ALTA IT Services is staffing a contract to hire opportunity for a Healthcare Claims Processor to support a leading health insurance customer.
The individual will review and adjudicate paper / electron...Show moreLast updated: 3 days ago
Promoted
Liability Claims Manager (Health Care)
SentaraVirginia Beach, VA, United States
First (Days) (United States of America).Status : Full-Time,permanent position (40 hours).Standard working hours : 8 am to 5 pm EST, M-F.
Location : •ON SITE • Will report to 1330 Sentara Park in Virgini...Show moreLast updated: 30+ days ago
Unit Manager Outside Property Claims
Travelers InsuranceVirginia Beach, Virginia, United States
$101,300.00–$167,000.00 yearly
Full-time
Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 16...Show moreLast updated: 14 days ago
Promoted
Graduate Assistant (Research Assistant)
Regent UniversityVirginia Beach, VA, United States
Part-time
Graduate Assistant (Research Assistant).Assemble database of 20 or more variables.Perform statistical analyses on data.Draft / edit research paper leading to publication in an economics journal.Must ...Show moreLast updated: 1 day ago
Promoted
Director, Claims - Small Business Workers' Compensation
Encova InsuranceVirginia Beach, VA, United States
$108,812.00–$174,099.00 yearly
Full-time
The salary range for this job posting is $108,812.The above represents the full salary range for this job requisition.Ultimately, in determining your pay and job title, we'll consider your location...Show moreLast updated: 3 days ago
Remote Claims & Client Relations Specialist
AO SOUTH - Lisa CassidyVirginia Beach, VA, US
Remote
Full-time
Quick Apply
Remote!! Please Note : We are currently only hiring U.United States with a social security # (US Only).We are not hiring in New York and Massachusetts.
AO Globe Life has been proudly serving working-...Show moreLast updated: 30+ days ago
KPM LAW (Kalbaugh Pfund & Messersmith, P.C.)Virginia Beach, VA, United States
Remote
Part-time
Are you a skilled attorney with experience in workers' compensation claims? We want YOU to join our team! We are seeking several dedicated Part-Time Remote / Hybrid Attorneys to assist with preparing...Show moreLast updated: 3 days ago
Commercial Claims Adjuster - Carrier or TPA - REMOTE
Work At Home Vintage ExpertsVirginia Beach, VA, US
Remote
Full-time +2
Quick Apply
Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional...Show moreLast updated: 26 days ago
Claims Investigator - Full Time
CoventBridge GroupVirginia Beach, VA, US
Full-time
Immediate need for a Claims Investigator within the largest worldwide investigative solutions company.Join CoventBridge Group as it continues its expansion into all areas of investigations, allowin...Show moreLast updated: 30+ days ago
Promoted
REMOTE - CLAIMS PROCESSOR
CollaberaVA, United States
$20.00–$23.00 hourly
Remote
Full-time
Contract : Fairfax, Virginia, US.Days Left : 28 days, 2 hours left.We are seeking a detail-oriented Claims Processor to join our team in a full-time remote role.
The Claims Processor will be responsib...Show moreLast updated: 2 days ago
Promoted
Liability Claims Manager (Health Care)
143 Sentara HealthcareVirginia Beach, VA, US
Permanent
First (Days) (United States of America).Status : Full-Time,permanent position (40 hours).Standard working hours : 8 am to 5 pm EST, M-F.
Location : •ON SITE • Will report to 1330 Sentara Park in Virgini...Show moreLast updated: 12 days ago
Promoted
NEXCOM INTERNSHIP (SAFETY CLAIMS - ACCOUNTING)
Navy ExchangeVirginia Beach, VA, United States
Internship
Title : NEXCOM INTERNSHIP (SAFETY CLAIMS - ACCOUNTING) Location : United States-Virginia-Virginia Beach Other Locations : United States-Virginia-Virginia Beach Job Number : 240003QT Job Summary : Navy E...Show moreLast updated: 4 days ago
Claims Clinical Specialist – Medical Review Team
Genworth FinancialVirginia
$124,600.00 yearly
Remote
Full-time
At Genworth, we empower families to navigate the aging journey with confidence.We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet fam...Show moreLast updated: 30+ days ago
Field Claims Specialist II, Property (Lynchburg, VA)
Nationwide Private ClientRemote, Virginia, US
Remote
Full-time
If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Pro...Show moreLast updated: 22 days ago
501 CSAA Insurance Services, Inc.Virginia, United States
Remote
Full-time
We're Mobilitas, a commercial insurance company created by CSAA Insurance.Our mission is to reinvent commercial insurance in the mobility space by providing technologically advanced solutions for t...Show moreLast updated: 30+ days ago
Insurance Claims Specialist Virginia Beach, VA
GEICOVirginia Beach, VA
$45,000.00 yearly
Full-time
Claims Service Specialist – Virginia Beach, VA.Hybrid role : Training 100% in-office (6-9 months); post training 4 days a week in office and work from home 1 day a week.
United States! If you are mot...Show moreLast updated: 30+ days ago
Claims Representative II
Sentry InsuranceVirginia
Full-time
A Customer Service Professional position requiring creativity, empathy, interpersonal skills and a strong desire to assist customers.
Provides prompt claim investigation, evaluation and settlement o...Show moreLast updated: 30+ days ago
ALTA IT Services is staffing a contract to hire opportunity for a Healthcare Claims Processor to support a leading health insurance customer. The individual will review and adjudicate paper / electronic claims, also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies, and procedures allowing timely considerations to be generated using multiple systems.
Pay rate $23 / HR
100% Remote
Contract to hire
ESSENTIAL FUNCTIONS
Performs claims adjudication for complex medical claims.
Performs regular auditing.
Schedules regular meetings with key provider groups to provide reporting and work through claim resolution issues.
Handles provider phone calls and emails regarding claims.
Generates weekly Claims Resolution reports for management in accordance with schedule set by supervisor.
Requirements :
Required : High school education plus at least 2 years of experience in claims or related field.
Abilities / Skills : Must be detail-oriented, have good time management and organizational skills, analytical skills, written and oral communication skills, PC skills
Knowledge of Microsoft excel, Adobe PDF, ICD-10 and Medicaid.
Having a Laptop / PC
The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him / her ineligible to perform work directly or indirectly on Federal health care programs.