- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Claims Review Representative 3 makes appropriate claim decision based on ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3...and state and federal legislation. The Claims Review Representative 3 performs advanced… 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...adjusting licenses as required for the position. **Experience** Three ( 3 ) years of personal line or commercial line property… more
- Highmark Health (Washington, DC)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Amentum (Washington, DC)
- …review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, ... **VCF Position Title: Claim Review Assessor Position Description** **AMENTUM Job Title: Senior...created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm… 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 ... be found at http://www.vcf.gov/ . The payment of VCF claims is the most critical aspect of the ...recruitment efforts for new payment team members including the review resumes and participating in the interviewing process. +… more
- Prime Therapeutics (Washington, DC)
- …partnerships with various levels of leadership within the organization, acting as a representative of the broader Reporting and Analytics team + Coach and provide ... of work experience in data analysis and reporting + 3 years of SQL experience + Must be eligible...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Cushman & Wakefield (Washington, DC)
- …these contracts, responsible for periodic and ongoing performance and financial review , conducting RFP's, and assuring payments and invoicing match contract pricing. ... and building tenants/occupants* Ensure facility management staff implements ongoing contract review programs to constantly assess client, tenant and occupant needs… more