- Travelers Insurance Company (Springfield, VA)
- …this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim ... resolution for personal or business claims of moderate severity and complexity. Handles ...addition, our mental health program provides access to free professional counseling services, health coaching and other resources to… more
- Public Consulting Group (Richmond, VA)
- …through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Sedgwick (Richmond, VA)
- …**:** To supervise the activities of the adjuster department; to assign caseload of claims to adjusters and to ensure customer satisfaction of claims services ... Attends litigation hearings. + Establishes reserves and estimates in unassigned claims files. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties… more
- Sedgwick (Richmond, VA)
- …Adjuster - Mid Atlantic Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Travelers Insurance Company (Ashburn, VA)
- …that requires satisfactory completion of required training to advance to Claim Professional , Outside Property. This position is intended to develop skills for ... investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides...addition, our mental health program provides access to free professional counseling services, health coaching and other resources to… more
- CVS Health (Richmond, VA)
- …that may compromise the integrity of the organization's operations and claims processes. **Core Responsibilities** + **Investigative Leadership** : Conducts thorough ... billing and coding practices, verifying document authenticity, and identifying false claims or improper billing. + **Data-Driven Analysis** : Utilizes advanced data… more
- Sedgwick (Richmond, VA)
- …& Insurance Adjuster Regional Marine **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Elevance Health (Ashburn, VA)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- General Dynamics Information Technology (Fairfax, VA)
- …to transform the Veterans Benefits Administration (VBA) with greater visibility into claims processing. Together, we're building a future of fast, transparent ... claims , empowered teams, and striving for a zero backlog,...serve as a team or task lead + Utilize professional judgement, critical thinking skills and research to improve… more
- Elevance Health (Norfolk, VA)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
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