- Lincoln Financial (Richmond, VA)
- …and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... experience. + Effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims … more
- Elevance Health (Norfolk, VA)
- ** Medical Claims Data Integrity Consultant** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Chicago, IL; Louisville, KY (preferred). This role ... position is not eligible for current or future visa sponsorship._ The ** Medical Claims Data Integrity Consultant** (Business Information Developer Consultant… more
- Elevance Health (Richmond, VA)
- …law._ The **Director I Claims ** is responsible for directing the auditing of claim payments. Provides guidance on the most complex claims . **How you will ... of claim processes preferred. + Experience in claim auditing preferred. + Knowledge of claims ...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Elevance Health (Norfolk, VA)
- … Claims Train data, CAST Train data; CAST Lights On mgmt., E2E claim lifecycle Vetting; FICR; MGCT# Post adjudication; CPEC- Claims Payment Extract and ... **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Elevance Health (Norfolk, VA)
- **Director II Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3** **days per week** , fostering ... within a commutable distance from an office._ The **Director II Digital Claims Operations** oversees a combined digital and operations unit(s); executes strategies… more
- Elevance Health (Norfolk, VA)
- **Title: Claims Representative I (Health & Dental)** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law._ The ** Claims Representative Ir** esponsible for successfully completing the required basic training.… more
- Elevance Health (Richmond, VA)
- **PBM Compliance Manager ( Claims Audit)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... is granted as required by law. The **PBM Compliance Manager ( Claims Audit)** is responsible for coordinating pharmacy compliance activities and initiatives… more
- Elevance Health (Norfolk, VA)
- **Manager Rating/ Claims System Analyst** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... unless an accommodation is granted as required by law. The **Manager Rating/ Claims System Analyst** is responsible for managing the day-to-day workload/workflow for… more
- Zurich NA (Richmond, VA)
- Claims Call Center Representative 127686 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers include ... complexity, ensuring a positive customer experience. + Resolve complex claims inquiries and problems, judging when to pass complex...team to improve the quality of customer care. + Follow procedures to ensure adherence to the company's risk… more
- Elevance Health (Norfolk, VA)
- …and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match, ... be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal… more