- Elevance Health (Richmond, VA)
- ** Claims Representative I ( Health & Dental )** **Location:** Must live within 50 miles of the Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, ... FL, Winston-Salem, NC, or Midland, GA PulsePoints. The ** Claims Representative I ( Health & Dental )** is responsible for successfully completing the… more
- Elevance Health (Richmond, VA)
- …The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point. A ** Claims Representative ** is responsible for successfully ... for technical accuracy and soundness. + Codes and processes claims forms for payment ensuring all information is supplied...DC), New York. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Sedgwick (Richmond, VA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… more
- Sedgwick (Richmond, VA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… more
- Guardian Life (Richmond, VA)
- …plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits + Dental plan + Vision plan + Health care accounts - flexible ... at what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively managing...in FMLA client absence programs including employees, client company, health care providers and clinical partners. + Ensures legal… more
- Elevance Health (Richmond, VA)
- …ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point. The **Customer Care Representative I** is responsible for successfully ... **Customer Care Representative I (Weekend Shift)** **$500 Sign On Bonus!**...written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates… more
- Elevance Health (Richmond, VA)
- …ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The **Utilization Management Representative I** is responsible for ... make an impact:** + Manage incoming calls or incoming post services claims work. + Determine contract and benefit eligibility; provides authorization for inpatient… more
- Sedgwick (Richmond, VA)
- …regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Client Services Representative **PRIMARY PURPOSE** : To manage accounts of locally assigned programs… more
- Kemper (Richmond, VA)
- …Employer, M/F/D/V_ **Our employees enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. * Save for your ... offers competitive benefits, including Group Life Insurance, Major Medical & Dental , Short-term & Long-term disability, 401(k) with company match, Paid Vacation,… more
- Planate Management Group LLC (Richmond, VA)
- …agencies, all over the world. We are seeking a highly experienced QA/QC Representative to join our team and perform Construction Management Services (CMS). This role ... safety compliance. + Excellent analytical skills to assess contractor claims and performance. + Proficiency in maintaining thorough documentation...EM 385 ‐ 1 ‐ 1 (USACE Safety and Health Requirements Manual) and 29 CFR 1926 OSHA Construction… 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
- Humana (Richmond, VA)
- …compliance and/or special investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated formal or informal people ... part of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations...normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect… more
- Trustmark (Richmond, VA)
- …addition to compensation, we offer a comprehensive benefits package that includes: Health / dental /vision, life insurance, FSA and HSA, 401(k) plan, Employee ... necessary. + Learns to underwrite pending files received for review and contestable claims files for underwriting. + Works with reinsurer on cases that require… more
- Conduent (Richmond, VA)
- …eligible for bonuses or incentives. Conduent offers a variety of benefits including health insurance, dental and vision programs, life and disability insurance, ... 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. +… more