- Federal Emergency Management Agency (Round Hill, VA)
- …conditions.In this position, you will serve as a Contract Specialist .Typical assignments include:Evaluating proposals, negotiating costs/prices and terms and ... contractor's progress, negotiating modifications, issuing termination notices, reviewing contract claims , and conducting contract closeoutsDetermining contract types, unique/complex terms… more
- AdminisTEP (Leesburg, VA)
- …Remote] - Anywhere in US / Competitive Pay - As a Data Entry Support Specialist you'll: Perform data entry and verification of critical fields from images of non- ... claim correspondence in DVR work queues; Maintain 25 documents per hour pace on average weekly; Maintain 99% accuracy in data entry and data capture functions; Uphold… more
- Work With Your Handz (Sterling, VA)
- …leader inHome Servicesin the DMV, is seeking an Experienced Accounts Payable Specialist My Plumber Plus operates across Northern Virginia and Suburban Maryland. We ... investigations / Safety Meetings. Go between with insurance companies. Submit insurance Claims for vehicle accidents plus damages to vehicles or job site damages.… more
- Inova Health System (Dulles, VA)
- …resolution processes, including benefit verification, insurance classification, billing complaint claims , and account follow-up. Recognizes and resolves system as ... well as payer rejections and denials using established course of action. Stays current with relevant insurance, contractual and/or third party payer regulations, medical policies, transaction and code sets, and general payment methods needed to ensure proper… more
- DuraServ Corp (Sterling, VA)
- …and staging equipment + Coordinate and receive deliveries + Handle warranty claims with vendors + Coordinate rental equipment for service and installations + ... Issuing purchase orders and entering them into accounting system + Assist with billing and service call entry (when needed) + Deliver parts to job sites, as needed + Good communication and listening skills + Displays initiative and a willingness to learn +… more
- Day & Zimmermann (Chantilly, VA)
- …one of the largest private companies in the US by Forbes. https://www.soc-usa.com/about-us Claims Specialist needed for a full-time temp to hire staff ... Day & Zimmermann Company located in Chantilly, VA. The Claims Specialist assists in the day-to-day management...claims . Communicates with insurance carriers to initiate DBA claims , submit required claim documentation, and monitor… more
- Kepro (Washington, DC)
- …Kepro is seeking resumes for a highly experienced professional.RN Expert Claims Reviewer/Project Support Specialist (Remote Opportunity)Summary DescriptionThe RN ... Expert Claims Reviewer/Project Support Specialist will work on several contract tasks and deliverables,...program improvement and patient safety. The candidate will analyze claims , prepare claim management/risk management reports and… more
- Mindlance (Washington, DC)
- Job DescriptionJob Description: Claims Resolution SpecialistPURPOSEThe Claims Resolution Specialist will perform inhouse claims adjudication for complex ... Management to improve processes and quality of data for adjudication purposes.The Specialist will provide regular reporting to Health Plan leadership and Provider… more
- Allied Benefit Systems (Chicago, IL)
- …nurses, physicians and auditors who can offer additional evaluation of a claim .Independently review, analyze, and make determinations of claims for: 1) ... of Allied's clients.)Review Workflow Manager daily to document and release pended claims . Review Pended Claim Reports and close out pended claims for which… more
- Sollis Health (New York, NY)
- Your Responsibilities:We are looking to bring on an experienced Claim Specialist to process our out of network claims for our facilities in New York, ... ensure all procedures and CPT codes are documented on claim Accurate patient billing Accurate insurance submission Performing other...with patients and staffExperience 2-5 years experience as a claims specialist for out of network private… more
- CCMSI (Scottsdale, AZ)
- …and claims staff are assigned manageable caseloads.The Workers' Compensation Senior Claim Specialist is responsible for the investigation and adjustment of ... as perceived by CCMSI clients and within our corporate claim standards.Investigate, evaluate and adjust claims in...our corporate claim standards.Investigate, evaluate and adjust claims in accordance with established claim handling… more
- Chubb (Simi Valley, CA)
- …excellence, superior claims handling expertise and local operations globally SENIOR CLAIM SPECIALIST Chubb is the world's largest publicly traded property ... broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. This casualty… more
- CCMSI (Dublin, OH)
- …and claims staff are assigned manageable caseloads. The Workers' Compensation Claim Specialist is responsible for the investigation and adjustment of ... claim standards. Responsibilities: * Investigate, evaluate and adjust claims in accordance with established claim handling...and adjust claims in accordance with established claim handling standards and laws. * Establish reserves and/or… more
- CCMSI (Chicago, IL)
- …their job and claims staff are assigned manageable caseloads. The Multi-Line Claim Specialist position is responsible for the investigation and adjustment of ... claim standards. Responsibilities: * Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws.… more
- UnitedHealth Group (Minneapolis, MN)
- …our shared values of Integrity, Compassion, Relationships, Innovation & Performance.As a Specialist Claim Analysis and Remediation - Behavioral Health, you will ... be proactive and reactive claims analysis and resolution of issues. Responsible for evaluating...Responsible for evaluating system configuration, provider and member records, claim adjudication processes. Responsible for identification and day to… more
- US Geological Survey (Reston, VA)
- …Employee's location may be negotiable after selection Responsibilities As a Financial Specialist within the Office of Accounting and Financial Management, some of ... specific duties will include: Review and process employee travel claims for temporary duty, permanent change of duty station,...appointing authority, you must submit proof that supports your claim by the closing date of the announcement. If… more
- National General Insurance (Newark, NJ)
- …primary claim holder for specific areas within the Claims Department which includes investigating, researching, determining coverage, estimating damage, ... Handle assigned claims by determining coverage, identifying damages and resolving claim within a set amount of timeProvide training and support to others across… more
- Bozeman Health (Bozeman, MT)
- …the patient.Fixes claims that contain errors based upon why the claim is not paid.Communicates with Billing Supervisor, Director, Denial Mgt. Coordinator, Coding ... Position Summary: The Insurance Claim Billing Specialists main focus is to obtain...is to obtain maximum and appropriate reimbursement for all claims from third party payers. Prepares and submits timely… more
- Nova Orthopedic & Spine Care (Woodbridge, VA)
- …managers, and WC Coordinator(s) in collecting and maintaining WC claim information -Coordinates and schedules medical evaluations, employee fit-for-duty exams, ... and random and reasonable suspicion drug and alcohol testing -Maintains employee medical files with authorizations for services, testing results, and other protected medical information; inputs exam results into the personnel system; serves as a backup to the… more
- SouthWest Selective Search (Dallas, TX)
- Liability Claim Specialist We have this outstanding new career opportunity now available . If you are the best of the best claim professional, this might ... activities including litigation with high profile insureds. Job Requirements: Liability Claim Specialist Knowledge of coverage issues, litigation experience… more
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