- The George Washington University (Washington, DC)
- …3 years of responsible risk management experience directly applicable to Workers Compensation claims processing preferred.Professional certification (ARM ... & Liability Manager to manage the District of Columbia Workers ' Compensation claims . This role...eligibility, completeness, and accuracy while handling routine and moderately complex claims , including some litigated ones with… more
- Sedgwick (Washington, DC)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Complex Claims Advisor | Remote **This ... manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to...preferred. **Skills & Knowledge** + Subject matter expertise in worker 's compensation claims and/or liability… more
- Sedgwick (Washington, DC)
- … Examiner **PRIMARY PURPOSE** **:** To analyze complex or technically difficult workers compensation claims to determine benefits due; to work with ... specific requirements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult claims by investigating and… more
- Sedgwick (Washington, DC)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Adjuster | Public Entity & MD, VA ... brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of...and inclusion. **PRIMARY PURPOSE OF THE ROLE:** To analyze Workers Compensation claims on behalf… more
- Travelers Insurance Company (Chantilly, VA)
- …Range** $63,700.00 - $105,100.00 **Target Openings** 3 **What Is the Opportunity?** Manage Workers ' Compensation claims with lost time to conclusion and ... paid out. With close to moderate supervision, may handle claims of greater complexity where Injured worker ...**What Will Our Ideal Candidate Have?** + 2 years Workers Compensation claim handling experience preferred. +… more
- UMB Bank (Washington, DC)
- …change to ensure the best customer experience. + Review and decide high-value and complex card fraud claims . + Prepare regular reports on card fraud ... **Duties & Responsibilities** The Manager, Card Fraud Claims , will oversee and manage the UMB card...College Degree + TSYS TS2 and/or TSYS TMS experience ** Compensation Range:** Minimum: $69,230.00 - Maximum: $179,300.00 _The posted… more
- CACI International (Chantilly, VA)
- … Examiner in the Chantilly, VA area. What You'll Get to Do: + Reviews workers ' compensation claim forms. + Provides assistance to claimants as it relates to ... Claims Examiner Job Category: Finance and Accounting Time...their claim as needed. + Assists management with more complex cases. + Maintains accurate records and prepares required… more
- Travelers Insurance Company (Alexandria, VA)
- …involving one or more lines of business other than property (ie auto, workers compensation , premium audit, underwriting) may be required. Provides quality claim ... to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation , General Liability and other areas of the business as… more
- Elevance Health (Washington, DC)
- …members on multiple platforms. Fully proficient in all key areas; performs multi complex functions and interprets complex rules, laws and contracts. Accountable ... entitled. + Determines primacy on each case using a complex set of Primacy Rules as mandated by State...enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well… more
- Elevance Health (Washington, DC)
- …and procedures. + Investigates potential fraud and over-utilization by performing the most complex medical reviews via prepayment claims review and post payment ... and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review....in good faith believes is the range of possible compensation for this role at the time of this… more
- Elevance Health (Washington, DC)
- …other coverage for all of the company's groups and members. Performs multi complex functions and interprets complex rules, laws and contracts. Accountable for ... identify the correct formulas in order to adjudicates impacted claims , using multiple COB Formulas for the various product...in good faith believes is the range of possible compensation for this role at the time of this… more
- Travelers Insurance Company (Alexandria, VA)
- …to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation , General Liability and other areas of the business as ... Imagine loving what you do and where you do it. **Job Category** Claim ** Compensation Overview** The annual base salary range provided for this position is a… more
- Sedgwick (Washington, DC)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker , attorney and supervisor. + Identifies ... Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker , employer, and medical providers, create a case management strategy to facilitate… more
- Lockheed Martin (Bethesda, MD)
- …or CPCU certifications \- Demonstrated technical expertise in Casualty insurance and Workers ' Compensation including claims management and cost containment ... Commercial General Liability, Errors and Omissions Liability, Cyber Liability, some Workers ' Compensation etc\. and providing general risk management support… more
- Sunrise Senior Living (Mclean, VA)
- …as well as unclaimed property reporting and filings per State requirements. + Complete Workers Compensation claims as dictated by State Laws. + Correspond ... + Experience working with third-party outsourced vendor preferred. + Solid understanding of workers compensation claims processing. + Proven ability to… more
- Elevance Health (Washington, DC)
- …acceptability of insurance risks and appropriate premium rates for large, complex renewal and prospect employer groups in accordance with Corporate Underwriting ... are not limited to: + Calculates renewal rates for complex group cases based on thorough analysis of the...increments or decrements. + Communicates with sales, administration and claims to assess the rating and administrative impact or… more
- Elevance Health (Alexandria, VA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... Supports a full range of contract arrangements and pricing mechanisms. Works on complex enterprise-wide initiatives and acts as project lead. **How you will make an… more
- Truist (Mclean, VA)
- …description:** Primarily responsible for independently marketing smaller and/or less complex accounts. Exercise independent decisions relating to client analysis of ... Producer and Marketing Account Executives in managing larger and/or more complex accounts. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of… more
- Medtronic (Washington, DC)
- …role, you will be responsible for managing a variety of IP litigation matters, claims , and disputes on behalf of Medtronic. The IP Litigation Counsel will develop ... engage in and drive early evaluation and resolution of claims ; assess IP and legal risks; and provide legal...the medical device field + Ability to clearly communicate complex technical and legal subject matter to a wide… more
- Elevance Health (Washington, DC)
- …care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, ... as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires BA/BS...in good faith believes is the range of possible compensation for this role at the time of this… more
