- Sedgwick (Washington, DC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Comp (CA experience preferred) **PRIMARY PURPOSE** ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Alexandria, VA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...+ Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files… more
- Elevance Health (Washington, DC)
- ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... - Friday, between the hours of 7 am - 6 pm EST. The ** Claims Representative I** is responsible for successfully completing the required basic training. Able to… more
- Marriott (Bethesda, MD)
- …Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** The Claims Representative is responsible for the administration and disposition of ... medical only (MO) workers compensation (WC) claims . Caseload will be exclusively WC claims and responsibility is limited to non-litigated medical only and… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3 performs advanced administrative/operational/customer… more
- HCA Healthcare (Reston, VA)
- …want to join an organization that invests in you as a Medical Insurance Claims Appeals Representative ? At Parallon, you come first. HCA Healthcare has committed ... to make a difference. We are looking for a dedicated Medical Insurance Claims Appeals Representative like you to be a part of our team. **Job Summary and… more
- Zurich NA (Washington, DC)
- Claims Call Centre Representative 125071 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers include ... different levels of complexity, ensuring a positive customer experience. + Resolve complex claims inquiries and problems, judging when to pass complex queries on to… more
- TEKsystems (Fairfax, VA)
- Description PURPOSE: Under direct supervision reviews and adjudicates paper/electronic claims . Determines proper handling and adjudication of claims following ... policies and procedures. ESSENTIAL FUNCTIONS: 60 Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts… more
- CACI International (Chantilly, VA)
- Claims Processor Customer Service Job Category: Finance and Accounting Time Type: Full time Minimum Clearance Required to Start: TS/SCI with Polygraph Employee Type: ... and critical thinker to manage and review workers' compensation claims as a Claims Processor. As a...may not be filled immediately. However, this position is representative of positions within CACI that are consistently available.… more
- Travelers Insurance Company (Waldorf, MD)
- …of management involvement and frequent claim file review. Serve as a field representative for the Home Office Property product, as requested. Reinforce LOB Vision, ... ensure effectiveness, engagement, accuracy and efficiency. + Review new notices, ensuring claims are assigned to staff with appropriate skill sets. + Conduct quality… more
- Cardinal Health (Washington, DC)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Stantec (Arlington, VA)
- …**Your Opportunity** Stantec is seeking an individual to act as an Owner's Representative , Project Manager for the design and construction of a mix of higher ... K-12 schools or commercial expansion or renovation projects as an Owner's Representative . Managing the approved scope, budget and schedule are of utmost importance.… more
- Graybar (Lanham, MD)
- Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
- Highmark Health (Washington, DC)
- …of experience + Experience in Provider Data Management, Customer Services or Claims . + Microsoft office experience (ie Word, Excel, PowerPoint, etc.) **Preferred** + ... File systems. + Experience with the Customer Service inquiry system or claims processing concepts. **Knowledge, Skills and Abilities** + Good written and verbal… more
- Highmark Health (Washington, DC)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... sales and customer service to respond to client/broker/member inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies. Consult with dental director/dental advisers regarding clinical-related questions and… more
- Kemper (Silver Spring, MD)
- …Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + Appropriately keeping records, accounting for money ... collected, and processing paperwork **Our agents are expected to:** + Increase the agency size + Build strong working relationships with customers + Devote whatever time is necessary to fulfill the responsibilities of the position + Commit to ongoing… more
- Amentum (Washington, DC)
- …Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as ... information about the VCF can be found at https://www.vcf.gov/. Claims Reviewers works with DOJ claim review leadership to...claim review leadership to perform the initial review of claims for eligibility and/or compensation, with a focus on… more
- Travelers Insurance Company (Waldorf, MD)
- …this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim ... resolution for personal or business claims of moderate severity and complexity. Handles ...handling experience or successful completion of Travelers Outside Claim Representative training program required. + Valid driver's license required.… more
- Amentum (Washington, DC)
- …Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as ... review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, administrative… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- …The Director will author/review **clinical pharmacology** submission documents and representative of the department at different product development team meetings. ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more