Associate Claims Examiner Markel CorporationAssociate Claims ExaminerRichmond, VA$27.84–$38.27 / hourThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The hourly rate offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
NewSenior Claims Examiner, Excess Construction Markel CorporationSenior Claims Examiner, Excess ConstructionRichmond, VA$78,000–$107,250 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Chief Claims Officer, Argo Group Argo Group International Holdings IncChief Claims Officer, Argo GroupRichmond, VAPossesses an extensive knowledge and experience with adjudicating and management claims for a portfolio of commercial products/program lines including surety, auto, general liability, workers' compensation, property, asbestos/environmental, reinsurance and the relevant claims handling practices supporting such products/programs. The Chief Claims Officer, Argo Group provides claim leadership and direction to the Senior Management of all the Argo Group claims operations with a focus on supporting the consistent execution of claims functions and maintenance of operational excellence.
Chief Claims Officer, Argo Group Argo Group International Holdings Ltd.Chief Claims Officer, Argo GroupRichmond, VAPossesses an extensive knowledge and experience with adjudicating and management claims for a portfolio of commercial products/program lines including surety, auto, general liability, workers' compensation, property, asbestos/environmental, reinsurance and the relevant claims handling practices supporting such products/programs. The Chief Claims Officer, Argo Group provides claim leadership and direction to the Senior Management of all the Argo Group claims operations with a focus on supporting the consistent execution of claims functions and maintenance of operational excellence.
Independent Insurance Claims Adjuster in Glen Allen, Virginia MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Glen Allen, VirginiaGlen Allen, VAHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Richmond, Virginia MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Richmond, VirginiaRichmond, VAHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Ashland, Virginia MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Ashland, VirginiaAshland, VAHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Mechanicsville, Virginia MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Mechanicsville, VirginiaMechanicsville, VAHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Chesterfield, Virginia MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Chesterfield, VirginiaChesterfield, VAHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Chester, Virginia MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Chester, VirginiaChester, VAHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Midlothian, Virginia MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Midlothian, VirginiaMidlothian, VAHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Powhatan, Virginia MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Powhatan, VirginiaPowhatan, VAHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Hopewell, Virginia MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hopewell, VirginiaHopewell, VAHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Ruther Glen, Virginia MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Ruther Glen, VirginiaRuther Glen, VAHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Colonial Heights, Virginia MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Colonial Heights, VirginiaColonial Heights, VAHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Petersburg, Virginia MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Petersburg, VirginiaPetersburg, VAHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Technical Consultant Casualty Claims The Hanover Insurance Group IncTechnical Consultant Casualty ClaimsRichmond, VADigital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes. Customer Centricity: Makes customers/clients and their needs a primary focus of one's actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteVARemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
NewClaim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionRichmond, Virginia$59,059.65–$90,000 / yearFull time23002 23039 23060 23075 23102 23103 23112 23113 23114 23120 23129 23139 23146 23150 23160 23173 23219 23220 23221 23222 23223 23224 23225 23226 23227 23228 23229 23230 23231 23233 23234 23235 23236 23237 23238 23250 23294 23298 23803 23831 23832 23833 23834 23836 23838 23841 23850 23860 23885. 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!
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteVARemote$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.
NewCommercial Vehicle Team (Cvt) Claim Adjuster Hybrid In Dfw, TX Or Remote In Florida, Texas, Midwest, Gulf Coast, Mid Atlantic, Southeast States FCCI Insurance GroupCommercial Vehicle Team (Cvt) Claim Adjuster Hybrid In Dfw, TX Or Remote In Florida, Texas, Midwest, Gulf Coast, Mid Atlantic, Southeast StatesRichmond, VARemote$24.80–$38.19 / hourWe are currently seeking a CVT (Commercial Vehicle Team) Adjuster to investigate and adjust assigned commercial auto property damage, CGL PD and garage claims. Interpret damage appraisal reports, identifying subrogation opportunities and negotiating claims to successful conclusion or transfer of file to regional adjuster.
E&S Claim Adjuster FCCI Insurance GroupE&S Claim AdjusterVA$91,389–$140,737 / yearWe are currently seeking an E&S Claim Adjuster to investigate and adjust assigned Excess and Surplus Lines claims that require expertise in areas such as coverage, analysis, jurisdictional and diversity issues, litigation management, and expense exposures. What you will do: Investigate assigned E&S lines claims, including initial investigation, coverage evaluation, settlement negotiation, and reserve setting within authority limits and company best practices.
NewClaim Examiner II, Construction Markel Group IncClaim Examiner II, ConstructionRichmond, VAThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Associate Claim Examiner Markel Group IncAssociate Claim ExaminerRichmond, VA$27.84–$38.27 / hourThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The hourly rate offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Associate Claim Examiner Markel CorporationAssociate Claim ExaminerRichmond, VA$27.84–$38.27 / hourThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The hourly rate offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
DMAS - System Analyst 4/Testing - TWO ROLES PeopleNTech LLCDMAS - System Analyst 4/Testing - TWO ROLES1390 Ridgeview Drive Allentow, VAPerform Agile testing activities, including participating in sprint planning and backlog refinement, designing test cases with development teams, validating user stories, and executing continuous integration testing within each sprint. We are seeking a highly skilled Systems Analyst with strong technical and analytical expertise in healthcare claims processing and comprehensive knowledge of data across all functional areas of the Medicaid Management Information System (MMIS) or a similar large-scale claims processing system.
SCB - C# Developer/Programmer Analyst 3 PeopleNTech LLCSCB - C# Developer/Programmer Analyst 31390 Ridgeview Drive Allentow, VAThe candidate will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports. Candidates must describe experience with large menu driven business systems, such as claims processing, payroll, medical, or insurance type applications.
SCB - C# Developer/Programmer Analyst 3 - PeopleNTech LLCSCB - C# Developer/Programmer Analyst 3 -1390 Ridgeview Drive Allentow, VAThe candidate will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports. Candidates must describe experience with large menu driven business systems, such as claims processing, payroll, medical, or insurance type applications.
DMAS - Systems Analyst 3 Nleague Services IncDMAS - Systems Analyst 3Richmond, VirginiaContractorExpected to have the ability to understand the requirements and design of the project and able to develop test cases, test data and verify the software changes and to problem solve issues that are escalated and serve as liaison between the developer and the Business User. Systems AnalystThis position is for a Systems Analyst with expertise in the healthcare claims processing and requires an in-depth knowledge of the data related to all functional areas of the MMIS or a similar large scale claims system.
Mgr, Business Consultant CVS Health CorpMgr, Business ConsultantVA$60,300–$132,600 / yearThe Manager will be responsible for ensuring the accuracy, completeness, and timeliness of encounter data submissions while partnering closely with internal business and technical teams, as well as external vendors, to meet regulatory and operational requirements across multiple states. As the Dual Special Needs Plan (DSNP) business continues to expand, we are seeking an experienced Manager, Encounter Data & State Submission Operations to lead the end-to-end management of encounter and claims data submissions to state agencies.
Systems Analyst 3 Beyond SOFSystems Analyst 3Richmond, VirginiaResponsible for all System Integration Testing (SIT), User Acceptance Testing (UAT), and End2End Testing (E2E) for the MMIS and MES modules as well as the testing of configured Commercial off the Shelf (COTS) applications, and the conversion and integration of data from other systems in Medicaid Enterprise Systems (MES Modules and COTS products). Expected to have the ability to understand the requirements and design of the project and able to develop test cases, test data and verify the software changes and to problem solve issues that are escalated and serve as liaison between the developer and the Business User.
Project Manager - Healthcare Domain Experience HCL Global Systems Inc.Project Manager - Healthcare Domain ExperienceRichmond, VAProject Manager - Healthcare Domain Experience: 10-15 Years Location: Onsite / Hybrid Domain: Healthcare (Payer / Provider / Insurance) Role Overview We are seeking an experienced Project Manager with strong healthcare domain expertise to lead and manage complex technology and business transformation initiatives. The ideal candidate will have proven experience delivering large scale healthcare programs, working closely with cross functional teams, and ensuring projects are delivered on time, within scope, and with high quality.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IIVACollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Essential Functions: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
SCB - C# Developer/Programmer Analyst 3 Nleague Services IncSCB - C# Developer/Programmer Analyst 3Richmond, Virginia$80.96 / hourContractorC# Developer RequirementsC#, NET 3.1 (or higher)Angular (gRPC would be a plus)SQL ServerVisual Studio/Visual Studio CodeKnowledge of build and deployment repositories such as Azure Dev Ops or Git Hub. The candidate will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports.
Auto & HE Appraiser - 1099 - Richmond, VA CCMS & AssociatesAuto & HE Appraiser - 1099 - Richmond, VARichmond, VAAs a 1099 independent contractor, you will play a critical role in assessing damages, estimating repair costs, and delivering high-quality appraisals for auto and heavy equipment claims. CCMS & Associates is seeking experienced Auto and Heavy Equipment Appraisers to join our independent adjuster and appraiser roster.
SCB - C# Developer/Programmer Analyst 3 Ampcus IncorporatedSCB - C# Developer/Programmer Analyst 3Richmond, VAYou will work closely with lead developers and take ownership of specific modules, providing technical direction and guidance to other team members throughout the migration process. We are undertaking a strategic modernization of our flagship cloud-hosted (OCI) application, BADGE , transitioning it from a legacy desktop-based architecture to a scalable, web-based platform.
Client Services Manager MCI CareersClient Services ManagerRichmond, VirginiaFull timeMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Auto Body Shop Estimator Haley Auto GroupAuto Body Shop EstimatorChester, VAThe Auto Body Shop Estimator plays a crucial role in the automotive repair process by accurately assessing vehicle damage and providing detailed estimates for repair costs. Effective communication skills are essential for explaining estimates and repair processes to customers, ensuring they feel informed and valued.
Medical Director Wisconsin Physicians Service Insurance CorpMedical DirectorRichmond, VAThe Contractor Medical Director (CMD) is responsible for researching and reviewing clinical evidence in support of developing Local Coverage Determinations (LCDs), conducting medical review (MR) activities, providing clinical program outreach activities, taking party or participant status in Administrative Law Judge (ALJ) appeals hearings, and performing appeals. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)VA$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
VACU Insurance Services Insurance Agent Virginia Credit UnionVACU Insurance Services Insurance AgentRichmond, VirginiaMinimum 3 years’ previous insurance industry experience required, or equivalent financial services/credit union experience from which comparable knowledge and abilities have been acquired. As an Insurance Agent for Virginia CU Insurance Services (VACUIS), your primary role is to sell insurance policies to individuals or businesses and provide guidance on insurance coverage options.
Estimator CARSTAR Franchising IncEstimatorPetersburg, VAInforms customers about CARSTAR's repair process, including insurance claims processing, payment procedures, repair techniques, repair needs and expected delivery date of repair. Inspects all completed repairs before delivering customer vehicles, explains CARSTAR's warranty and Quality Control process with all customers.
Insurance Follow Up Specialist University Health Services IncInsurance Follow Up SpecialistRICHMOND, VAQualifications Position Requirements: Minimum 1 year of experience in an office setting highly preferred Knowledge of managed care payers and medical terminology is preferred Ability to learn quickly, build and maintain long term relationships and work with minimal supervision Detail-oriented with the ability to work on multiple, competing, priorities Proficient in Microsoft Office and Windows products. Responsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.
Insurance Follow Up Specialist - East University Health Services IncInsurance Follow Up Specialist - EastRICHMOND, VAQualifications Position Requirements: Minimum 1 year of experience in an office setting highly preferred Knowledge of managed care payers and medical terminology is preferred Ability to learn quickly, build and maintain long term relationships and work with minimal supervision Detail-oriented with the ability to work on multiple, competing, priorities Proficient in Microsoft Office and Windows products. Responsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.
Insurance Underpayments Analyst University Health Services IncInsurance Underpayments AnalystRICHMOND, VAResponsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Benefits Coding Analyst Sentara HospitalsBenefits Coding AnalystRichmond, VirginiaRemote2+ years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing and /or various payment methodologies (required)• Experience in both established benefit coding environments as well as experience in determination of coding requirements for new benefits (preferred)• Experience resolving billing and claims issues related to benefit to code assignment.•Thorough knowledge of anatomy and medical terminology• Expertise with NCCI (National Correct Coding Initiative) guidelines• Knowledge or direct experience processing Government program or commercial health claims for an MCO• Experience with ICD-10 CM, CPT, HCPCS, QNXT. • Certified Professional Coder certification (CPC) (required)• Certified Inpatient Coder (CIC) (preferred)• Medical Assistant Certification (preferred)Note: CIC is required for advancement to Level 2 and Level 3. Experience:
NewHead Athletic Trainer VIRGINIA UNION UNIVERSITYHead Athletic TrainerRichmond, VAVirginia Union University is recognized in the 2024 edition of U.S. News & World Report, holding a prestigious position as #39 among Historically Black Colleges and Universities. Virginia Union University remains steadfast in its commitment to offering accessible, high-quality education, instilling a sense of assurance and confidence in its students.
(Remote) Manager of Software Services & Support Harris Computer Systems(Remote) Manager of Software Services & SupportVARemote$90,000–$100,000 / yearWhat we are looking for: Candidates must possess demonstrable experience in Hospital Revenue Cycle Management OR Hospital Patient Accounting, as this specialized healthcare knowledge is essential for understanding client needs and delivering effective solutions. About Harris Novum: Harris Novum is a healthcare technology company focused on helping hospitals, health systems, and physician organizations strengthen financial performance and improve patient care through intelligent software solutions.
NewManager of Clinical Appeals and Grievances HealthfirstManager of Clinical Appeals and GrievancesVA$103,400–$149,430 / yearProvides guidance in the preparation of case preparation for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
NewManager - Arbitration Operations MaximusManager - Arbitration OperationsRichmond, VAFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.