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.
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.
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.
NewWorker's Compensation Claims Examiner Greenlife Healthcare StaffingWorker's Compensation Claims ExaminerWashington, DCBachelor’s degree and at least two years of workers’ compensation claims adjusting experience; or eight years of progressively responsible claims-handling experience, including at least three years of workers’ compensation claims adjusting experience. Complete required claim contacts, including 24-hour four-point contacts with injured workers, supervisors, medical providers, and other stakeholders; document activity in the claims management system.
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.
NewClaims 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.
New\n Dental Office Assistant - Business Assistant\n Heartland Dental Care\n Dental Office Assistant - Business Assistant\nLeesburg, VA$20–$29.50 / hourMore about the roleGreet and welcome patients as they enter the office to create a great first impression of our teamManage front office duties, including answering phones, checking office mail and email, communicating with patients and insurance companiesUtilize Dentrix for patient scheduling and recordsSchedule and confirm appointments for multiple providers in the officeFile patient insurance claims and follow up on outstanding claims, verification of benefits and explanation of coverage Post insurance and patient payments and process accounts receivablesReview treatment plan fees and payment options with patientsPartner with the providers and team to implement Heartland Dental systems to optimize office potential What You'll Gain Competitive benefits including health insurance, retirement savings plans, six paid holidays, and PTO (paid time off)Front loaded education and training, providing you the opportunity to develop to your full potentialOpportunity to be a part of a secure company with 20+ years of industry leading experience that provides a stable career with unlimited growth potentialAccess to on-demand Daily PayDental Care at Compass Creek, like each Heartland Dental supported office, is unique to the community and the patients they serve. This office is looking for a goal oriented individual with a patient focused attitude Minimum Qualifications Experience working in a fast-paced and customer-centric environmentExcellent communication and organizational skillsThe position will have access to minimum PHI necessary for performing job-related functions; regular HIPAA training, aligning with the specific role and responsibilities, will be required; and the individual will need to protect PHI and maintain data safeguards.
Claim Rep, Outside Property The Travelers CompaniesClaim Rep, Outside PropertyRockville, MD$67,000–$110,600 / yearDetermines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies.
Outside Property Claim Representative The Travelers CompaniesOutside Property Claim RepresentativeArlington, VA$67,000–$110,600 / yearDetermines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies.
Cyber Claim Counsel The Travelers CompaniesCyber Claim CounselChantilly, VA$111,600–$184,200 / yearTravelers' Cyber Claim Team is responsible for handling claims focusing on cyber privacy and security breach incident response, computer crime, infrastructure attacks and restoration, notification to affected parties and regulators, business interruption, consumer privacy liability, and identity fraud/theft. The First-Party Cyber Claim Team partners with and supports business units including Private-Non-Profit, Public Companies, Financial Institutions, Insurance Companies, Investment Advisors, and Professional Liability.
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.
NewOutside Property Claim Manager The Travelers CompaniesOutside Property Claim ManagerWaldorf, 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.
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!
Construction Claim Technical Specialist The Travelers CompaniesConstruction Claim Technical SpecialistChantilly, VA$85,600–$141,200 / yearDirectly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
Outside Property Claim Representative TravelersOutside Property Claim RepresentativeChantilly, VirginiaDetermines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies.
NewWORKERS COMP CLAIM & MEDICAL REVIEWER/ HR COORDINATOR (ADMINISTRATIVE OFFICER III) State of MarylandWORKERS COMP CLAIM & MEDICAL REVIEWER/ HR COORDINATOR (ADMINISTRATIVE OFFICER III)Baltimore County, MDAuthorize scheduling of independent medical examinations (IMEâs) when necessary based on the case profile (claimantâs age, education, work experience skill level, injury severity, preexisting medical history, post accident new conditions and prior WCC claim history) and lead Secretary II in examination scheduling, transportation coordination and appointment reminder calls. This position is a Senior SIF Claims Department employee and requires expert knowledge of Maryland Workersâ Compensation statute regarding Subsequent Injury Fund liability and is responsible for overseeing claims review, interpretation and written summary of complex medical reports and fiscal liability estimation.
General Liability Property Damage Adjuster - Washington Dc/Baltimore Eagle MartinGeneral Liability Property Damage Adjuster - Washington Dc/BaltimoreWashington, DCYour EMpact: Determine appropriate methods and extent of needed investigation for all assigned claims, including conducting investigations through field visits and phone contact; obtaining contracts, job files, and appraisals; conducting insured, witness, and claimant interviews and/or statements, complete site inspections; scope, measure and write estimates, and using other fact-finding methods to evaluate liability, damages, and proper coverage. Investigate insurance claims in a variety of settings including, but not limited to: retail establishments, office buildings, residences, condominiums, apartments, hotels, corporate facilities, governmental facilities, schools, clinics, or hospitals; assess loss or damage resulting from various events including, but not limited to, inclement or catastrophic weather, construction defect, and fire.
Safety Manager ArchKey Solutions LLCSafety ManagerClinton, MDFull timeThe Safety Manager plays a key role in providing project teams, subcontractors, safety teams, and trade partners with guidance, mentoring and training on health and safety programs and confirms that the project site complies with all customers, industry, local, state, and federal guidelines, and regulations. As the Safety Manager, you will be responsible for providing oversight and project safety leadership of all aspects of occupational safety management including planning, implementing, managing, and maintaining comprehensive environmental safety and health (ES&H) policies and procedures on assigned regional projects in all project site location(s).