- Sedgwick (Washington, DC)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative Personal Injury Protection/ Medical Payment **PRIMARY PURPOSE** ... evaluate auto claims involving injured parties and manage first party medical treatment to determine eligibility under a personal injury protection and/or … more
- HomeSafe Alliance (Arlington, VA)
- **Title:** Claims Adjuster (SCA) HHG/Military Move **HomeSafe Alliance** is the single global household goods movement manager of over 300,000 Military Household ... an SCA position** . **Position Summary** : **HomeSafe Alliance** is seeking experienced Claims Adjustors with experience in HHG/Military Move to process and settle … more
- Ryder System (Washington, DC)
- …Job Applicant Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy- policy )\_ **Summary** The Senior Claims Representative handles ... salary for this position ranges from $75K to $80K Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision, life… more
- Lincoln Financial Group (Washington, DC)
- …**The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a Voluntary ... administering, processing, and adjudicating Accident, Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training to develop… more
- The MITRE Corporation (Mclean, VA)
- … policy development, care delivery process improvement, payment modeling, health IT, stakeholder engagement, or program implementation to support the Centers ... to make a substantive impact in the areas of health care quality, federal policy , and alternative...is required including Inpatient, Outpatient, Skilled Nursing Facility, Home Health Agency, Hospice, Carrier, Durable Medical Equipment,… more
- Guardian Life (Washington, DC)
- …for initial and ongoing claim management (eg current earnings, other income benefits, medical information, etc.); notifies claimants when claims are pended for ... **Position Summary** The STD/Absence Claims Case Manager I (CM) is responsible for...flexible, and inclusive benefits and resources to our colleagues. ** Health Care** + Choice of [high deductible/copay] medical… more
- Sedgwick (Washington, DC)
- …regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze...are properly documented and correctly coded based on the policy . + Develops and maintains action plans to ensure… more
- Sedgwick (Washington, DC)
- …regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Recovery **PRIMARY PURPOSE:** To identify and pursue auto/rental… more
- Amazon (Arlington, VA)
- …and regulatory requirements; and (2) provide thought leadership and work with our policy lead to ensure we are thinking holistically about risk to buyers, sellers, ... and Amazon with every new policy , product launch, and program update. The scope for...brilliant, hard-working, resilient, fun, energetic, diverse, and prioritizes personal health and wellness above all else. This role is… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records ... needed. Follows established guidelines/procedures. **Where you Come In** The Medical Coding Auditor reviews medical claims...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Highmark Health (Washington, DC)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... work. + Calculate rates, employ different financial arrangements, interpret pricing policy and adapt to unusual situations. + Identify questionable claim patterns… more
- Travelers Insurance Company (Chantilly, VA)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...+ Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical … more
- Trinity Health (Aspen Hill, MD)
- …Required:** High school graduate possessing two () years experience in accounting and medical claims management, preferably in a hospital or physician's office ... hospitals limited community benefit resources by implementing the financial assistance policy with fairness and accuracy. Resolve patient's billing concerns via the… more
- Humana (Washington, DC)
- …will ensure claims payment quality in relation to our TRICARE policy requirements. The Senior Claims Risk Management Professional will investigate ... **Become a part of our caring community and help us put health first** The Senior Risk Management Professional identifies and analyzes potential sources of loss to… more
- Travelers Insurance Company (Chantilly, VA)
- …input and shares ideas. + Thorough understanding of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices. ... reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle… more
- Travelers Insurance Company (Chantilly, VA)
- …is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment ... multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Humana (Washington, DC)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health … more
- Humana (Washington, DC)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... well as a focus on collaborative business relationships, value based care, population health , or disease or care management. Medical Directors support Humana… more
- Humana (Washington, DC)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health … more
- General Dynamics Information Technology (Fairfax, VA)
- …economist + 3+ years of experience working with healthcare data including pharmacy claims , NDCs, and knowledge of Medicare payment policy preferred. + ... years of experience working with healthcare data including pharmacy claims , NDCs, and knowledge of Medicare payment policy...package for all US-based employees includes a variety of medical plan options, some with Health Savings… more