- Travelers Insurance Company (Richmond, VA)
- …coverage, investigation, evaluation, reserving, litigation management, negotiation, and resolution ) including maintaining full compliance with internal and external ... of policy information to facts or allegations of each case . + Consult with Manager on use of Claim...expense reserves. + Recognize and implement alternate means of resolution . + Manages litigated claims. + Develop litigation plan… more
- Healthfirst (VA)
- Duties and Responsibilities: + Responsible for case development and resolution of clinical cases, such as: Pre-existing Conditions, Prior Approval, Medical ... of services. The end to end process requires the Specialist to independently: + Research issues + Reference and...Update file documentation such as the file notes and case summary + Manage all duties within regulatory timeframes… more
- CGI Technologies and Solutions, Inc. (Reston, VA)
- **Enterprise Monitoring & Support Specialist IV** **Category:** Business Consulting, Strategy and Digital Transformation **Main location:** , Virginia, Reston ... an immediate need for an Enterprise Monitoring & Support Specialist IV to join our team. This is an...a high level of technical expertise to guide the resolution process, analyze data from monitoring tools, and communicate… more
- CGI Technologies and Solutions, Inc. (Reston, VA)
- **Application Support Specialist I** **Category:** Business Consulting, Strategy and Digital Transformation **Main location:** , Various **Alternate Location(s):** ... CGI has an immediate need for a Application Support Specialist I to join our team. This is an...seeking Application Support Specialists to oversee ticket management and resolution within a non-stop operational setting, available 24/7/365. Our… more
- Travelers Insurance Company (Richmond, VA)
- …for self or others to meet current or future goals. + Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research ... you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range...claim handlers in managing medical treatment to an appropriate resolution . **What Will You Do?** + Contact customer, medical… more
- Aston Carter (Arlington, VA)
- Job Title: Program Services SpecialistJob Description The Program Services Specialist seeks to promote and fulfill Child Care Aware(R) of America's mission and ... Care programs. This role involves providing confidential, supportive assistance and case management for families needing child care assistance. The specialist… more
- Zurich NA (Richmond, VA)
- …determining whether the loss falls within the coverage. + Work to have a timely resolution to claims by developing case strategy; developing a case ... Sr. Claims Specialist , Workers Compensation 121654 Zurich is seeking...121654 Zurich is seeking an experienced Workman's Compensation Claims Specialist to join our team! This will be a… more
- Travelers Insurance Company (Richmond, VA)
- …coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution ) including maintaining full compliance with internal and external ... of policy information to facts or allegations of each case . + Consults with Manager on use of Claim...Actively and enthusiastically shares experience and knowledge of creative resolution techniques to improve the claim results of others.… more
- CGI Technologies and Solutions, Inc. (Newport News, VA)
- **Data Warehouse Specialist ** **Category:** Business Consulting, Strategy and Digital Transformation **Main location:** , Virginia, Newport News **Position ID:** ... growing rapidly and are seeking a highly skilled and detail-oriented Data Warehousing Specialist to join our team. In addition to Warehousing, the ideal candidate… more
- Interactive Government Holdings, Inc. (Springfield, VA)
- Defense Travel Program Strategic Communications Specialist Category Communications Description Organization Established in 2006, Interactive Government Holdings, ... trained and capable individual to serve as a Strategic Communications Specialist for DHRA Defense Travel Management Office (DTMO) Individual must successfully… more
- CGI Technologies and Solutions, Inc. (Chantilly, VA)
- **Tableau Technical Support Specialist TS/SCI with Poly REQUIRED** **Category:** Business Consulting, Strategy and Digital Transformation **Main location:** , ... Description:** We are seeking a highly skilled and experienced Tableau Technical Support Specialist with an active TS/SCI clearance and CI polygraph to join our… more
- IDS International (Arlington, VA)
- …our team at IDS Technology as an Information Warfare Exercise Design Specialist and immerse yourself in cutting-edge military exercises focused on Special Operations ... Software Developers and manage troubleshooting ticketing from identification to resolution . + Perform research on various social media platforms;...Those with "SECRET" clearance will be reviewed on a case -by- case basis + Ability to travel up… more
- Travelers Insurance Company (Richmond, VA)
- …coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution ) including maintaining full compliance with internal and external ... of policy information to facts or allegations of each case . + Consults with Manager on use of Claim...with or without assistance. + Develops and employ creative resolution strategies. + Responsible for prompt and proper disposition… more
- Bon Secours Mercy Health (Petersburg, VA)
- …analysis and completion of activities, and creation of action plans for resolution . + Provides information to Trauma leadership and other quality improvement teams ... improvement reviews. + Demonstrates knowledge and ability in trauma registry methodology, case abstraction, data entry, coding and simple ad hoc reporting. This… more
- CDM Smith (Fairfax, VA)
- …subcontract change requests, bid comparisons, new work item estimates, and resolution of potential schedule/work problems. Supports collection of subconsultant and ... and clients. Performs other duties as assigned. **Job Title:** Construction Specialist 3 **Group:** PSF **Employment Type:** Regular **Minimum Qualifications:** -… more
- Abbott (Roanoke, VA)
- …Our 114,000 colleagues serve people in more than 160 countries. **Clinical Specialist ** **About Abbott** Abbott is a global healthcare leader, creating breakthrough ... and components of next generation of products. + Provides regional EP procedural case coverage. + Provides additional back-up support to EP Sales Representatives in… more
- Cardinal Health (Richmond, VA)
- …**Responsibilities** * Handle customer escalated cases through investigation and case review * Contact customers to confirm approval/denials of coverage, ... of specialty pharmacy that will dispense their medication * Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate *… more
- M. C. Dean (Vienna, VA)
- …point for all communication with law, finance and business team disciplines for resolution of contract issues and disputes. 9. May assist in new business pursuit ... certificates of insurance. 12. Have a general understanding of the business case and an appreciation of financial/analytical issues and profit and loss implications.… more
- Deloitte (Arlington, VA)
- …+ Collaborate with the other team members, QRM leaders, to ensure quick resolution of any functional or technical product issues. + Manage risk consultation ... role and compensation decisions are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is $80,550 to $134,250. You may… more
- Sharecare (Richmond, VA)
- …and their families through personalized resource and referral facilitation, issue resolution and healthcare navigation and the members themselves to achieve their ... (DME) + Community resource search + Member preferences management + **Coordinate issue resolution with providers, payers or 3rd parties for:** + Claims adjustments +… more