- 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
- General Dynamics Information Technology (Fairfax, VA)
- …Regulations,Medical Billing and Coding,Technical Writing Documentation **Certifications:** Certified Professional Coder (CPC) | American Academy of Professional ... Party activities. **Roles and Responsibilities** + Reviews and analyzes medical claims to determine accuracy, completeness and compliance with insurance policies,… more
- Sedgwick (Richmond, VA)
- …Services & Insurance Executive General Adjuster **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss experience reports to help… more
- CVS Health (Richmond, VA)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Humana (Richmond, VA)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- USAA (Chesapeake, VA)
- …assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer ... to collect and analyze data. **What sets you apart:** + P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager, Claims Operations… more
- Travelers Insurance Company (Richmond, VA)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... and execution of the following core assignments: + Handles 1st party Property claims of low to moderate severity and complexity as assigned. + Establishes accurate… more
- Sedgwick (Richmond, VA)
- …best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …manage a diverse team of approximately nine (9) to twelve (12) professional architects and engineers with responsibility for project management, planning, design, ... for training certification. Design management responsibilities include selection of professional design consultants in accordance with procurement policy, assuring… more