- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Washington, DC)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Ryder System (Washington, DC)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Black & Veatch (Gaithersburg, MD)
- **Construction Project Representative - Water - Loudoun County** Date: Nov 21, 2025 Location: Gaithersburg, MD, US MD, US VA, US Company: Black & Veatch Family of ... **Req Id :** 111901 **Job Title :** Construction Project Representative - Water - Loudoun County **Location :** RGGAIT,...* Participate with GC personnel in QA/QC activities * Review , certify and file the field testing reports. o… more
- Stantec (Arlington, VA)
- …community. Your Opportunity Stantec is seeking an individual to act as an Owner's Representative , Project Manager for the design and construction of a mix of higher ... or commercial expansion or renovation projects as an Owner's Representative . Managing the approved scope, budget and schedule are...and budget throughout all phases of the project. - Review and track all contracts, invoices, and payments to… more
- Highmark Health (Washington, DC)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Washington, DC)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Amentum (Washington, DC)
- …review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, ... **VCF Position Title: Claim Review Assessor Position Description** **AMENTUM Job Title: Senior...created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm… more
- Highmark Health (Washington, DC)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- CVS Health (Washington, DC)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- Chenega Corporation (Rockville, MD)
- …compensation programs, or managed care. + Professional Background: Relevant experience in claims review , healthcare administration, or related fields. + A ... program knowledge, leadership, and/or support experience. + Must have experience in claims review , healthcare administration, or related fields. + Must have… more
- Chenega Corporation (Rockville, MD)
- …to the clients Rockville, MD location. + Professional Background: Relevant experience in claims review , healthcare administration, or related fields. + A minimum ... program knowledge, leadership, and/or support experience. + Must have experience in claims review , healthcare administration, or related fields. + Must have… more
- Sunrise Senior Living (Mclean, VA)
- …for 20K+ employees accurately and on-time on a weekly and bi-weekly basis. + Review payroll output post payroll processing to ensure proper processing of payroll on ... timecards and other pay corrections along with special one-time payments. + Review , analyze, and verify payroll reports and documents for accuracy; make necessary… more
- Sunrise Senior Living (Bethesda, MD)
- …receivable system according to Sunrise Senior Living policy and procedures; review all input, manage data integrity controls, coordinate processing with Sunrise ... Headquarters team, review and analyze output reports, and ensure timely issuance...with Medicare and Sunrise Headquarters billing office to resolve claims and obtain timely reimbursement. + Maintain current knowledge… more
- Prime Therapeutics (Washington, DC)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more
- Clark Construction Group, LLC (Mclean, VA)
- …contracts. Will also assist in managing task trackers. + Provide support for claims management. + Oversee and manage all elements of the Company's eDiscovery ... third-party subpoenas and record requests on behalf of the Company. + Review , analyze and synthesize pleadings, documents, merger and acquisition agreements and… more
- General Dynamics Information Technology (Fairfax, VA)
- …play a crucial role in performing the duties of a **Provider Outreach Regional Representative ** for the eMedNY Program in the NYC area. As a Training Specialist ... the company to external and/or internal customers, supporting Medicaid related claims and billing questions. You will provide assistance and problem resolution… more
- Point32Health (Washington, DC)
- …works collaboratively with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation ... skills in all interactions. This individual prepares cases for presentation, discussion, review , and final disposition at the Member Appeals Committee (MAC) and… more
- Sunrise Senior Living (Fort Belvoir, VA)
- …receivable system according to Sunrise Senior Living policy and procedures: + Review all input. + Assist with maintaining data integrity controls. + Coordinate ... processing with the Controller. + Review and assist with analysis of output reports. +...effective working relationships with Medicare/Medicaid billing office to resolve claims and obtain timely reimbursement. + Develop and maintain… more