- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims ... Performs computations. Typically works on semi-routine assignments. The Pharmacy Claims Representative 2 analyzes and answers inquiries...It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the… more
- CVS Health (Richmond, VA)
- …do it all with heart, each and every day. **Position Summary** Customer Service Representative is the face of Aetna and impacts members' service experience by manner ... Explains member's rights and responsibilities in accordance with contract. Processes claim referrals, new claim handoffs, nurse reviews, complaints… more
- Humana (Richmond, VA)
- …us put health first** The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 will contact and schedule with provider offices to return medical ... Remote access record retrieval via electronic systems + Research claims and provider information for accurate retrieval + Travel...It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the… more
- CDM Smith (Chesapeake, VA)
- …applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates in and assists with the development of the final ... specialists when appropriate throughout the process. * Obtains the applicant representative 's agreement that all disaster-related damage was described and quantified… more
- Humana (Richmond, VA)
- …it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and ... Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience in a… more
- Cushman & Wakefield (Arlington, VA)
- …* Monitor tenant and vendor compliance with insurance requirements and coordinate claims management as needed. * Conduct proactive inspections of the facility, ... a plus. **Physical Work Requirements** The conditions herein are representative of those that must be met by an...state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed and… 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 ... the GC + Verify materials/equipment and associated documentation for any stored materials claims + Verify that all other deliverables have been received and are… more