Top 12 Claims representative Jobs in Dalton, Ga

Medical Management Representative
Health One Alliance, LLC —Dalton, GA
- Full-time
- Background check
- Nursing
- Microsoft Excel
- Wellness program
- Health savings account
Customer Service Representative - State Farm Agent Team Member
Aaron Stiles - State Farm Agent —Ringgold, GA
- $35,000 - $50,000 a year
- Full-time
- Sales
- Office
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
Field Representative - Insurance Inspections - Dalton, GA
Verisk —Dalton, GA
- Full-time
- 18 years or older
- Mid-level
- Residential
- Paid training
- Health insurance
Multi-Line Representative - State Farm Agent Team Member
Aaron Stiles - State Farm Agent —Ringgold, GA
- $40,000 - $55,000 a year
- Full-time
- Sales
- Office
- Organizational skills
- Paid time off
- Opportunities for advancement
Quick Apply
Bilingual Customer Service Representative - State Farm Team Member
Dan Combs State Farm —Dalton, GA
- $45,000 - $70,000 a year
- Full-time
- Office
- Entry level
- Under 1 year
- Paid holidays
- Health insurance
Quick Apply
10d
Personal Lines Customer Service Representative (Bilingual English/Spanish Required)
Atlas Insurance Agency LLC —Chattanooga, TN
- $18 - $25 an hour
- Email
- Mid-level
- Office
- In-person
- Paid holidays
- Disability insurance
Quick Apply
1d

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Customer Service Representative - State Farm Agent Team Member
Aaron Stiles - State Farm Agent —Ringgold, GA
As a smaller office, we’re flexible and collaborative, with a steady mix of customer service and sales activity, including calls and walk-ins that keep things…
$35,000 - $50,000 a year
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Customer Service Representative - State Farm Agent Team Member
Parish Lowrie - State Farm Agent —Jasper, GA
State Farm agents are independent contractors who hire their own employees. Our mission is to help people manage the risks of everyday life, recover from the…

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Patient Service Representative
quantum-health —Dublin, OH
Resolve inquiries efficiently by handling inbound/outbound calls and addressing concerns in a timely manner. Tech Savvy: Strong administrative/technical skills;…
From $19 an hour
9.2.26 Hiring Event - Patient Service Representative
Quantum Health —Dublin, OH
Comfort using Microsoft Office, Teams, Zoom, and other technology tools. This role involves assisting members with questions about benefits, claims, providers,…
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Medical Management Representative

Health One Alliance, LLC
Dalton, GA

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Job Details

Full-time

Benefits

Wellness program
Health savings account
AD&D insurance
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
401(k) 4% Match
Employee assistance program
Vision insurance
401(k) matching
Pet insurance

Qualifications

Passenger vehicle

Full Job Description

MISSION Our mission is to enhance well-being by connecting individuals with vital health resources through a compassionate workforce that embodies the spirit of neighbors helping neighbors. VALUES HealthOne is guided by a cultural framework that embodies our values and drives our decisions. Our PURPOSE is to care for people by connecting them to resources that help protect them in health related situations. To fulfill our purpose, we align our PRIORITIES to ensure each decision we make is ethical, empathetic, economical, and efficient. We care for PEOPLE by being welcoming, authentic, truthful, consistent and humble. We are continuously looking for ways to improve our PROCESS and how we get things done. HealthOne seeks individuals with integrity and heart to embody our values. Whether you’re starting your career or looking to develop additional skills to reach your full potential, HealthOne provides the means to help you achieve your goals. JOB PURPOSE The Medical Management Representative supports clinical team and serves as a proactive resource for members related to case management and utilization management.

ESSENTIAL JOB DUTIES Conducts educational telephone calls advising members of available benefits, services and programs; refers members to population health management programs as appropriate Reaches out to members with identified gaps in care to provide assistance in securing provider(s) and arranging appointment(s) Manages system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention Facilitates research and analysis of inquiries and/or complaints and other program related inquiries Functions as a liaison to clinical staff Collects and enters data as appropriate to process prior authorization requests Participates in projects as needed Performs duties such as, but not limited to, project research, data entry, and file management Works with internal and external persons and/or entities to ensure requests, problems and questions are researched and resolved in a timely manner Works overtime as needed Regular and predictable attendance Consistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practice Works to encourage and promote Company culture throughout the organization - waiting on this to be approved Other duties as may be assigned QUALIFICATIONS High School diploma or its equivalent Experience in a customer service role is preferred Proficient in Microsoft Office (Outlook, Word, Excel) Fundamentals of Nursing or its equivalent Working knowledge of NCQA preferred Must be able to work in an independent and creative manner Ability to manage multiple projects and priorities Adaptive to high pace and changing environment Proficient in interpreting benefits and contract language Knowledge of medical terminology PHYSICAL REQUIREMENTS Prolonged periods of sitting at a desk and working on a computer. Moderate to significant amount of stress in meeting deadlines and dealing with day-to-day responsibilities. Must be able to drive a vehicle and daytime/overnight travel as required. BENEFITS 401K (4% Match, Immediate Vesting) Accident insurance Competitive salary Critical Illness Insurance Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program Health Savings Account Life & AD&D Insurance Long Term Disability Medical Insurance Paid Time Off Pet Insurance Short Term Disability Vision Insurance PRE-EMPLOYMENT SCREENING Drug Screen and Background Check Required HEALTHONE IS AN EQUAL OPPORTUNITY EMPLOYER All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, disability, sex, age, ethnic or national origin, marital status, sexual orientation, gender identity or presentation, pregnancy, genetics, veteran status or any other status protected by state or federal law.

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claims representative jobs in dalton, ga

Medical Management Representative

Customer Service Representative - State Farm Agent Team Member

Field Representative - Insurance Inspections - Dalton, GA

Multi-Line Representative - State Farm Agent Team Member

Bilingual Customer Service Representative - State Farm Team Member

Personal Lines Customer Service Representative (Bilingual English/Spanish Required)

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