- 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)
- …73259 **The Role at a Glance** We are excited to bring on a Recertification Claims Specialist to our claims organization. This position will be reviewing ... have been approved for the change in definition, there will be no pended claims **What you'll be doing** * Communicating with claimants, employers and various … 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
- Lincoln Financial Group (Washington, DC)
- …at a Glance** We are excited to bring on highly motivated Short Term Disability Claims Specialists to staff our ever-growing claims organization. As a Short Term ... conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. You'll… more
- Lincoln Financial Group (Washington, DC)
- …Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist** to support our ever-growing claims organization in a work from home ... west coast employer groups. _Background details_ As a Group Claims Specialist, you will support our Short Term Disability...requests relating to Short Term Disability, the Family and Medical Leave Act (FMLA), the Americans with Disabilities Act… 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
- CareFirst (Washington, DC)
- … policies. Assesses, communicates and elevates issues that may require assessment by medical policy . + Provides pricing of procedure codes which require ... day to day review of complex professional and institutional claims and provider appeals that require medical ...date on coding rules and standards. + Participates in medical policy meetings, nurse's forums, and review… 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
- 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
- Elevance Health (District Of Columbia, DC)
- …research findings. + Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider ... The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance … 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)
- **Become a part of our caring community and help us put health first** The Medical Coding Coordinator Intern Code Edit Disputes team reviews and educates ... providers when there is a dispute on adjudicated claims that contain a code editing related denial or...a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated ... claims that contain a code editing related denial or...a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Cost Strategist provides support to Medicare Medical Cost Management in ... and highly visible initiatives focusing on process improvement, finance/cost reduction. The Medical Cost Strategy team is seeking a talented strategist to support… more
- Peace Corps (Washington, DC)
- …or graduate/higher level degree: major study in an academic field related to the medical field, health sciences or allied sciences appropriate to the work of ... and the location of employment in your resume. Qualification claims will be subject to verification. MINIMUM EDUCATION REQUIREMENT(S),...major study in an academic field related to the medical field, health sciences or allied sciences… more
- Trinity Health (Silver Spring, MD)
- …+ High school graduate possessing three (3) years experience in accounting and medical claims management, preferably in a hospital or physician's office setting. ... Day **(SUMMARY) Position Highlights:** + **Competitive salary** + **Benefits -** Medical , Dental & Vision, PTO, Free Parking, Metro Access, Tuition Reimbursement,… more