Claims Data Consultant Deloitte Touche Tohmatsu LtdClaims Data ConsultantArlington, VA$80,300–$133,900 / yearFrom strategy to execution, this team delivers integrated, end-to-end support and advisory services covering valuation modeling, cost optimization, restructuring, government operations modernization, business design and transformation, infrastructure and real estate, mergers and acquisitions (M&A), and sustainability. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
NewFalse Claims Act (FCA) Litigation Partner / Counsel Orion PlacementFalse Claims Act (FCA) Litigation Partner / CounselWashington D.C., WashingtonRemoteYou will have the flexibility to work remotely, lead sophisticated matters, build meaningful client relationships, mentor attorneys, and play an important role in the continued growth of a nationally focused False Claims Act and complex litigation practice. Note: Candidates must have 10+ years of private practice legal experience, including 5+ years of substantive False Claims Act investigations and/or litigation experience, and a portable book of business of at least $250,000.
Principal Data Scientist, Customer Protection Agentic Claims Data Science Capital OnePrincipal Data Scientist, Customer Protection Agentic Claims Data ScienceMcLean, VirginiaCurrently has, or is in the process of obtaining one of the following with an expectation that the required degree will be obtained on or before the scheduled start date: A Bachelor's Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, or a related quantitative field) plus 5 years of experience performing data analytics. As a Data Scientist at Capital One, you’ll be part of a team that’s leading the next wave of disruption at a whole new scale, using the latest in computing and machine learning technologies and operating across billions of customer records to unlock the big opportunities that help everyday people save money, time and agony in their financial lives.
Claims Consultant CoreTechsClaims ConsultantBethesda, MDRemote$110,000–$160,000 / yearSUMMARY/OBJECTIVE: The Claims Consultant will be responsible for conducting impact analysis, analyzing risk on complex projects, and performing forensic schedule and cost analysis consisting of identifying critical path delays, schedule disruptions, evaluating labor productivity, and pricing general conditions costs. Perform construction claims forensic analysis including document review and organization, key issue identification, schedule analysis, labor productivity studies, general conditions calculations, pricing, and graphic exhibits for input to expert reports.
Senior Construction Claims Analyst (Full Time) Mcdonough Bolyard Peck IncSenior Construction Claims Analyst (Full Time)Vienna, VA$107,000–$150,000 / yearMBP is looking for Senior Construction Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
VP, Claims Adjudication Pie Insurance Holdings IncVP, Claims AdjudicationDCRemote$200,000–$260,000 / yearLead and develop a team of Directors and Senior Managers, including setting and tracking goals, assigning and reviewing work, managing processes and staff activities, performance management, coaching and mentoring. You will be fostering relationships at every level both internally with team members and other senior leaders, as well as externally, working to build relationships with key partners in the industry.
NewLead Veterans Claims Examiner U.S. Department of Veterans AffairsLead Veterans Claims ExaminerWashington, DC$107,446–$139,684 / yearYou will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): PROGRAM MANAGEMENT: Set priorities, coordinates work operations among teams, develops internal procedures to ensure that supervisors and employees are informed of aspects of human resources programs, reviews evaluations prepared by supervisors, takes disciplinary action, approves, and disapproves leave and supervises the day - to - day operations.et priorities, coordinates work operations among teams, develops internal procedures to ensure. ORAL COMMUNICATION: Expresses information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information (for example, technical, sensitive, controversial); makes clear and convincing oral presentations; listens to others, attends to nonverbal cues, and responds appropriately.
NewSupervisory Veterans Claims Examiner (Assistant Education Officer) U.S. Department of Veterans AffairsSupervisory Veterans Claims Examiner (Assistant Education Officer)Washington, DC$131,525–$170,987 / yearPlease make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50s (current/former Federal employees), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). Strategic Planning, Resource Allocation & Budget Management: Experience forecasting workload, planning staffing levels, allocating resources (space, equipment, budget), developing budget estimates, or implementing cost-reduction initiatives.
Epic Resolute Professional Billing (PB) & Claims Analyst InterscriptsEpic Resolute Professional Billing (PB) & Claims AnalystChantilly, VirginiaThe ideal candidate will have hands-on experience in implementing, configuring, supporting, and optimizing the Epic Resolute Professional Billing (PB) module, with expertise in claims management and physician revenue cycle workflows. The candidate will collaborate with billing, coding, revenue cycle, and operational teams to enhance billing accuracy, streamline claims processing, and improve reimbursement outcomes.
Epic HB/PB Resolute Claims Analyst InterscriptsEpic HB/PB Resolute Claims AnalystChantilly, VirginiaWe are seeking an experienced Epic Resolute Hospital Billing (HB),or Professional Billing (PB), and Claims Analyst to support, maintain, and optimize Epic Revenue Cycle applications. The ideal candidate will have hands-on experience with Epic Resolute HB, PB, Claims, and Revenue Cycle workflows, along with strong analytical and troubleshooting skills.
NewVeterans Claims Examiner U.S. Department of Veterans AffairsVeterans Claims ExaminerWashington, DC$52,766–$68,597 / yearPlease use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50s (current/former Federal employees), documentation to support Veterans preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). Examples of experience include: (1) Experience reading, analyzing, interpreting and applying laws, regulations, directives manuals, or training materials; (2) Experience in developing information and evaluating evidence to determine a decision; (3) Maintain pertinent files/documents electronically in a claims process; (4) Monitor case files for compliance with legal regulations.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorWashington, DC$25–$32 / hourFull timeNotary license strongly (preferred).Bilingual ability and/or degree in Criminal Justice or related field (preferred).Willingness to travel; flexible schedule (varied/irregular hours).Strong computer and internet skills. Accurately photograph evidence (accident scenes, vehicle damage, etc.).Skills & ExperienceExperience handling complex SIU/Claims cases.
Claims Management Program Analyst (O-4 Billet) Non-Supervisory U.S. Department of Homeland SecurityClaims Management Program Analyst (O-4 Billet) Non-SupervisoryWashington, DCAssist in developing, evaluating, and coordinating CMP related functions to ensure adherence to industry practices in eligibility verification, authorization of care, claims management denials and appeals to minimize adverse outcomes related to timely filing and maintaining a Provider Network to provide quality specialty care to illegal aliens. Should possess some knowledge of International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), current procedural terminology (CPT), diagnosis-related group (DRG), and other Centers for Medicare and Medicaid Services (CMS) coding/billing requirements.
Outside Property Associate Claim Representative The Travelers CompaniesOutside Property Associate Claim RepresentativeUpper Marlboro, MD$52,600–$86,800 / yearThis position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.
Associate Claim Rep, Outside Property The Travelers Companies IncAssociate Claim Rep, Outside PropertyGaithersburg, MD$52,600–$86,800 / yearThis position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistDC$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteDCRemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Outside Property Associate Claim Representative TravelersOutside Property Associate Claim RepresentativeChantilly, VirginiaThis position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionArlington, Virginia$69,398.62–$99,000 / yearFull timeCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 20190 22003 22027 22030 22031 22032 22035 22037 22041 22042 22043 22044 22046 22101 22102 22124 22151 22180 22181 22182 22201 22202 22203 22204 22205 22206 22207 22209 22211 22213 22214 22301 22302 22303 22304 22305 22311 22312 22314. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
NewOutside Property Claim Manager The Travelers CompaniesOutside Property Claim ManagerSilver Spring, MD$104,000–$171,700 / yearAchieve Optimal Solutions: Focus on resolution and process improvement, fulfilling all obligations while maximizing cost effectiveness, helping the business understand drivers, trends and product stress points and helping our partners attract and retain business. Provide Compelling Claim Services: Employ proper claim handling techniques to protect the integrity of our brand and providing consistent service quality and streamlined processes to add value for our customers.