- Sedgwick (Richmond, VA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
- Ryder System (Richmond, VA)
- …small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. **ESSENTIAL FUNCTIONS** Investigates, ... to medium exposure 3rd party property damage and cargo claims pursued against Ryder Ensures the most appropriate and...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Elevance Health (Richmond, VA)
- ** Claims Representative I (Health and Dental)** **Location:** Remote , within 50 miles of an Elevance Health pulse point. **Hours:** An 8-hour shift, Monday - ... Friday, between the hours of 7 am - 6 pm EST. The ** Claims Representative I** is responsible for successfully completing the required basic training. Able to… more
- Travelers Insurance Company (Richmond, VA)
- …is responsible for handling moderate to complex Personal and Business Insurance Auto Damage claims as well as low complexity Bodily Injury Liability claims . This ... unclear liability as well as low complexity/minor Bodily Injury claims . Will also handle more complex Auto Damage ...This role is hybrid (3 days in office/2 days remote ). **What Will You Do?** + **Customer Contacts/Experience:** +… more
- Elevance Health (Richmond, VA)
- Job Description **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates ... 50 miles of one of our PulsePoint locations. The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- Prime Therapeutics (Richmond, VA)
- …decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is responsible for supporting ... levels of leadership within the organization, acting as a representative of the broader Reporting and Analytics team +...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- United Therapeutics (Richmond, VA)
- …the pharmaceutical and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code, the Sunshine ... to the Food Drug and Cosmetic Act, the False Claims Act, Anti-Kickback Statute, the Sunshine Act and other...healthcare related laws and regulations + Serve as Legal representative on the Company's promotional review committee, including review… more
- HealthEdge Software Inc (Richmond, VA)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- HealthEdge Software Inc (Richmond, VA)
- …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
- HealthEdge Software Inc (Richmond, VA)
- …issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite ... of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working...None **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- HealthEdge Software Inc (Richmond, VA)
- …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... and deliver excellent software and services to our customers._ **Geographic Responsibility:** Remote but ideal candidate would live within the driving distance to… more
- HealthEdge Software Inc (Richmond, VA)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... permanent **Work Environment:** The physical demands described here are representative of those that must be met by an...Work across multiple time zones in a hybrid or remote work environment. + Long periods of time sitting… more
- Intermountain Health (Richmond, VA)
- …each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, ... functions. + Ability to work with technical accuracy and in a remote atmosphere + Demonstrated ability to multitask between computer and multi-communication… more
- Conduent (Richmond, VA)
- …five (5) years of experience working in an account management or client representative role. + Show recent experience working on a Medicaid Management SystemsDDI ... project (or MMIS implementations in the Claims domain) with Fee for Services (FFS) providers. +...role, you can expect the following working conditions: + ** Remote work** : Enjoy the convenience of working from… more
- Perdue Farms, Inc. (Prince George, VA)
- …above duties in a professional manner at all times as he/she is a representative of the Perdue Farms Brand. **Principal and Essential Duties & Responsibilities** 1. ... lading, proof of delivery pay envelopes, overage, shortage, damaged claims , and trip reports. 5. As assigned, the physical...to travel to customers, distributors, plant facilities and other remote locations and will remain away from for home… more