NewWorkers’ Compensation Claims Examiner GreenLife Healthcare StaffingWorkers’ Compensation Claims ExaminerWashington, DCJob Qualifications & Certifications: Bachelor’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.
Head of Claims HITT ContractingHead of ClaimsWashington DC, District of ColumbiaThis role is responsible for enterprise claims strategy, portfolio performance, reserve adequacy, litigation oversight, and total cost of risk while leading the claims organization and partnering with executive leadership on risk financing and insurance program strategy. The Senior Manager, Claims & Risk Management leads HITT's enterprise claims function across all property and casualty lines for HITT Contracting and its affiliated operating companies.
Enterprise Claims Library Admin, Project Management Capital OneEnterprise Claims Library Admin, Project ManagementMcLean, VirginiaCDX is responsible for Capital One’s digital customer experiences, including its award winning mobile app, its online presence, and Enterprise-grade products and platforms used across all lines of business. Our team is responsible for administering and governing these platforms, and advising on the large-scale transformation of our content supply chain to unlock highly personalized, intelligent experiences for millions of current and prospective customers.
Medical Claims (Billing) Team Leader GT Independence CareersMedical Claims (Billing) Team LeaderSilver Spring, MarylandGT Independence is a family-founded, leading national Financial Management Services (FMS) provider that supports individuals participating in self-direction programs, helping them manage their long-term care and support services at home and in community-based settings. Dedicated to promoting personal choice, independence, and quality of life, GT Independence delivers reliable, person-centered financial and administrative services that empower individuals to direct their own care.
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.
IT Production and Systems Support Engineer (Mainframe and Claims Processing) MindlanceIT Production and Systems Support Engineer (Mainframe and Claims Processing)Columbia, MDThe ideal candidate will combine mainframe expertise, application support, data analysis, and incident management skills to support both legacy and modern platforms while delivering high-quality service to internal teams and external plan vendors. This role is responsible for ensuring stability, performance, and continuous improvement of applications supporting claims vouchering, adjudication, and EDI processing.
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.
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.
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.
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.
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.
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.
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.
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.
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.