- CVS Health (Bassett, VA)
- …is with Aetna's Long-Term Services and Supports (LTSS) team and is a field -based position out of the Martinsville and Surrounding Areas. The requirements is for ... including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility.… more
- CVS Health (Falls Church, VA)
- …every day. **Position Summary** This Case Manager RN/LPN position is a field -based position out of Virginia; specifically the Alexandria, Arlington, Falls Church, ... member's level of work capacity and related restrictions/limitations. + Reviews prior claims to address potential impact on current case management and eligibility.… more
- Cummins Inc. (Chesapeake, VA)
- We are looking for a talented Field Service Power Generation Technician to join our team specializing in Power Generation in Chesapeake, VA. $5000 Sign on Bonus! In ... - Completing required documentation, such as service worksheets, timesheets, warranty claims via handwritten forms or business system input screens. - Completing… more
- CVS Health (Virginia Beach, VA)
- …including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility. ... Assessments include the member's level of work capacity and related restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. Consults with supervisor and others in… more
- ManpowerGroup (Vienna, VA)
- …BOLI and COLI policies. + Conduct thorough audits of life and death claims to verify accuracy, completeness, and compliance with company policies and industry ... regulations. + Analyze claims documentation, including medical records, death certificates, policy terms,...Bachelor's degree in finance, business, insurance, or a related field (or equivalent work experience). + Minimum of 5-7… more
- Travelers Insurance Company (Chantilly, VA)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... serves as a contact and technical resource to the field and our business partners. **What Will You Do?**...partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
- 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 ...of moderate severity and complexity as assigned. + Completes field inspection of losses including accurate scope of damages,… more
- City of Norfolk, Virginia (Norfolk, VA)
- …+ Responsibilities include compilation of underwriting information and coverage placement, claims administration, loss forecasting, and analysis to assist in loss ... updated records and prepares required reports. + Assists in claims cost control process. + Performs the design, analysis,...requires broad knowledge in a general professional or technical field . Knowledge is normally acquired through four years of… more
- HCA Healthcare (Reston, VA)
- …investigative technique and strategies to utilize with various types of potential claims . Claims Administration Identifies those occurrences that are potentially ... compensable events and submits a PCR report to the HCI Claims Management staff. Oversees investigations of incidents that could lead to professional/general… more
- Elevance Health (Norfolk, VA)
- …through review, testing and finally data validation. Your goal is to develop claims editing logic and content that promote payment accuracy and transparency across ... **Minimum Requirements:** + Requires a BA/BS in a related field and a minimum of 5 years of related...Scaled Agile Framework Training preferred. + 5+ years of claims editing experience with healthcare payers and/or claims… more