Senior Health Claims Specialist: Complex Adjudication
Rhode Island Bar Assn.
CVS Health is seeking a Medical Claims Processor in Rhode Island to review and adjudicate complex medical claims while ensuring compliance with guidelines. Duties include training team members and conducting follow-up calls for necessary information. Candidates require a minimum of 18 months of experience in medical claim processing with a health insurance provider. Benefits include medical, dental, and vision coverage, as well as retirement savings options. #J-18808-Ljbffr
Vacancy posted 9 hours ago
Similar jobs that could be interesting for youBased on the Senior Health Claims Specialist: Complex Adjudication in Richmond, VA vacancy
$18.5 - $42.35 per hour
...CVS Health is seeking a Medical Claims Adjudicator in New Jersey. The role involves reviewing and adjudicating medical claims, addressing inquiries, and ensuring compliance with regulatory requirements. Candidates should have at least 18 months of medical claim processing...SeniorHourly payFull timeHispanic Alliance for Career Enhancement
Richmond, VA3 days ago$18.5 - $42.35 per hour
...A leading healthcare provider in the United States seeks a Medical Claims Specialist to review and adjudicate complex claims. The ideal candidate has at least 18 months of experience in medical claim processing within a high-volume environment and demonstrated attention...SeniorHourly payFull timeHispanic Alliance for Career Enhancement
Richmond, VA2 days ago$151k - $181.25k
...Senior Technical Garage Bodily Injury Claims Specialist Argo Group is an underwriter of specialty insurance products... ...in Denver and is focused on adjudicating commercial Garage Bodily Injury... ...the highest degree of technical complexity, potentially with major impact...SeniorLocal areaArgo Group
Richmond, VA3 days ago$100k
...Senior Technical General Liability Bodily Injury Claims Specialist Argo Group is an underwriter of specialty... ...and is focused on adjudicating commercial General Liability... ...degree of technical complexity, potentially with... ...programincluding health, dental, vision,...SeniorLocal areaArgo Group
Richmond, VA3 days ago$100k
...Senior Inland Marine Technical Claims Specialist Argo Group is an underwriter of specialty insurance... ...the company's most complex inland marine claims,... ...authority, you will: Adjudicate highly complex inland... ...benefits program—including health, dental, vision, 401(k)...SeniorFor contractorsWork at officeLocal areaArgo Group
Richmond, VA4 days ago$90k - $100k
Summary The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryder’s self-administered liability program. Job Description This position investigates and adjusts claims and directs defense counsel, independent adjusters, experts...SeniorWork at office$100k - $125k
...A leading risk and claims administration partner based in Richmond, Virginia, is seeking a Senior Claims Specialist in Professional Liability. The role involves analyzing complex claims, conducting investigations, and negotiating settlements. Ideal candidates should have...SeniorRemote workSedgwick
Richmond, VA4 days ago$100k - $140k
...Senior Claims Specialist The Senior Claims Specialist is responsible for managing all aspects of complex third-party liability claims, including class actions and high exposure matters, from inception through conclusion, brought against a wide variety of insureds, with...SeniorOdyssey Group
Richmond, VA1 day ago- ...Claims Adjuster BerkleyNet is an innovative workers compensation... ...Workers' Compensation Act, adjudication process, and regulatory compliance... ...salary & Benefits include Health, dental, vision, life,... ...factors, including the scope, complexity and location of the role; the...SeniorFull timeWork experience placementWork at officeRemote workMonday to Thursday
W. R. Berkley
Glen Allen, VA6 days ago - ...Senior Claims Examiner Come grow with James River Insurance! James River Insurance is... ...manages a caseload of moderate to high complexity P&C insurance claims. The Senior Claims... ...or certifications preferred Claims Specialist High school diploma required...SeniorFull timeH1b
JR Group
Richmond, VA9 days ago - ...ESIS Senior Claims Representative, WC Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader... ...and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group...SeniorFull timeContract workTemporary workLocal area
Chubb
Richmond, VA1 day ago - Elevance Health is seeking a Group Underwriter Consultant to assess insurance risks and determine premium rates for large group cases... ...underwriters, coordinate reporting accuracy, and analyze data for complex cases. A BA/BS degree, 5+ years of experience, and proficiency...Senior
$23.16 per hour
...Excess Risk and Reinsurance) claims in accordance with established... ...reviews and analyzes various complex potential claims with... ...Determines whether to pend or adjudicate claims following organizational... ...relevant, progressive experience in health insurance claims ~3 years...SeniorFor contractorsWork at officeLocal areaHighmark Health
Richmond, VA4 days ago$20 - $23 per hour
...responsibilities include verifying eligibility, researching unpaid claims, and contacting payers for secure payments. The ideal candidate... ...experience and intermediate knowledge of billing guidelines and health information systems. This role offers a competitive hourly...SeniorHourly paySavista, LLC
Richmond, VA16 hours ago- ...supporting the World Trade Center Health Program. In this role, you... ...to accuracy in processing complex medical claims. If you are eager to make a... .... Critical Analysis Adjudicate claims according to program... ...applicants with disabilities. Seniority level Mid‑Senior level...Full timeFor contractorsWork at officeRemote workMonday to FridayFlexible hours
BROADWAY VENTURES, LLC
Richmond, VA2 days ago $61.05k - $98.33k
The Senior Liability Claims Specialist manages mid to complex Heavy Auto and/or General Liability claims, including bodily injury and property damage. This role... ...management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was...SeniorMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- Cardinal Health is looking for a Program Manager in Richmond, Virginia, responsible for managing the execution of multiple initiatives within constraints of budget, schedule, and scope. This role entails problem solving, developing project plans, mentoring junior project...SeniorWork experience placementWork at office
- ...Foreclosure Claims Specialist Once foreclosure representative completes the foreclosure steps... ...position requires the application of various complex methods, procedures, and knowledge of... ...'s or a dependent's reproductive health decision making, race, religion, sex, sexual...Full timeLocal areaShift work
Citizens Financial Group, Inc.
Glen Allen, VA1 day ago $90k - $125k
...Berkley Accident and Health Berkley Accident and Health is a risk management company that designs innovative solutions to address... ...system Collaborate with underwriting management to review more complex cases requiring a higher degree of underwriting authority...SeniorFull timeW. R. Berkley
Glen Allen, VA3 days ago- ...courses toward professional designations or continuing education. Senior Underwriter Bachelor's degree or equivalent work experience... ...~ Professional designation is preferred Underwriting Specialist ~15+ years industry experience, 10+ years in Excess and Surplus...SeniorFull timeWork experience placementH1bRemote work
James River Management Company
Richmond, VA17 hours ago $87k - $178.1k
...Cycle, multiple business processes or technology designs within Oracle Health Millennium applications. Operates independently to provide quality work products to an engagement. Performs varied and complex duties and tasks that need independent judgment, in order to...SeniorTemporary workFlexible hoursOracle
Richmond, VA1 day ago- ...extensive and all-inclusive pet insurance and health advice. Put simply, Fetch makes vet... ...our success! Responsibilities Adjudicate assigned claims in accordance with the Terms &... ...solving skills and ability to work through complex medical/vet-related scenarios...Work at officeRemote workWork from home
Arl Iowa
Richmond, VA4 hours ago $70.9k - $76.9k
Ryder System, Inc. is seeking an experienced claims handler for Auto Liability claims management. Responsibilities include investigating... ...range between $70,900.00 and $76,900.00, with comprehensive benefits, including health insurance and paid time off. #J-18808-LjbffrSeniorRyder
Richmond, VA2 days ago- ...Senior Social Worker The Richmond VAMC is seeking a Senior Social Worker to provide advanced clinical services, independent case... ...management, and specialized therapeutic interventions for Veterans with complex needs. The position supports interdisciplinary care and...Senior
US Government Jobs
Richmond, VA3 days ago - ...AAMGA AssuranceAmerica Managing General Agency, LLC is hiring a Casualty Claims Examiner who will oversee complex and large exposure losses, ensuring compliance with best practices. The ideal candidate will have significant experience in claim adjusting and management...Senior
AAMGA AssuranceAmerica Managing General Agency, LLC
Richmond, VA17 hours ago $109.2k - $223.4k
...Job Description Oracle Health Data Intelligence (HDI) is seeking a highly technical Senior Principal Technical Program Manager (IC5) to lead large-scale cloud transformation... ...programs. This role is focused on driving complex technical programs involving OCI cloud migration...SeniorTemporary workFlexible hoursOracle
Richmond, VA9 hours ago- ...A healthcare technology firm is seeking a Senior Health Economist to lead economic analyses across employer contracting and value-based care... ...strong quantitative skills and the ability to communicate complex findings to diverse audiences. A remote-first work model is offered...SeniorContract workRemote work
FlyteHealth
Richmond, VA2 days ago - ..., including a deep understanding of telehealth regulations. Responsibilities include overseeing compliance programs and navigating complex laws to support patient outcomes. The role emphasizes a collaborative workplace where innovative ideas are encouraged, aligned with...Senior
OpenLoop Health
Richmond, VA2 days ago - ...A healthcare organization is seeking a Senior Director of Complex Care Management and Utilization Management to oversee national programs aimed at healthcare delivery improvements for complex populations. Responsibilities include directing care models, ensuring regulatory...SeniorRemote workHome office
AbsoluteCARE Inc
Richmond, VA2 days ago - ...A healthcare management firm is seeking a Senior Director for Complex Care Management and Utilization Management. This strategic leader will design and optimize integrated care delivery models to improve outcomes for complex populations. The position involves overseeing...SeniorRemote work
AbsoluteCARE Inc
Richmond, VA1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Health Claims Specialist: Complex Adjudication. Be the first to apply!
Related searches
- claims processor Richmond, VA
- senior claims specialist Richmond, VA
- claims analyst Richmond, VA
- medical insurance claims specialist Richmond, VA
- life insurance claim analyst Richmond, VA
- claims resolution specialist Richmond, VA
- medical claims analyst Richmond, VA
- remote medical claims processor Richmond, VA
- claims assistant Richmond, VA
- claim examiner Richmond, VA