- Zurich NA (Richmond, VA)
- …experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 5 or more years of experience ... AVP, Underwriting Director- Contract Surety Officer level. The hiring manager will determine the appropriate level based upon the...North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk… more
- Sedgwick (Alexandria, VA)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance IT Project Management Advisor **PRIMARY PURPOSE OF THE ROLE** : Manages software… more
- Sedgwick (Norfolk, VA)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance IT Project Management Specialist Sr **PRIMARY PURPOSE OF THE ROLE** : Manages… more
- USAA (Chesapeake, VA)
- …P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims Operations experience. + Deep operational knowledge of end-to-end ... assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer… more
- Elevance Health (Norfolk, VA)
- …for building, scaling, and maintaining platforms for: + Medical Cost Management ( claims review, payment integrity, utilization management, risk adjustment). + ... for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable Elevance… more
- Sedgwick (Norfolk, VA)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Mgr IT Applications Join us in delivering cutting-edge technology solutions for… more
- Parsons Corporation (Fairfax, VA)
- …contracting approaches. + Ensures that the contract is thoroughly reviewed for legal, risk management, tax, and accounting issues. + Participates as a lead member of ... Advises Program Managers and Teams regarding scope, financial, and risk issues of prime contracts. + May be responsible...+ Supports and prepares Requests for Equitable Adjustments and Claims as needed on programs supported. + Works with… more
- Elevance Health (Norfolk, VA)
- …and effectiveness of drugs and other biologic interventions. + Uses a large claims database to conduct studies which focus on improving health outcomes. + Leads ... for member and provider-based interventions. + Conducts competitive analysis of risk stratification models and makes recommendations to management. + Designs and… more
- Elevance Health (Richmond, VA)
- …savings opportunities through complex analytics, development of action plans, benefits and risk assessments and partners with the actuarial team to develop and ... negotiates for human capital resources, and partners with care management, network, claims & operational teams, IT, and business partners. + Builds and leverages… more
- CenterWell (Richmond, VA)
- …for the following: clinical and survey metrics, clinical operations metrics, claims denials, AO/state survey results, risk mitigation, clinical compliance, ... functioning in a branch leadership (Branch Director/Administrator) or Clinical Manager role strongly preferred. + Multi-site management and operations experience… more