- Chenega Corporation (Quantico, VA)
- …and coordination between the project manager, design manager, contract specialist , contractor, project technical team, client, and others as appropriateAssist ... of the Contracting OfficerAssist in providing technical support for claims /disputes/terminations processing, negotiation, and resolutionOther duties as assigned Qualifications… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 for the ... and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 + Maintains required standards of performance and… more
- Sedgwick (Richmond, VA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- Lincoln Financial Group (Richmond, VA)
- …73468 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... administering, processing, and adjudicating Accident, Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training to develop… more
- Crawford & Company (VA)
- …the processing of the claim. + Identifies wage loss expenses and wage exposures on medical claims . + Documents receipt and contents of medical reports. ... not exceeding, $2,500 after compensability has been determined. + Evaluates medical claims for potential fraud issues, loss control and recovery in accordance… more
- Lincoln Financial Group (Richmond, VA)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...requests relating to Short Term Disability, the Family and Medical Leave Act (FMLA), the Americans with Disabilities Act… more
- CRC Insurance Services, Inc. (Richmond, VA)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department. **ESSENTIAL… more
- US Marine Corps (Quantico, VA)
- …keep the organization functioning smoothly and effectively. Responsibilities Serves as claims and portability specialist for Non-appropriated Fund (NAF) ... Skills to accurately prepare, verify, and validate documents involving medical /dental/life insurance claims . Knowledge of procedures, regulations, precedents… more
- Trustmark (Richmond, VA)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Critical Care. **Key Accounabilities:** + Demonstrates strong understanding and performs claims handling processes and procedures related to Wellness, Hospital and… more
- USAA (Virginia Beach, VA)
- …us so special! **The Opportunity** We are seeking a dedicated Property Adjuster Specialist located in **Virginia Beach, Norfolk, or Chesapeake,** **VA** to join our ... field Team. As a Insurance Property Adjuster Specialist , you will work within established guidelines and framework...to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will… more
- USAA (Chesapeake, VA)
- …part of what makes us so special! **The Opportunity** As a dedicated Subrogation Specialist , you will provide specialized Auto claims service in the recovery of ... caused an insurance loss to the insured. The Subrogation Specialist may also defend through arbitration claims ...analysis of claim and applicable program rules in Automobile, Medical Pay, or Personal Injury Protection (PIP) claims… more
- Travelers Insurance Company (Richmond, VA)
- …reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... designed to support flexibility. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely… more
- Travelers Insurance Company (Richmond, VA)
- …reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... support flexibility. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Sutherland Global Services (Richmond, VA)
- …understanding of Hospital billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school ... Do you have a background in medical collections, insurance follow-up, and revenue cycle management?...This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via… more
- Elevance Health (Roanoke, VA)
- **Anticipated End Date:** 2024-09-10 **Position Title:** eCOB Specialist III **Job Description:** **eCOB Specialist III** **Location** : Hybrid, within 50 miles ... shift between 6 am - 6 pm The **eCOB Specialist III** is responsible for researching and investigating other...enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Cybersecurity Specialist (EDOS-2024-21129): Bowhead is seeking a skilled full-time Cybersecurity Specialist toassist the ISSO with ensuring ... meet requirement) + Seven (10) years of professional experience as a Cybersecurity Specialist with a specialization in cross domain solution implementation. + 7 +… more
- Robert Half Office Team (Hampton, VA)
- …for claims . * Support the HR Generalist in processing Family Medical Leave (FMLA) claims including determining FMLA eligibility, processing of application, ... Description We are offering a contract to hire opportunity for a Benefit Specialist in HAMPTON, Virginia. The role involves handling various human resources programs… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and...and payer websites as well as the knowledge of medical billing and coding guidelines to resolve insurance denials… more
- University of Virginia (Charlottesville, VA)
- The 340B Pharmacy Compliance Specialist provides support for the UVA Health's 340B Programs. This program consists of 3 DSH, 10 entity-owned retail pharmacies, and a ... variety of contract pharmacy relationships. This position performs audits of 340B claims to ensure Program compliance and performs assessments of pharmacy operations… more
- Mass Markets (VA)
- POSITION OVERVIEW Job Title:Licensed Life and Health Insurance Specialist Job Type:Full-Time Location:Virginia MCI is a leading Business Process Outsourcing (BPO) ... partner in the industry. We are seeking a Licensed Life and Health Insurance Specialist who will play a vital role in educating and guiding customers to select… more
