- Elevance Health (Norfolk, VA)
- …week. The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance ... Health family of companies, Carelon Insights, formerly Payment Integrity,...dollar volume of provider. + Analyzes data to select claims to be reviewed, conducts reviews using medical charts,… more
- Elevance Health (Portsmouth, VA)
- …+ Associate must identify the correct formulas in order to adjudicates impacted claims , using multiple COB Formulas for the various product types, pursuant to State ... or equivalent and a minimum of 1 year of claims processing and/or customer service and a minimum of...spreadsheets, etc.) strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Elevance Health (Norfolk, VA)
- …_PLEASE NOTE: This position is not eligible for current or future visa sponsorship._ Carelon Health is a proud member of the Elevance Health family of brands, ... Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed...SAS required, and a minimum of 3 years in health care setting; or any combination of education and… more
- Aston Carter (Norfolk, VA)
- …Assistant to support our team in managing records related to compliance, insurance claims , and incident reports. This role involves ensuring accurate ... system. Responsibilities + Organize and maintain records for compliance, insurance claims , and incident reports. + Ensure...with varying levels of administrative needs. + Collaborate with Claims Manager , Claims Administrator, and… more
- WestRock Company (West Point, VA)
- …a safe and healthy work environment. This role reports to the Safety and Health Manager . How You Will Impact Smurfit Westrock: Injury and Illness Management: ... company\u2019s Workers\u2019 Compensation Third Party Administrator (TPA) and file necessary claims . Health Promotion and Wellness Initiatives: - Support… more
- Elevance Health (Richmond, VA)
- …in multiple states. **Preferred Skills, Capabilities, and Experiences:** + Certification as a Case Manager is preferred. + BS in a health or human services ... **Telephonic Nurse Case Manager II** **Location:** This role requires associates to...monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically… more
- Sedgwick (Richmond, VA)
- …guidelines. + Maintains ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case Manager arrives onsite. ... apply critical thinking under pressure + Knowledge of the insurance industry and claims processing + Knowledge...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more
- Elevance Health (Richmond, VA)
- …law. The **Group Underwriter, Senior** is responsible for determining acceptability of insurance risks and appropriate premium rates for large, complex renewal and ... or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan… more
- Elevance Health (Norfolk, VA)
- …law. The **Group Underwriter Senior** is responsible for determining acceptability of insurance risks and appropriate premium rates for large, complex renewal and ... or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan… more
- Elevance Health (Richmond, VA)
- Carelon is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new ... the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How… more