- Elevance Health (Richmond, VA)
- …prior to payment. Researches new healthcare-related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- V2X (Reston, VA)
- …and procedures that are non-IT related. + Assess with continuous vetting investigations and adjudications. + Initiates and conducts reviews of SF86 electronic ... applications via the National Background Investigation Services (NBIS) in support of the Security team. + Assists with conducting personnel security briefs and… more
- Prime Therapeutics (Richmond, VA)
- …and initial handling of allegations of fraud, waste or abuse. Conducts preliminary investigation to assess the merit of an allegation through fact gathering and ... analysis of data. Uses independent judgment to conclude preliminary investigation in accordance with procedures or to present to...Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work… more
- Mass Markets (VA)
- …as a trusted partner in the industry. We are seeking a Spanish-speaking Licensed Health Insurance Agent. As a key member of our team, you will be responsible for ... providing exceptional service to clients, assisting with health insurance inquiries, and guiding customers through the process of...submit up to a LEVEL II background and/or security investigation with a fingerprint. Job offers are contingent on… more
- Exl Service (Fredericksburg, VA)
- …Underwriting + Commercial Lines Property/Casualty Claims Adjuster + Commercial insurance inspections + Fire and Life Safety investigations /inspections ... Overview Commercial Insurance Risk Control Consultant - Independent Contractor Overview...risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess 10+… more
- Exl Service (Richmond, VA)
- …Underwriting + Commercial Lines Property/Casualty Claims Adjuster + Commercial insurance inspections + Fire and Life Safety investigations /inspections ... Overview Commercial Insurance Inspector - Independent Contractor Overview EXL Risk...risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess excellent… more
- CGI Technologies and Solutions, Inc. (Lebanon, VA)
- …of security information analysis of network traffic. * Assist analysts in investigation and ticket creation efforts. Provide daily monitoring and alerting of events ... their first day of employment to include: * Competitive compensation * Comprehensive insurance options * Matching contributions through the 401(k) plan and the share… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …to safeguard network perimeters. * Lead incident response activities, including investigation , containment, eradication and recovery. * Deploy and manage security ... their first day of employment to include: * Competitive compensation * Comprehensive insurance options * Matching contributions through the 401(k) plan and the share… more
- Family Dollar (Chesapeake, VA)
- …with law firm, insurance carrier, third party administrator or insurance broker Strong analytical skills related to investigations , claims strategies ... (TPA), playing a crucial role in overseeing claims from investigation through resolution. Principal Duties and Responsibilities- Primary responsibilities listed… more
- Cardinal Health (Richmond, VA)
- …support the needs of the patient and/or program + Conducts benefits investigations to identify patients' insurance plan coverage for medications, procedures, ... level customer service + Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred +… more