- Travelers Insurance Company (Springfield, VA)
- …Unit and/or Subrogation Unit. + Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as ... this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim… more
- Elevance Health (Norfolk, VA)
- …Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claims audits, collections, overpayment vendor validation, and ...and correct contractual issues, if applicable. + Handles complex case research and resolution. + May perform collection activities… more
- CDM Smith (Richmond, VA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- Travelers Insurance Company (Chantilly, VA)
- …Unit and/or Subrogation Unit. + Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as ... is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim… more
- US Tech Solutions (Chesapeake, VA)
- …all levels to enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face and telephonically assessing, ... and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case... claims to address potential impact on current case management and eligibility. Assessments include the member's level… more
- USAA (Chesapeake, VA)
- …P&C Claims Operations and/or Optimization experience. + 2+ years of MCO ( Manager , Claims Operations) experience. + Deep operational knowledge of end-to-end ... process improvement efforts. + Lead solution development including business case / benefits substantiation and drive business requirements for...claims processes. + Demonstrated knowledge of new and emerging… more
- Elevance Health (Norfolk, VA)
- …Analyst I** is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible for research, ... overpayments. **How you will make an Impact:** + Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting… more
- City of Norfolk, Virginia (Norfolk, VA)
- …reproduction services, scanning incoming agency mail, posting received documents to case records, transfer and destruction of records, sending and receiving ... completing paperwork. + Performs personnel duties by helping employees file claims , following up on their progress, contacting insurance companies, preparing… more
- Elevance Health (Arlington, VA)
- …Service Coordinator RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more
- Elevance Health (Norfolk, VA)
- …with a preference for those who have experience in healthcare data, particularly in claims , case management, or HEDIS data. + A strong grasp of statistics, ... procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance… more