- Patient First (Glen Allen, VA)
- Patient First is accepting applications for Patient Accounts Insurance Representative in the Glen Allen, VA area. Patient First provides a friendly work environment ... this job include, but are not limited to, the following: Reviewing processed claims to ensure proper payments received according to the payers' contract; Reviewing… more
- Sedgwick (Richmond, VA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process ... low to mid-level auto and transportation 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 (Richmond, VA)
- **Title:** ** Claims Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The ** Claims Representative I** will be responsible for successfully completing the required basic training. Able to perform… more
- Humana (Richmond, VA)
- …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
- Insight Global (Richmond, VA)
- Job Description Insight Global is looking for a claims support representative for a large local freight transportation company. The claims support ... is a supportive role within an office environment supporting the salvage claims investigation team. They are responsible for managing and distributing information… more
- Guardian Life (Richmond, VA)
- …decisions via telephone and in writing. + Prioritize and review new claims to adhere to established departmental turnaround times. + Meet productivity requirements ... as established by department for handling Supplemental Health Claims . Leadership Behaviors + Demonstrates intellectual curiosity. + Displays technical and functional… more
- BCA Financial Services, Inc. (Richmond, VA)
- … claims , insurance claims resolution, insurance collector, claims follow up, revenue cycle specialist, revenue cycle representative Powered by JazzHR ... Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: + Monday through Friday schedule +… more
- USAA (Richmond, VA)
- …to field provider method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members ... guidelines and framework responsible to investigate, evaluate and appraise vehicle damage claims for both repairable and total loss vehicles to ensure estimate… more
- Travelers Insurance Company (Richmond, VA)
- …supervision, this position is responsible for handling 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. This position is a dedicated Claim Professional who is a first responder to… more
- Travelers Insurance Company (Richmond, VA)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... 24 hours of notification. + Handles 1st party property claims of moderate severity and complexity as assigned. +...as mandated. + In order to progress to Claim Representative , a Trainee must demonstrate proficiency in the skills… more
- Travelers Insurance Company (Richmond, VA)
- …for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process. ... unclear liability and no injuries. Will also handle more complex Auto Damage claims such as non-owned vehicles, fire/theft, and potential fraud as well as non-auto,… more
- Travelers Insurance Company (Richmond, VA)
- …part of a formal training program to advance to a Auto claim representative position. This position is intended to develop skills for investigating, evaluating, ... negotiating and resolving claims on losses of lesser value and complexity. Provides...conditions, provisions, exclusions and endorsements for Auto Damage only claims in assigned jurisdictions. Addresses proper application of any… more
- Elevance Health (Richmond, VA)
- **Customer Care Representative I, Outbound Call Center** **Location:** This position will work remote and the ideal candidate will live within 50 miles of our ... clinical-first lens, to deliver member-centered, lasting pharmacy care. The Customer Care Representative I is responsible for acting as a trusted advisor and… more
- WestRock Company (Richmond, VA)
- The Opportunity: The Account Representative is responsible for the management of assigned customer accounts. This includes making decisions to manage these accounts ... operations system. How you will impact WestRock: The Account Representative will communicate with customers, sales, transportation, mills, technical associates,… more
- Evolent Health (Richmond, VA)
- …+ Answer and manage inbound inquiries regarding health plan benefits and claims , eligibility, medical and other healthcare procedures, billing and payments and other ... related topics from customers in a prompt, courteous manner. Conduct out-bound and/or return calls to customers as necessary. + Ask appropriate questions and listen actively to identify specific questions or issues to provide appropriate response and type of… more
- HealthEdge Software Inc (Richmond, VA)
- …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working...None **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- Truist (Glen Allen, VA)
- …clients and staff with service questions related to administration, billing, claims issues and problem-solving, upon request. 3. Continually seek cross-sell ... decisions. Formulate a plan with producer to address any issues. 8. Review claims reports monthly and deliver reports to clients on monthly or quarterly basis,… more
- Elevance Health (Richmond, VA)
- **Customer Care Representative II, Call Center** **Location:** This position will work remote and the ideal candidate will live within 50 miles of our Elevance ... to provide assistance regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a… more
- Intermountain Health (Richmond, VA)
- …or Health Administration + EPIC Professional Billing Resolute Certification + Epic Claims Certification + Five (5) years of experience in Information Management ... each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience,… more
- HealthEdge Software Inc (Richmond, VA)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... Employment:** Full-time, permanent **Work Environment:** The physical demands described here are representative of those that must be met by an employee to… more
