- Sedgwick (Richmond, VA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Workers Compensation **PRIMARY PURPOSE:** To supervise the… more
- Sedgwick (Richmond, VA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... surety and surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Richmond, VA)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- Carrington (Richmond, VA)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims...and requirements that resulted in the loss. + Keep Supervisor informed of all trends and problems including, but… more
- Prime Therapeutics (Richmond, VA)
- …passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist Senior role ... This position will serve as an escalation resource and mentor for Claims Specialists. **Responsibilities** + Leverage strong understanding of claims processing… more
- Highmark Health (Richmond, VA)
- …are met. Represent the department in compliance audits as it relates to the supervisor functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- Titan America (Richmond, VA)
- Powhatan Ready Mix has an excellent opportunity for a Quality Assurance Supervisor in its Powhatan region located in Richmond, VA. This salaried non-exempt position ... quality-based customer queries and complaints | Participate in the analysis of customer claims and support the investigation of the causes linked to process or… 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 ... flexibility. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file...independent decisions on most assigned cases without involvement of supervisor . + Openness to the ideas and expertise of… more
- Travelers Insurance Company (Richmond, VA)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Walmart (Chester, VA)
- …Manages facility-level training and execution of asset protection, safety, and claims and receiving procedures by reviewing the application of policies, procedures, ... training needs. Develops and delivers training as needed. Manages claims and receiving operations by ensuring proper policies and...of college. Option 2: 1 year's experience as a supervisor in a multi-department environment. Option 3: 1 year's… more
- Mathematica (Richmond, VA)
- …predictions with a large multiyear sample of Medicare beneficiaries with detailed claims data about millions of people. Mathematica's team reached the second round ... involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Mathematica (Richmond, VA)
- …large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide decision-making about ... and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and Medicare or Medicaid...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- CROSSMARK (Colonial Heights, VA)
- …clean and secured in the agreed upon area of the backroom. * When Supervisor is absent, communicate with store management about the upcoming events and the execution ... of past events in their store. * When Supervisor is absent, be the point person for all...the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related… more
- Mathematica (Richmond, VA)
- …include: * Assisting with quantitative analyses using Medicaid enrollment, claims /encounter, financial and program data to support program monitoring, improvement, ... high attention to detail * Familiarity with Medicaid enrollment, claims , financial, or program data is preferred * Excellent...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Mathematica (Richmond, VA)
- …and maintaining clinical quality measures, supporting states with implementing all-payer claims databases, alternative payment models, or tools to support analytics, ... policy issues. * Familiarity with Medicare or Medicaid enrollment, claims , financial, or program data is preferred. * Excellent...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Restaurant Depot (Richmond, VA)
- Position Title: Administrative Assistant Department: Administrative (Branch Level) Supervisor : Branch Manager FLSA: Non-exempt Position Summary: Performs Human ... injuries/illnesses to insurance carrier and assists Corporate in the resolution of the claims . 4. Maintains OSHA Records 5. Manages Leaves of Absence for employees… more
- Walgreens (Richmond, VA)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels' patients and answers their ... ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with… more
- Walgreens (Colonial Heights, VA)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. Operations + Counsels' patients and ... ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with… more
- Humana (Richmond, VA)
- …years or more years of equivalent work experience in Grievance and Appeals, Claims , Authorizations, CMS, Provider Disputes and/or healthcare industry + 1 or more ... insights/findings to Senior Leadership + 2 or more years of leadership ( Supervisor , Manager or above) experience + Strong knowledge of Medicare and Medicaid… more
- Lowe's (Richmond, VA)
- …all administrative tasks related to Worker's Compensation, General Liability, and Auto Claims . To be successful, the individual in this role must be organized ... be scheduled off for a specific day require advanced notification and approval by supervisor . * Minimally must be able to lift 10 pounds without assistance; may lift… more