- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Richmond, VA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Sedgwick (Virginia Beach, VA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process low ... to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Ryder System (Richmond, VA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Black & Veatch (Richmond, VA)
- **Construction Project Representative - Water - Loudoun County** Date: Nov 21, 2025 Location: Gaithersburg, MD, US MD, US VA, US Company: Black & Veatch Family of ... **Req Id :** 111901 **Job Title :** Construction Project Representative - Water - Loudoun County **Location :** RGGAIT,...* Participate with GC personnel in QA/QC activities * Review , certify and file the field testing reports. o… more
- Stantec (Arlington, VA)
- …community. Your Opportunity Stantec is seeking an individual to act as an Owner's Representative , Project Manager for the design and construction of a mix of higher ... or commercial expansion or renovation projects as an Owner's Representative . Managing the approved scope, budget and schedule are...and budget throughout all phases of the project. - Review and track all contracts, invoices, and payments to… more
- Elevance Health (Richmond, VA)
- **Title: Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... an accommodation is granted as required by law._ The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- Mass Markets (VA)
- …staff and managerial for resolution as needed + Attend meetings and training and review all new training material to stay up to date on changes to program ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (VA)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... through problems solving and effective call handling + Attend meetings and training and review all new training material to stay up to date on changes to program… more
- Highmark Health (Richmond, VA)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Richmond, VA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Highmark Health (Richmond, VA)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- CVS Health (Richmond, VA)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- Sunrise Senior Living (Mclean, VA)
- …for 20K+ employees accurately and on-time on a weekly and bi-weekly basis. + Review payroll output post payroll processing to ensure proper processing of payroll on ... timecards and other pay corrections along with special one-time payments. + Review , analyze, and verify payroll reports and documents for accuracy; make necessary… more
- Black & Veatch (Virginia Beach, VA)
- …control, start up and decommissioning and field engineering. Be the day-to-day on-site representative of the Owner(s) and look out for their best interest. Be the ... + Participate with GC personnel in QA/QC activities + Review , certify and file the field testing reports. +...Verify materials/equipment and associated documentation for any stored materials claims + Verify that all other deliverables have been… more
- Sysco (Front Royal, VA)
- …abuse form, photos of the load, and applicable TTR report to the RDC Claims Coordinator for product disposition. + Coordinate getting the pallet trailers moved to a ... loads to dock doors via SWMS Route Manager. + Use Microsoft Teams channel to review the 'Schedule Live Outbound' report as a guide for daily scheduled outbound live… more
- General Dynamics Information Technology (Fairfax, VA)
- …play a crucial role in performing the duties of a **Provider Outreach Regional Representative ** for the eMedNY Program in the NYC area. As a Training Specialist ... the company to external and/or internal customers, supporting Medicaid related claims and billing questions. You will provide assistance and problem resolution… more
- Clark Construction Group, LLC (Mclean, VA)
- …contracts. Will also assist in managing task trackers. + Provide support for claims management. + Oversee and manage all elements of the Company's eDiscovery ... third-party subpoenas and record requests on behalf of the Company. + Review , analyze and synthesize pleadings, documents, merger and acquisition agreements and… more
- Prime Therapeutics (Richmond, VA)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more