- Citizens (Glen Allen, VA)
- …to continuously learn, consider a career at Citizens as a Fraud Customer Support Sr . Specialist . In this role, you'll play a crucial part in safeguarding ... the customer's consent on a resolution. + Provide accurate complete claims processing, and records management using established procedures in moving/placing… more
- Travelers Insurance Company (Richmond, VA)
- …evaluating, reserving, negotiating and resolving assigned Specialty Property Damage claims . Provides quality claim handling throughout the claim life cycle ... not manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Molina Healthcare (Glen Allen, VA)
- …often highly technical teams + Experience working with medical coding, claims **Preferred License, Certification, Association** + Certified Professional ... Edits and Initiatives + Reviews coding guidelines to determine appropriate claims processing + Elicit requirements using interviews, document analysis, and… more
- Highmark Health (Richmond, VA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Highmark Health (Richmond, VA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more
- Prime Therapeutics (Richmond, VA)
- …state regulations (ERISA, ACA) **Preferred Qualifications** + Certified Employee Benefits Specialist (CEBS) or Certified Benefits Professional (CBP) designation ... **Responsbilities** + Manage annual renewal process, including analyze plan utilization, claims and health trends, model plan cost and design options, and… more