- USAA (Chesapeake, VA)
- …be a part of what makes us so special! **The Opportunity** We are currently seeking a dedicated Manager , Claims Operations - DCT ( Dedicated CAT ... assistance is not available for this role. **What you'll do:** As a Manager , Claims Operations , you will lead and be accountable for auto, property,… more
- USAA (Chesapeake, VA)
- …contracts. + Using data analytics, in partnership with actuary and analytics team and Claims Operations leaders, report on team health to drive business results, ... makes us so special! **The Opportunity** We are seeking dedicated Managers for our Claims Auto Bodily...team + Experience applying advanced knowledge to partner with Claims Operations and provide guidance for complex… more
- USAA (Chesapeake, VA)
- …be a part of what makes us so special! **The Opportunity** We are seeking a dedicated Claims Litigation Case Manager Senior. This position is a hybrid work ... colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts...May serve as assistant to the Director of Litigation Operations and assigned to work on special projects and… more
- USAA (Chesapeake, VA)
- …what makes us so special! It is all about learning and growing. Our Associate Auto Claims Representative role may be a new career for you. There's a lot to learn, ... The days from home will be determined by your manager . Relocation assistance is not available for this position....- 6:30 pm. **The Opportunity** We are currently seeking dedicated professionals to **work in our Chesapeake, VA office**… more
- Elevance Health (Norfolk, VA)
- **Pharmacy Data Claims Analyst & Insights (Business Analyst II)** _Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate ... lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Data Claims Analyst & Insights (Business Analyst II)** is responsible for translating… more
- Elevance Health (Norfolk, VA)
- **LOA/Disability Case Manager Specialist** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of ... one of our Elevance Health PulsePoint locations. The **LOA/Disability Case Manager Specialist** will be responsible for coordinating the administration of Short-term… more
- Elevance Health (Norfolk, VA)
- The **Financial Operations Recovery Specialist II** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or ... **How you will make an impact:** + Audits paid claims for overpayments using various techniques including systems-based queries,...Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making… more
- Elevance Health (Norfolk, VA)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing… more
- Elevance Health (Norfolk, VA)
- …Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... plus. + 5+ years of experience leading and managing Pharmacy Benefit Manager /PBM end-to-end testing for web and mainframe-based applications, including defining… more
- Harbor Group Management (Norfolk, VA)
- …an entrepreneurial spirit and great communication skills. Harbor Group is dedicated to outstanding customer service and providing exquisite living experience for ... Asset Management fees and producing monthly billing statements. + Assist Manager of Partnership Accounting with reconciling partnership equity and investment… more
- Elevance Health (Norfolk, VA)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...and implements new or revised methods to improve the operations . **Minimum Requirements:** + Requires a AA/AS and minimum… more
- Elevance Health (Norfolk, VA)
- …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... software strongly preferred. + Knowledge of systems capabilities and healthcare business operations preferred. + SQL experience preferred. + ASC X12 837 EDI… more
- Elevance Health (Norfolk, VA)
- …Mgr is responsible for connecting Stop Loss strategy with business operations , drawing from disciplines such as strategy development, business analysis, process ... management, and operations analysis. **How will you make an impact:** +...stop loss distribution partners including agreement negotiations, product capabilities, claims processes, new client implementation processes, standard policies, etc.… more
- Elevance Health (Norfolk, VA)
- …databases for analysis of data and review of professional and facility claims to detect fraudulent, abusive or wasteful healthcare insurance payments to providers ... departments such as Grievance and Appeals, Contracting or Claim Operations , law enforcement; or any combination of education and...Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making… more