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Start your career at Sentry! Join our Workers' Comp Claims team and support our policyholders, who with your efforts, view us as a valuable partner. Our Claims Representatives ensure the delivery of quality claim service to our customers, the injured worker, and other parties to the claim while protecting the assets of Sentry. This position will be located at the Richmond,
Posted 1 day ago
Property/Asset Specialist (Ashburn, VA) Job Locations US VA Ashburn Job ID 2024 11021 # of Openings 1 Category Supply Chain Overview LMI seeks a Property/Asset Specialist to support a federal program management office in the National Capital Region (Ashburn, VA). Join our team of collaborative self starters focused on delivering practical and efficient solutions to help o
Posted 1 day ago
Sentara
- Charlottesville, VA
Responsible for review of the clinical information received from physicians, department queues and other clinical providers, ensuring clinical data is substantial enough to authorize services for both 1 time visit account types and recurring accounts. Analyzes clinical information to ensure the services requested are authorized according to clinical and payer protocols. R
Posted 3 days ago
The Appeals Coordinator is responsible for the investigation and documentation of member appeals and grievances in compliance with State law, applicable rules and regulations and provider and group agreements. Works closely with the Plan's Medical Directors who are responsible for all decision regarding clinical appeals/ grievances and the Appeals Manager who is responsib
Posted 3 days ago
MBP
- Raleigh, NC / Fairfax, VA / New York, NY / 5 more...
Claims Analyst Job Locations US NC Raleigh | US VA Fairfax | US NY New York | US VA Richmond | US VA Chesapeake | US FL Tampa | US PA Radnor | US MD Columbia ID 2023 1946 Category Project Controls/Risk Management Type Full Time Regular Overview MBP is looking for Lead Claims Analyst/Senior Claim Analyst , with experience developing and/or providing review and analysis of
Posted 4 days ago
Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions
Posted 4 days ago
Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect
Posted 4 days ago
The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en
Posted 4 days ago
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the
Posted 5 days ago
This position is for an Auto Estimator, handling claims resulting in property damage to vehicles. You may be the first point of contact to meet with our insureds, explain coverage, estimate vehicle damage, and help them through the claims process while providing Remarkable service. This includes Utilizing automated estimating systems to prepare repair estimates Providing
Posted 8 days ago
Universal Health Services (UHS), one of the nation's largest and most respected providers of hospital and healthcare services, one of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. In 2024, UHS was recognized By Newsweek and Plant A Insigh
Posted 8 days ago
Property Adjuster Requisition ID 2024 25013 Job Locations US VA Fairfax Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary Under general supervision and direction, resolves moderately complex residential and commercial property claims by investigating losses, negotiating settlements, prese
Posted 8 days ago
The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically. The Reimbursement Specialist carries out benefit investigation and coordinates Patient Assistance Pro
Posted 8 days ago
Review claims for completeness and accuracy to determine if additional information and/or supporting documentation is required Research and respond to inquiries from members and internal business units Process GAP claims and make decisions within established guidelines and policies Provide claim and contractual information to appropriate internal and external parties Rese
Posted 12 days ago
Claims Specialist AGL Requisition ID 2024 25180 Job Locations US VA Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Administers and resolves non complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and ensures proper and timel
Posted 13 days ago
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