Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Strategic Reinsurance & Stoploss Claims Specialist

CVS Health

CVS Health seeks a Reinsurance/Stoploss Claims Adjuster to review, research, and adjust complex medical claims, splitting them into multiple statuses and ensuring adherence to processing guidelines. You will collaborate with key business functions to verify pricing, payments, and eligibility, handle inquiries, and provide accurate reconciliations. A Associate degree or equivalent experience is required, with 2+ years in medical claim processing. #J-18808-Ljbffr CVS Health

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Strategic Reinsurance & Stoploss Claims Specialist in Yorktown, VA vacancy
  • $95.14k - $142.08k

     ...employer groups of high complexity and leading strategic rating decisions that balance...  ...profitability. This role applies deep expertise in claims analysis, actuarial concepts, and...  ...features a robust provider network, including specialists, primary care physicians and hospitals.... 
    Suggested
    Permanent employment
    Full time
    Temporary work
    Traineeship
    Currently hiring
    Remote work
    Shift work

    Sentara Health

    Yorktown, VA
    4 days ago
  •  ...Health Partners is hiring for the position of full-time Account Reimbursement Specialist. You will resolve insurance and patient account balances and work with payors to collect on submitted claims. Minimum three years in healthcare collections is required, with emphasis... 
    Suggested
    Full time

    TwelveStone Health Partners Inc

    Yorktown, VA
    1 day ago
  • BCA Financial Services, Inc. is seeking a remote Insurance Claim Collector with 2+ years in medical insurance billing and follow-up to determine denials and secure payment. You will prepare and submit documentation, follow through to resolution, and maintain records per... 
    Suggested
    Remote job
    Full time
    Home office
    Monday to Friday

    BCA Financial Services, Inc.

    Yorktown, VA
    1 day ago
  • Metro Public Adjustment, Inc. is seeking a motivated Public Adjuster Trainee to join our growing team in Virginia. You will learn to advocate for policyholders, evaluate property damage, and negotiate fair insurance settlements. No prior adjusting experience is required...
    Suggested
    Traineeship
    Flexible hours

    Metro Public Adjustment, Inc.

    Yorktown, VA
    2 days ago
  •  ...residential and commercial property damage Learn to interpret insurance policies and estimate losses Support senior adjusters in preparing claims documentation Communicate with clients, contractors, and insurance carriers Deliver exceptional customer service during stressful... 
    Suggested
    Full time
    Part time
    For contractors
    Traineeship
    Flexible hours

    Metro Public Adjustment, Inc.

    Yorktown, VA
    2 days ago
  • Oscar Health is hiring a Senior Specialist, Network Recruitment to manage provider contracting lifecycle and support market strategies through accurate data management. The role emphasizes collaboration with internal teams and external providers to ensure data completeness... 
    Remote job

    Oscar Health, Inc.

    Yorktown, VA
    2 days ago
  • Specialty Contractors Insurance Underwriter - Newport News, VA Insurance Underwriter Specialty Contractors and Service Providers General Liability GL Professional Liability PL Excess Liability Commercial Auto Workers' Compensation WC Property Damage Pollution HVAC Fire ...
    Contract work
    For contractors
    Remote work
    Work from home
    Relocation package

    Diedre Moire Corp.

    Newport News, VA
    11 hours ago
  • Position Type: Clerical/Clerical Positions Date Posted: 10/16/2026 Location: Waller Mill Elementary School Job Description Title: ADMINISTRATIVE ASSOCIATE - SCHOOLS (260 Days) Compensation Salary Range: $17.8388 to $30.0196 per hour Position...
    Hourly pay
    Work at office

    York County School Division

    Yorktown, VA
    4 days ago
  • 911 Call Taker Opportunities in Wicomico 911 Call Takers are often the first people to speak with someone reporting an emergency. They ask focused questions, confirm where help is needed, and document information for the personnel responsible for coordinating the response...
    Night shift
    Rotating shift

    Regional 911 Intake Solutions

    Wicomico, VA
    12 days ago
  •  ...fast-growing company, we adopt an engineering-led approach, fully embracing remote work, agility, and the SaaS software model. This strategic framework enables us to capitalize on the advantages of a distributed work environment, fostering a supportive culture and... 
    Full time
    Temporary work
    Currently hiring
    Work at office
    Remote work
    Flexible hours

    EHS Insight

    Yorktown, VA
    4 days ago
  • $60.8k - $76k

     ...with highly motivated individuals on high-performance teams? Join WWT today! What is the SCLO Team and why join? The Contract Specialist Services role resides within our Sales Operations Service Contract & Licensing Operations team and interacts directly with Inside... 
    Full time
    Contract work
    Remote work
    Flexible hours
    Shift work

    World Wide Technology

    Williamsburg, VA
    2 days ago
  •  ...Job Description Job Description The Claims Intake Specialist is responsible for receiving, documenting, and coordinating the initial intake of claims to ensure accurate, timely, and organized processing. This role supports the Legal/Risk function by gathering relevant... 
    Full time
    Local area
    Immediate start

    XKIG, LLC

    Newport News, VA
    2 days ago
  • Licensed Insurance Representative This opportunity is a customer service position within a successful State Farm Agency. The agency is a dynamic organization backed by many years of industry experience. It is a vital role for the agency, as it involves both the acquisition...

    StaffMyAgency LLC

    Gloucester Point, VA
    2 days ago
  •  ...relations. Your cross-functional campaigns will expand the value generated by producers, innovate our customers’ experience, and strategically position our agency… whether on social media or at community events! While promoting our team, our insurance products/financial... 
    Part time
    For contractors

    Jimmy Fay Insurance

    Newport News, VA
    3 days ago
  •  ...Position Summary The Billing & Insurance Analyst I is responsible for daily operations related to the billing of primary and secondary claims and insurance follow up for the Central Laboratory and site lab testing; coordinates with staff to ensure timely billing and follow... 
    Full time
    Work at office
    Monday to Friday

    Tpmg

    Newport News, VA
    3 days ago
  • A healthcare organization is actively seeking a Billing & Insurance Analyst for their office in Newport News, VA. The position involves managing payer responses, assisting patients with calls, and ensuring timely payment postings. Ideal candidates should have a background...
    Full time
    Work at office
    Monday to Friday

    Tpmg

    Newport News, VA
    4 days ago
  •  ...& Insurance Analyst I for its billing department. The role involves overseeing daily billing operations for primary and secondary claims, ensuring accuracy in lab billing, and assisting with account reconciliation. Candidates should have a high school diploma or college... 
    Full time

    Tpmg

    Newport News, VA
    3 days ago
  • Location: Newport News, VA Job Id: 3000 # of Openings: 1 Tidewater Physicians MultispecialtyGroup is actively seeking a Billing & Insurance Analyst to work out of our Central Billing Office in Newport News. Tidewater Physicians Multispecialty Group (TPMG) is comprised...
    Full time
    Work at office
    Monday to Friday

    Tpmg

    Newport News, VA
    4 days ago
  • 911 Call Taker Opportunities in Ware Neck 911 Call Takers are often the first people to speak with someone reporting an emergency. They ask focused questions, confirm where help is needed, and document information for the personnel responsible for coordinating the response...
    Night shift
    Rotating shift

    Regional 911 Intake Solutions

    Gloucester, VA
    1 day ago
  •  ...Business Development, Capture, Pricing, Finance, Legal, and Executive Leadership to ensure contractual compliance while supporting strategic growth initiatives. The ideal candidate is experienced in federal government contracting and possesses a strong understanding... 
    Permanent employment
    Full time
    Contract work
    For contractors
    Work experience placement
    For subcontractor
    Work at office
    Immediate start

    Aether Aerospace

    Newport News, VA
    8 days ago
  • About the job Bilingual Administrative Assistant Venture Dynamics is seeking a detail-oriented and organized Bilingual Administrative Assistant in Newport News, Virginia, to support daily office operations, administrative coordination, and communication with...
    Work at office

    Venture Dynamics Inc

    Newport News, VA
    4 days ago
  • Administrative Clerk Kaufman & Canoles is seeking an Administrative Clerk for its Williamsburg office. Responsibilities: Working hours are 8:30 – 5:30. Available to act as receptionist and serve as backup to the receptionist, assist in preparing for and...

    Kaufman & Canoles

    Williamsburg, VA
    18 hours ago
  • $20 per hour

    This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future. Join Spectrum and unlock your potential with competitive pay starting at $20/hour, plus lucrative incentives that can bring top performers...
    Work at office
    Local area
    Visa sponsorship

    Spectrum

    Williamsburg, VA
    1 day ago
  • $18.35 - $28.75 per hour

     ...class guest experience. You contribute to the overall financial success of the store by analyzing reporting and daily trends to make strategic business decisions. You're the Store Team Leader's right hand in developing short and long-term business plans to drive key KPIs.... 
    Full time
    Temporary work
    Part time
    Casual work
    Seasonal work
    Local area
    Flexible hours
    Shift work

    AEO

    Newport News, VA
    3 days ago
  • $15 per hour

    Frontline Group is hiring a remote Bilingual Spanish/English Customer Service Representative to support individuals by connecting them to emergency shelter and resources from home. The role is full-time temporary (Nov–Apr) with a starting wage of $15.00 per hour for bilingual...
    Hourly pay
    Full time
    Temporary work
    Remote work
    Work from home

    Frontline Call Center

    Yorktown, VA
    1 day ago
  • Member Service RepresentativeABNB Federal Credit Union is dedicated to being the best place you will ever work, starting with our comprehensive employee benefits package, which features affordable medical, dental, and vision plans to support your well-being and future ...
    Temporary work
    Work at office
    Local area
    Immediate start

    ABNB Federal Credit Union

    Yorktown, VA
    3 days ago
  • $25 - $45 per hour

    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of between $25/hr. and $45/hr., depending on the In-Home Usage Test project. ...
    Hourly pay
    Weekly pay
    Extra income
    Temporary work
    Part time
    For contractors
    Seasonal work
    Remote work
    Work from home
    Flexible hours

    GLOCPA

    Gloucester Point, VA
    2 days ago
  • Seeking a dynamic individual to enhance customer experiences through friendly interactions and expert assistance. You'll manage transactions, maintain store organization, and ensure a clean environment. If you thrive in fast-paced settings and possess strong problem-solving...

    Dollar Tree

    Hayes, VA
    2 days ago
  • $18 per hour

    Location: Remote USA - Must located in in one of the following states: AL, AZ, CT, FL, GA, IL, KY, MO NC, NH, NV, OH, OK, PA, SC, TN, TX, VA, Position Type: Permanent, Full-Time Pay Range: $18.00 per hour This is a newly created permanent position Aspire ...
    Hourly pay
    Permanent employment
    Full time
    Remote work
    Work from home
    Flexible hours
    Afternoon shift

    International SOS

    Yorktown, VA
    1 day ago
  • Domino's Pizza is looking for Customer Service Representatives in the United Kingdom who bring hustle, personality and strong people skills. You will greet customers, take orders, and provide outstanding service to ensure a positive dining experience. Responsibilities ...

    Domino's Pizza

    Hayes, VA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Strategic Reinsurance & Stoploss Claims Specialist. Be the first to apply!