- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: RETIREMENT CLAIMS EXAMINER Location: United States-Virginia-Virginia Beach Job Number: 2600006Z Job Summary: Performs duties relating to the administration of ... Establish and initiate retirement payment accounts in retirement vendor system . . Input all retired personal data tax deductions...in the plan. . Perform actuarial review of retirement claims for Willis Towers Watson Data Services. . Supports… more
- Cognizant (Richmond, VA)
- …such as z/OS, ISPF, TSO, File-aid and SCM is required. + Experience in healthcare claims and their associated systems is crucial for understanding the complex ... this pivotal role, you will leverage your extensive experience with mainframe systems to design, develop, and optimize complex applications crucial to our business… more
- Elevance Health (Norfolk, VA)
- **Business Consultant - Commercial Claims Data Mining** **Hybrid:** **This role requires associates to be in-office 1 - 2 days per week** , fostering collaboration ... application software requirements. Possesses full technical knowledge of most phases of systems and business analysis and is able to consider the business… more
- USAA (Chesapeake, VA)
- …Process Management, or similar methodology. + Demonstrated experience with utilizing various systems to collect and analyze data. **What sets you apart:** + P&C ... Property Claims Operations and/or Optimization experience + Over 2 years...MCO experience + Deep operational knowledge of end-to-end Property Claims processes + Demonstrated knowledge of new and emerging… more
- Insight Global (Virginia Beach, VA)
- …projects and helping to finalize implementations for medical plans and looking in system for inconsistencies. They will be sending out files and receiving back error ... - Experience with Power BI -a very analytical thinker -experience with claims , benefits, or enrollment -EDI 834/837 experience -Edifecs experience -Strong Excel… more
- Humana (Richmond, VA)
- …products, or other medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice ... management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or InterQual + Internal Medicine,… more
- Humana (Richmond, VA)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice ... management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or InterQual + Internal Medicine,… more
- Naval Sea Systems Command (Dahlgren, VA)
- …Model Base System Engineering (MBSE) tools, (3) knowledge of conventional systems engineering tools, and other available tools to execute assigned tasking. FOR ... to this flyer. Responsibilities You will serve as COOPERATIVE ENGAGEMENT CAPABILITY SYSTEMS ENGINEER in the Integrated Combat Systems Department, Warfare… more
- System One (Vienna, VA)
- …mortgage loans. Serve as subject matter expert regarding section functions, systems , policies and/or procedures. Responsibilities * Analyze accounts included in the ... disposition Process charged-off bankruptcy impaired equity loans; facilitate Proof of Claims and review motions * Monitor bankruptcy progression for adherence of… more
- USAA (Washington, VA)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... Special Investigations Unit for handling, if applicable. + Maintain accurate and current claim file documentation throughout the claims process for complex … more
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