- Zurich NA (Richmond, VA)
- …talent at any Zurich office location. We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent. This role will be filled at either the ... or Sr. Construction Property Underwriter (Leve III). The hiring manager will determine the appropriate level based upon the...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Jacobs (Arlington, VA)
- …prime contracts in conjunction with sales, operations, and the project manager . Ensures compliance with government regulations, statutes, and client practices. This ... changes to the terms and conditions in order to reduce the firm's risk exposure * Prepare and provide contractually significant communications and notices *… more
- Zurich NA (Richmond, VA)
- …talent at any Zurich office location. We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent This role will be filled at either the ... Liability Underwriter or VP, Construction Professional Liability Underwriter. The hiring manager will determine the appropriate level based upon the selected… more
- Elevance Health (Norfolk, VA)
- …II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- USAA (Chesapeake, VA)
- …P&C Claims Operations and/or Optimization experience. + 2+ years of MCO ( Manager , Claims Operations) experience. + Deep operational knowledge of end-to-end ... effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:**...claims processes. + Demonstrated knowledge of new and emerging… more
- Elevance Health (Norfolk, VA)
- …Auditor II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + ... Examines claims for compliance with relevant billing and processing guidelines...concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.… more
- Elevance Health (Roanoke, VA)
- …Auditor II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + ... Examines claims for compliance with relevant billing and processing guidelines...concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.… more
- Evolent (Richmond, VA)
- …the manage and report risk , issues, and decisions with the lead / manager + Responsible to attend and if required, lead test team meetings for technical testing ... The IQA reports to a associate director or a manager . One or many IQAs may be engaged in...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- …Bowhead seeks an Executive Program Analyst (PA) to provide support to the Project Manager , Tactical Network (TN) and Project Manager Mission Command (MC) from ... for key meetings and decision events at the behest of the Project Manager . The PA will perform extensive coordination leading to key decision events, including… more
- University of Virginia (Charlottesville, VA)
- …predict potential losses based on the frequency and severity of historical insurance claims data; + Quantifying and prioritizing risk exposure and evaluating ... predict potential losses based on the frequency and severity of historical insurance claims data; + Quantifying and prioritizing risk exposure and evaluating… more