- Sedgwick (Richmond, VA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… 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,...of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k)… more
- USAA (Chesapeake, VA)
- …physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance , parental ... 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)
- …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)
- …medical claims to determine accuracy, completeness and compliance with insurance policies, coding guidelines and reimbursement criteria. + Verifies the accuracy ... Required:** None **Job Family:** Ancillary Health **Skills:** Healthcare Fraud (Inactive), Insurance Fraud Investigations, Insurance Regulations,Medical Billing and Coding,Technical… more
- Humana (Richmond, VA)
- …provider reimbursement programs for an organization that provides health insurance . The Senior Provider Reimbursement Professional works assignments involve ... certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and HCPCS +… more
- Sedgwick (Richmond, VA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigation Consultant | Auto | Remote **PRIMARY PURPOSE** : To address and ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- Humana (Richmond, VA)
- …2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives, ... 2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives,… more
- Highmark Health (Richmond, VA)
- … claims and encounters, clinical data, prescription drug data, membership data, dental and vision claims , provider data, financial data (ie, revenue, premium, ... understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues...and projects may involve all aspects of the health insurance business and care management processes and may be… more
- Sedgwick (Richmond, VA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance VP Client Services | Carrier, Captive, MGA | Remote We are seeking candidates ... Account Executive experience on national accounts and five (5) years claims /supervisory experience. **Skills & Knowledge** + In-depth understanding of workers… more