- Lincoln Financial Group (Richmond, VA)
- …at a Glance** We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an ... Integrated Absence Claims Specialist , you will manage a workload...and e-mail to gather information regarding Short Term Disability Claims , Family Medical Leaves, and state benefits… more
- Sedgwick (Richmond, VA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- Lincoln Financial Group (Richmond, VA)
- …a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. **What you'll be doing** As ... an LTD Claims Specialist , you will manage a workload...initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations.… more
- Lincoln Financial Group (Richmond, VA)
- …**The 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 ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...requests relating to Short Term Disability, the Family and Medical Leave Act (FMLA), the Americans with Disabilities Act… more
- TEKsystems (Richmond, VA)
- …Claims Representatives to join our growing customer contact team. As a Mechanical Claims Specialist , you will play a critical role in maintaining our ... You will be part of a team that reviews, investigates, and authorizes minor mechanical claims based on a wide range of established contract guidelines - You will be… more
- Travelers Insurance Company (Richmond, VA)
- …reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... designed to support flexibility. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely… more
- Sutherland Global Services (Richmond, VA)
- …understanding of Hospital billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school ... Do you have a background in medical collections, insurance follow-up, and revenue cycle management?...This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via… more
- Robert Half Accountemps (Richmond, VA)
- …* Monitor customer accounts and take appropriate action when necessary. * Use skills in Medical Billing and Medical Claims to ensure efficient processing of ... offering a long-term employment opportunity for an Insurance Follow-Up Specialist in the Healthcare industry, located in Richmond, Virginia....claims and patient billing. Requirements * Proficiency in medical billing and medical claims … more
- Citizens (Glen Allen, VA)
- …continuously learn, consider a career at Citizens as a Fraud Customer Support Sr. Specialist . In this role, you'll play a crucial part in safeguarding our customers ... the customer's consent on a resolution. + Provide accurate complete claims processing, and records management using established procedures in moving/placing… more
- Elevance Health (Richmond, VA)
- …Healthcare related experience a plus. + Previous experience in high-volume operations ( Medical Review, Appeals, Claims , Customer Service) strongly preferred. + ... **Pharmacy Quality Improvement Specialist ** _This position will work a hybrid model...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- TEKsystems (Richmond, VA)
- …Administrative Support | Customer Service | Healthcare Industry | Medicare | Medicaid | Medical Claims Core Experience: + Major medical experience + ... Healthcare Program Specialist Fully remote with equipment provided!! Opportunity to...Call Center | Insurance Verification | Health Care | Medical | Patient Access | Medical Terminology… more
- Gilead Sciences, Inc. (Richmond, VA)
- …of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist , Oncology, you are responsible for representing Gilead's products and ... Gilead at professional events and promote company products * Partner with Medical Scientists, Marketing, and Market Access on various cross-functional projects to… more
- Capital One (Richmond, VA)
- …Creek 7 (12077), United States of America, Richmond, Virginia Senior Legal Specialist , Litigation The Legal Department's Card Litigation Team is seeking an ... + Analyzing complaints, significant matters, motions, discovery, disputes, and fraud claims + Performing research to independently gather internal documents and… more
- Capital One (Richmond, VA)
- …Creek 7 (12077), United States of America, Richmond, Virginia Associate Legal Specialist , Litigation The Legal Department's Litigation Team is seeking an Associate ... + Analyzing complaints, significant matters, motions, discovery, disputes, and fraud claims + Performing research to independently gather internal documents and… more
- Highmark Health (Richmond, VA)
- …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 ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Guardian Life (Richmond, VA)
- …The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide evaluation of ... programs. The VRC must possess a thorough working knowledge of medical diagnoses and treatment modalities, criteria supporting vocational feasibility, and a… more
- Elevance Health (Richmond, VA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- SMX (Richmond, VA)
- …of all benefits and retirement programs, including, but not limited to medical , dental, vision, life insurance, disability, and 401(k) plan. The Benefits Manager ... + Oversees the processing and administration of leave-of-absence requests to include medical , personal, disability and FMLA. + Effectively interprets FMLA and ADA… more