if necessary<br/>Notate the system<br/>Adhere to Quality Assurance Guidelines<br/>Ensure premium is first received from Dealership before issuing checks<br/></p><p>The above statements are intended only to describe the general nature of the job and should not be construed as an all-inclusive list of position responsibilities.<br/></p><p>Job Requirements:<br/></p><p>High School Diploma or equivalent<br/>Minimum 1-2 years of experience in customer service, insurance claims, call/claims center environment.<br/>Proficient computer skills and the ability to troubleshoot and service policy issues<br/>Strong interpersonal, analytical and problem-solving skills<br/>Superior verbal/written skills and communications skills<br/>Ability to exercise sound judgment when interacting with customers and vendors<br/>Attention to detail and ability to handle complex situations<br/>Proficient in Windows and MS-Office Products (Outlook, Word, PowerPoint &amp; Excel)<br/>High attention to detail, good attendance, spelling, mathematical, grammar<br/>Ability to analyze complex-detailed reports<br/>Must be authorized to work in the U.S<br/>Must be able to successfully pass a background check<br/></p><p>Please note that Safe-Guard has a mandatory training and 90-day introductory period. During the first 90 days, it&rsquo;s important for new team members to adhere to their training and work schedules. The introductory/probationary period is key for training and learning, so being present and punctual is critical to success of the new hires. Candidates seeking this role must have the ability to arrive to work on time and be able to remain present during the full 90-day training and introductory period<br/></p><p>Job Preferences:<br/></p><p>Experience within Automotive Industry<br/>College degree<br/>2+ years of experience in a high-volume Call Center<br/>2+ years of experience in automotive insurance or warranty claims<br/>1+ year of experience with in an automotive repair or tech role<br/>Bilingual or Trilingual with the ability to read, write and speak English and French and/or Spanish in a business setting<br/></p><p>#LI-Onsite<br/></p><p>Company Benefits:<br/></p><p>Medical, Dental, and Vision Insurance<br/>Flexible Spending Account<br/>Health Savings Account<br/>401(k) Plan with Company Match<br/>Company-paid Short-Term and Long-Term Disability<br/>Company-paid Life Insurance<br/>Paid Holidays and Vacation<br/>Employee Referral Program<br/>Employee Assistance Program<br/>Wellness Programs<br/>Paid Community Service Opportunities<br/>Tuition Reimbursement<br/>Ongoing Training &amp; Personal Development<br/>And More!<br/></p><p>About Safe-Guard Products International<br/></p><p>Safe-Guard Products International is the leading provider of branded vehicle protection products in the finance and insurance space to the automotive, RV, marine and motorcycle/powersports industries. We are a proud partner to Original Equipment Manufacturers (OEMs), top retailers, and independent agents across the United States and Canada. In nearly thirty years, we have grown to power a client roster of over 50 leading protection brands and protect over 16 million consumers under Safe-Guard contracts. Our success is driven by over 700 employees, who serve over 12,000 dealers and support contract holders across the U.S. and Canada.<br/></p><p>Safe-Guard continues to experience dynamic growth and has earned a stellar reputation from our clients, dealers, and peers by providing: 1) the highest quality protection products in the industry, 2) a broad platform of branded product, technology, marketing, and training solutions, and 3) an unwavering commitment to uncomplicated care and customer service.<br/></p><p>Safe-Guard Products International is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, race, color, religion, creed, sex, sexual orientation, gender identity or expression, national origin, marital status, disability or protected veteran status, or any other status or characteristic protected by federal, state, or local law.<br/></p>

Bi-lingual Customer Support Representative- Spanish

Aspirion

<div>Description:
<p>
For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers&rsquo; compensation, Veterans Affairs, and out-of-state Medicaid.</p><p>
At the core of our success is our highly valued team of over 1,400 teammates as reflected in one of our core guiding principles, &ldquo;Our teammates are the foundation of our success.&rdquo; United by a shared commitment to client excellence, we focus on achieving outstanding outcomes for our clients, aiming to consistently provide the highest revenue yield in the shortest possible time.</p><p>
We are committed to creating a results-oriented work environment that is both challenging and rewarding, fostering flexibility, and encouraging personal and professional growth. Joining Aspirion means becoming a part of an industry leading team, where you will have the opportunity to engage with innovative technology, collaborate with a diverse and talented team, and contribute to the success of our hospital and health system partners. Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor.</p><p>
We are seeking an Appeals Specialist II to join our growing team. As an Appeals Specialist II, you will be exposed to the complex reimbursement methodology between hospitals and insurance companies. Appeals Specialists work closely with assigned project teams on the specialized retrospective recovery process. You will be exposed to the revenue cycle process and various provider clients and systems.</p><p><b>
Key Responsibilities</b></p><ul><li>
Follow-up with insurance carriers on underpaid claims by phone; complete follow-up actions as advised</li><li>
Research claim variances in hospital patient accounting systems (EPIC, Meditech, Cerner, Athena)</li><li>
Draft appeals to insurance carriers on denied or underpaid claims</li><li>
Review claim detail including coding, billing and insurance information for discrepancies</li><li>
Run claims data through various pricing software</li></ul>
Requirements:
<ul><li>Strong healthcare industry knowledge</li><li>
Ability to troubleshoot and remedy claim submission errors</li><li>
Demonstrated attention to detail</li><li>
Excellent written and verbal communication skills</li><li>
Team-Oriented and Flexible</li><li>
Creative Problem-solving skills</li></ul><p><b>
Education and Experience</b></p><ul><li>
High School Diploma or GED required; bachelor's degree preferred</li><li>
Hospital billing experience required</li><li>
Previous work from home experience</li></ul><p><b>
Benefits</b></p><p>
At Aspirion we invest in our employees by offering a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, advancement opportunities, and incentive programs.</p><p>
The US base pay range for this position <b><i>starts</i></b> at $19.00 hourly.<i> Individual pay is determined by a number of factors including, but not limited to, job-related skills, experience, education, training, licensure or certifications obtained. Market, location and organizational factors are also considered.</i> In addition to base salary, a competitive benefits package is offered.</p><p><b>
AAP/EEO Statement</b></p><p>
Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free Workplace Policy in effect that is strictly adhered to.</p><p>
Please note that this position is contingent upon the successful completion of a pre-employment drug screening and background check. These steps are part of our standard hiring process to ensure a safe and compliant workplace.</p></div>

Appeals Specialist - Hospital Billing, Underpayments

Conquer Roofing

<p><b>Job Description:</b></p><p>Conquer Enterprises, LLC &quot;Conquer Roofing&quot;</p><p>Claim Specialist Inspector (CSI) / Roof Damage Specialist</p><p>&ndash; Greater Atlanta Area &ndash;<br/>Field-based role <b>with company-provided leads</b></p><p><b>*** </b>NO REQUIRED DOOR-KNOCKING FOR LEADS ***</p><p><b>Overview:</b><br/>Conquer Enterprises, LLC is the fastest-growing independent roofing contractor in Georgia, specializing in storm damage restoration across the Greater Atlanta region and beyond. We are expanding our field team and seeking motivated, detail-oriented professionals for our Claim Specialist Inspector (CSI) role. This is a hands-on, high-earning field position, ideal for individuals with roofing knowledge, comfort working at heights, and a passion for helping homeowners navigate storm-related insurance claims. You&rsquo;ll work directly with provided leads from our sales teams, conduct thorough roof assessments, document damage, and guide qualified homeowners through the initial claim filing process &mdash; all while building toward strong earning potential in a growing company.</p><p><b>Duties:</b></p><ul><li>Perform on-site roof and exterior inspections for storm-related damage (hail, wind, etc.) using ladders and safety equipment</li><li>Document findings with detailed photos, measurements, and notes to support insurance claims</li><li>Assess damage severity and advise homeowners on whether a claim is viable based on policy coverage and observed issues</li><li>Assist homeowners with filing initial insurance claims on the spot (explaining process, gathering basic info, and setting expectations)</li><li>Attend insurance adjuster meetings for claims</li><li>Make well articulated and viable arguments on denials, partial approvals, and for supplements on insurance decisions via state code, state laws, federal laws, reinspect requests, and Attempted Test Repairs (ATRs)</li><li>Complete, document (video), and &quot;storytell&quot; on ATRs</li><li>Collaborate closely with our sales leadership and office teams to ensure smooth handoffs and maximum claim approvals</li><li>Travel within assigned territories (gas and travel expenses covered after initial training period)</li><li>Maintain high standards of safety, professionalism, and customer service in all interactions</li></ul><p><b>Skills &amp; Requirements:</b></p><ul><li>Comfortable climbing roofs and working at heights (no fear of ladders/heights required)</li><li>Reliable vehicle capable of transporting a 20 ft ladder (truck preferred but not mandatory)</li><li>Valid driver&rsquo;s license</li><li>Strong attention to detail and ability to document damage accurately</li><li>Basic knowledge of roofing systems, storm damage (hail/wind), and insurance claim processes (we provide training and ongoing support for the right candidates)</li><li>Excellent communication skills &mdash; ability to explain complex concepts simply to homeowners</li><li>Self-motivated, reliable, and ready for daily field work in various weather conditions</li><li>We are looking for someone who knows the entire insurance process following Lead Generation (which will be done for you via a Team of canvassers). Public Adjuster level attention to detail and effort on each lead.</li></ul><p><b>Compensation &amp; Earning Potential:</b><br/>Competitive pay structure designed for high performers:</p><ul><li>Starting phase: Structured per-inspection pay with rapid ramp-up potential (30-Days)</li><li>After initial period: Uncapped earnings through volume + bonuses</li><li>Realistic first-year range for consistent performers: $65,000 &ndash; $175,000+ (includes per-inspection pay, production bonuses, and travel reimbursement)</li><li>Paid travel/gas <b>after the first month</b></li><li>Full-time role preferred (part-time available) with opportunity for growth into advanced field or leadership positions</li></ul><p><b>About Conquer Roofing:</b><br/>We&rsquo;re a team of career roofers building a transparent, high-integrity company in Georgia. Current offices in Madison, Eatonton, and Habersham with new branches opening in Woodstock, John's Creek, Covington, and Douglasville (2026). We focus on quality work, fair pay, and letting talented people earn what they&rsquo;re worth. If you&rsquo;re comfortable on roofs, enjoy helping people with insurance claims, and want a role where your effort directly drives big earnings, this could be your next step.</p><p><b>Interested?</b></p><p>Qualified candidates will be contacted quickly for a short video or in-person interview where we&rsquo;ll cover the full role details, training, and earning path.</p><p>(Pro tip: Mention any prior roofing, inspection, claims, or field experience in your application to move to the top of the list.)</p><p><b>Apply Now!</b></p><p>Job Types: Full-time, Part-time, Contract</p><p>Pay: $65,000.00 - $175,000.00 per year</p><p>Benefits:</p><ul><li>Employee assistance program</li><li>Employee discount</li><li>Flexible schedule</li><li>Paid time off</li><li>Parental leave</li><li>Referral program</li></ul><p>Work Location: On the road</p>

Roofing Sales Representative - LEADS PROVIDED

Hiscox

<div><div>Job Type:</div>
Permanent<div></div><div>
Build a brilliant future with Hiscox</div><div><br>
The Complex Claims Specialist is a senior level individual contributor position. This person adjudicates assigned claims within given authority and provides operational support to the claims team.</div><div></div><div>
This Person Will Also:</div><ul><li><div>
Strategize and maximize early settlement opportunities for Construction Defect and 3rd Party Property Damage Claims</div></li><li><div>
Demonstrates proficient knowledge regarding coverage triggers and time on risk allocation</div></li><li><div>
Draft and Review coverage analyses</div></li><li><div>
Manage/Partner with local defense counsel while monitoring litigation</div></li><li><div>
Drives litigation best practices to manage deployment and utilization of defense counsel</div></li><li><div>
Continually assess exposures and adequacy of claim reserves</div></li><li><div>
Demonstrates proficient knowledge regarding theories of liability and State specific negligence standards</div></li><li><div>
Accurately document claim files with all relevant correspondence, documentation, and file notes</div></li><li><div>
Demonstrates proficient knowledge of ACV vs RCV property damage assessments</div></li><li><div>
Attend mediations and/or settlement conferences where appropriate</div></li><li><div>
Identifies suspected fraudulent claims and tracks with special investigations unit</div></li><li><div>
Actively participate in the Claims/UW/Actuarial feedback loop</div></li><li><div>
Keep senior claims management adequately and appropriately informed of key issues</div></li><li><div>
Liaising directly on daily basis with insureds and brokers</div></li></ul><div></div><div>
The Team:</div><div>
The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox&rsquo;s strong brand built on a long history of outstanding claims handling.</div><div></div><div>
Requirements:</div><ul><li><div>
10+ years of claims handling experience within General Liability &amp; Bodily Injury</div></li><li><div>
A JD from an ABA accredited law school may be considered as a supplement to claims handling experience</div></li><li><div>
Proven ability to positively affect highest severity claims outcomes through investigation, negotiation and effectively leading litigation</div></li><li><div>
Expert knowledge of coverage within the team&rsquo;s specialty or focus</div></li><li><div>
Expert knowledge of litigation process and negotiation skills</div></li><li><div>
Proven track record of mentoring others</div></li><li><div>
Excellent verbal and written communication skills</div></li><li><div>
Advanced analytical skills</div></li><li><div>
B.A./B.S degree from an accredited College or University preferred</div></li></ul><div></div><div>
Hiscox Values:</div><div>
At Hiscox our spirit is in Challenging Convention and everything we do is guided by our Values.</div><ul><li><div>
Courage: Dare to take a risk</div></li><li><div>
Ownership: Passionate, commercial and accountable</div></li><li><div>
Integrity: Do the right thing, however hard</div></li><li><div>
Connected: Together, build something better</div></li><li><div>
Human: Clear, fair and inclusive</div></li></ul><div></div><div>
What Hiscox USA Offers:</div><ul><li><div>
Competitive salary and bonus (based on personal &amp; company performance)</div></li><li><div>
401(k) with competitive company matching</div></li><li><div>
Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)</div></li><li><div>
Company paid group term life, short- term disability and long-term disability coverage</div></li><li><div>
24 Paid time off days, 2 Hiscox Days, 10 paid holidays, and ability to purchase 5 PTO days</div></li><li><div>
Paid parental leave</div></li><li><div>
4 week paid sabbatical after every 5 years of service</div></li><li><div>
Financial Adoption Assistance and Medical Travel Reimbursement Programs</div></li><li><div>
Annual reimbursement up to $600 for health club membership or fees associated with any fitness program</div></li><li><div>
Company paid subscription to Headspace to support employees&rsquo; mental health and wellbeing</div></li><li><div>
Recipient of 2024 Cigna&rsquo;s Well-Being Award for having a best-in-class health and wellness program</div></li><li><div>
Dynamic, creative and values-driven culture</div></li><li><div>
Modern and open office spaces, complimentary drinks</div></li></ul><div></div><div>
**Please note that this position is hybrid and requires two (2) days in our office weekly**</div><div></div><div>
Salary range: $115-$130k</div><div><i>
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.</i></div><div></div><div>
About Hiscox:</div><div>
As an international specialist insurer, we are far removed from the world of mass market insurance products. Instead we are selective and focus on our key areas of expertise and strength - all of which is underpinned by a culture that encourages us to challenge convention and always look for a better way of doing things.</div><div></div><div>
We insure the unique and the interesting. And we search for the same when it comes to talented people. Hiscox is full of smart, reliable human beings that look out for customers and each other. We believe in doing the right thing, making good and rebuilding when things go wrong. Everyone is encouraged to think creatively, challenge the status quo and look for solutions.</div><div></div><div>
Scratch beneath the surface and you will find a business that is solid, but slightly contrary. We like to do things differently and constantly seek to evolve. We might have been around for a long time (our roots go back to 1901), but we are young in many ways, ambitious and going places.</div><div>
Some people might say insurance is dull, but life at Hiscox is anything but. If that sounds good to you, get in touch.</div><div></div><div>
About Hiscox USA:</div><div>
Hiscox USA was established in 2006 to focus on the needs underserved and specialty commercial clients via both the regional broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.</div><div></div><div>
Today, Hiscox USA has a talent force of about 400 employees mostly operating out of 6 major cities - New York, Atlanta, Dallas, Chicago, Los Angeles and San Francisco. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber &amp; data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap &amp; ransom, commercial property and terrorism.</div><div></div><div>
You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)</div><div></div><div>
#LI-RM1</div><div><i><br>
Work with amazing people and be part of a unique culture</i></div></div>

Complex Claims Specialist - General Liability

Stout

<div>
 <strong>
  At Stout, we&rsquo;re dedicated to exceeding expectations in all we do &ndash; we call it Relentless Excellence
 </strong>
 &reg;
 <strong>
  . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.
  <br/>
  <br/>
 </strong>
 <strong>
  About Stout&rsquo;s Forensics And Compliance Group
  <br/>
  <br/>
 </strong>
 Stout&rsquo;s Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.
 <br/>
 <br/>
 What You&rsquo;ll Do
 <br/>
 <br/>
 As an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include:
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   Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations.
  </li>
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   Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies.
  </li>
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   Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic.
  </li>
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   Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning.
  </li>
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   Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives.
  </li>
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   Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post&ndash;go-live support.
  </li>
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   Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations.
  </li>
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   Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery.
  </li>
  <li>
   Continue developing technical, analytical, and consulting skills while building credibility with clients.
  </li>
  <li>
   Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement.
  </li>
  <li>
   Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout&rsquo;s Healthcare Consulting team.
   <br/>
   <br/>
  </li>
 </ul>
 What You Bring
 <br/>
 <br/>
 <ul>
  <li>
   Bachelor&rsquo;s degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master&rsquo;s degree preferred.
  </li>
  <li>
   Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles.
  </li>
  <li>
   Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance.
  </li>
  <li>
   Epic Resolute or other hospital billing system experience preferred; Epic certification a plus.
  </li>
  <li>
   Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required.
  </li>
  <li>
   Additional certifications such as CHC, CFE, or AHFI preferred.
  </li>
  <li>
   Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization.
  </li>
  <li>
   Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred.
  </li>
  <li>
   Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act.
  </li>
  <li>
   Willingness to travel up to 25%, based on client and project needs.
   <br/>
   <br/>
  </li>
 </ul>
 How You&rsquo;ll Thrive
 <br/>
 <br/>
 <ul>
  <li>
   Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions.
  </li>
  <li>
   Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships.
  </li>
  <li>
   Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time.
  </li>
  <li>
   Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment.
  </li>
  <li>
   Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility.
  </li>
  <li>
   Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Why Stout?
  <br/>
  <br/>
 </strong>
 At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life.
 <br/>
 <br/>
 We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve.
 <br/>
 <br/>
 We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals.
 <br/>
 <br/>
 Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.
 <br/>
 <br/>
 Learn more about our benefits and commitment to your success.
 <br/>
 <br/>
 https://www.stout.com/en/careers/benefits
 <br/>
 <br/>
 <em>
  The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job.
  <br/>
  <br/>
 </em>
 <em>
  Stout is an Equal Employment Opportunity.
 </em>
 <em>
  All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law.
  <br/>
  <br/>
 </em>
 Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.
 <br/>
 <br/>
 A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - https://www.stout.com/en/careers/benefits.
</div>


Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

Gallagher

<div><b>Introduction</b><br>
<div>
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it&rsquo;s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people&rsquo;s lives. It takes empathy, precision, and a strong sense of partnership&mdash;and that&rsquo;s exactly what you&rsquo;ll find here. We&rsquo;re a team of fast-paced fixers, empathetic experts, and outcomes drivers &mdash; people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you&rsquo;ll play a vital role in helping businesses and individuals move forward with confidence. Here, you&rsquo;ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you&rsquo;re here, you&rsquo;re part of something bigger. You&rsquo;re part of a team that shows up, stands together, and leads with purpose.
</div><br>
<b>Overview</b><p><b><br>
About the INVEST Program
</b></p><p>Are you a recent college graduate looking for a long-term, stable, innovative and exciting career that helps make a meaningful difference and supports people through challenges?</p><p><b><i><br>
</i></b></p><p>The<b> Emerging Talent INVEST Program (ETIP) &ndash; Guardian Pathway </b>is a 6-month paid, fully remote, entry-level immersive learning experience, designed for recent college graduates to gain real-world exposure, personalized coaching and mentorship and a clear, long-term career path in one of U.S. best industries.</p><p><b><i><br>
</i></b></p><p><b>Program Highlights</b></p><ul><li>
6-months, paid, fully remote learning track</li><li>
Virtual classroom, peer shadowing, simulations, case studies, and hands-on experience</li><li>
Fully remote (candidates must physically reside in states specified although the role is remote)</li><li>
Interactive sessions, one-on-one mentorship, collaborative projects, exposure to wide variety of industries, clients, and knowledge material</li><li>
Fully paid licensing and advance education opportunities</li><li>
Career progression post-graduation into claims resolution manager roles and beyond</li></ul>
<br>
<b>How you'll make an impact</b><p><br>
Over the course of this 6-month program you will be partnered with a team of peers and experienced Training Specialists that will create a supportive learning environment designed to position you for successful program completion. You will alternate between self-study modules, virtual classroom-style learning, guided training modules, and hands-on application of the knowledge gained. Over the course of the program, you will progressively increase your hands-on experience to immerse yourself into the world of claims management and client service excellence under the mentorship of the program mentors and training leaders. The program is designed to offer consistent and repeated opportunities to develop, grow and practice your knowledge, advance your education via licensing studies, and help you gain confidence in the unique and highly specialized field of commercial claims handling for world&rsquo;s largest employers and insurance carriers.</p><p></p><p><b><br>
What can you expect?</b></p><ul><li><b>
Participate in Structured Learning:</b> Actively engage in the first phase of the INVEST Program, which includes instructor-led sessions, online modules, job shadowing, and mentorship focused on foundational insurance knowledge, claims operations, and state-specific workers&rsquo; compensation regulations.</li><li><b>
Shadow Claims Experts:</b> Observe experienced claims professionals and learn best practices in managing lost time (indemnity) workers&rsquo; compensation claims.</li><li><b>
Practice in a Simulated Environment (&quot;Sandbox&quot;):</b> Apply newly learned concepts in a controlled, simulated claims environment designed to mimic real-world scenarios. The sandbox allows colleagues to practice making decisions, inputting data, and managing mock claims without risk, helping build confidence before handling actual cases.</li><li><b>
Complete Program Milestones</b>: Achieve key learning objectives and performance checkpoints as you build technical knowledge and professional skills essential for a successful claims career.</li><li><b>
Collaborate and Network:</b> Engage with peers, mentors, and cross-functional teams to deepen understanding of the claims process and build professional relationships within the organization.</li><li><b>
Gradual Claim Ownership</b>: Begin handling new workers&rsquo; compensation claims starting in Week 3 of the program. Claim assignments will begin at an incremental, supportive pace, with inventory gradually increasing as confidence and competency develop.</li><li><b>
Support Claims Management</b>: Take ownership of an evolving portfolio of indemnity claims under close supervision. Begin applying program training to real-world scenarios, including benefit calculations, wage loss evaluations, and return-to-work considerations.</li><li><b>
Claims Analysis and Learning:</b> Continue developing skills in analyzing medical documentation, regulatory guidelines, state-specific regulations, and supplemental case materials to determine claim strategy, financial exposure and potential next steps.</li><li><b>
Stakeholder Communication:</b> Engage in professional communication and strategy development with clients; provide support and empathy to the injured employees; secure key details from medical providers and other key stakeholders to support collaborative, outcome-focused, and empathetic claims handling.</li><li><b>
Client Service Instructions &amp; Carrier Guidelines:</b><br>
Learn how to interpret and apply client service instructions and carrier guidelines to ensure claims are handled in compliance with expectations. This includes understanding unique requirements for documentation, communication, and jurisdictional standards across our diverse client base.</li></ul><div><b>
Reserving Acumen:</b><br>
Build core skills in setting and adjusting reserves by analyzing claim details, medical data, and potential outcomes. You&rsquo;ll learn how accurate reserving supports financial stewardship and impacts overall claim strategy.</div><br>
<br>
<b>About You</b><div><b><br>
Education: </b>Bachelor&rsquo;s degree or 4-year degree from an accredited institution preferred.</div><div><i>
Candidates possessing a Bachelor&rsquo;s degree will receive preferential treatment. Others with proven experience will be considered.</i></div><div></div><div><b><br>
Attributes:</b></div><ul><li>
Active listening skills
</li><li>Problem-solving mindset</li><li>
Adaptable to changes in procedures and technology</li><li>
Computer literacy, including strong familiarity with M365 products (e.g. Outlook, Word, and basic Excel and PPT)</li><li>
Strong verbal and written communication skills</li><li>
Strong time management and ability to multi-task</li><li>
Detail-oriented</li><li>
Curious, learning-focused mindset</li></ul><div></div><div><br>
#GBTopJob</div><div>
#remote</div><div>
#INVEST</div><br>
<br>
<b>Compensation and benefits</b><p><br>
We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
</p><p>Below are the <b>minimum core benefits</b> you&rsquo;ll get, depending on your job level these benefits may improve:
</p><ul><li>Medical/dental/vision plans, which start from day one!</li><li>
Life and accident insurance</li><li>
401(K) and Roth options</li><li>
Tax-advantaged accounts (HSA, FSA)</li><li>
Educational expense reimbursement</li><li>
Paid parental leave</li></ul><div><b>
Other benefits include:</b></div><ul><li>
Digital mental health services (Talkspace)</li><li>
Flexible work hours (availability varies by office and job function)</li><li>
Training programs</li><li>
Gallagher Thrive program &ndash; elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing</li><li>
Charitable matching gift program</li><li>
And more...</li></ul><div><i>
**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.</i></div><div></div><div><b><br>
We value inclusion and diversity</b></div><p>
Click Here to review our U.S. Eligibility Requirements</p><p>
Inclusion and diversity (I&amp;D) is a core part of our business, and it&rsquo;s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
</p><p>Gallagher embraces our employees&rsquo; diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.</p><p>
Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as &ldquo;protected characteristics&rdquo;) by applicable federal, state, or local laws.
</p><p>Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.</p></div>

Emerging Talent INVEST Program - Guardian Associate

Explore 109+ Fraud specialist i check claims in Atlanta this March. Find roles across top companies and apply now to boost your career.