- Elevance Health (Norfolk, VA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Otsuka America Pharmaceutical Inc. (Roanoke, VA)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more
- Elevance Health (Norfolk, VA)
- …Specialist III** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... **How you will make an impact:** + Audits paid claims for overpayments using various techniques including systems-based queries,...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Norfolk, VA)
- …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, ... and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and developing enterprise-wide specific… more
- Elevance Health (Norfolk, VA)
- …I** is responsible for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an Impact** Primary duties may ... to: + Assists in synchronization of data among multiple claims systems and application of business rules as they...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more
- Elevance Health (Richmond, VA)
- …decisions. **How You Will Make An Impact:** + Analyze and monitor weekly incurred claims , paid claims , pharmacy, lab results, and authorizations to identify cost ... and actuarial software tools. + Experience working with large administrative claims datasets and healthcare cost/utilization metrics. + Ability to apply actuarial… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more
- Travelers Insurance Company (Richmond, VA)
- …By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover ... will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate...the Financial Institutions business unit. + Work with the Claims department to ensure best estimates are appropriately reserved… more