Claims Specialist Jobs in Richmond, VA

Transform business processes by providing analytical support and solutions. Collaborate with teams to identify gaps and implement improvements for operational efficiency, while managing small project...

Innovate product strategies for multiple states, optimizing P&L performance through data-driven analysis, collaboration with cross-functional teams, and strategic recommendations to enhance market com...

Tackle the challenge of driving sales growth through strategic acquisition of new business for Payment Integrity Services. Engage with senior executives, leverage market insights, and enhance customer...

Lead the charge in comprehensive underwriting evaluations, utilizing advanced risk models to shape policy strategies and foster industry relationships for informed business decisions while ensuring co...

Unlock potential by determining risk acceptability and pricing for complex insurance accounts. Collaborate with brokers, analyze claims, and foster relationships to achieve production goals in a fast...

Tackle third-party vendor risks through comprehensive assessments and strategic mitigation plans. Collaborate with cross-functional teams to ensure compliance and enhance risk management practices, su...

Join a team that focuses on enhancing healthcare quality through precise HCC coding. You'll analyze physician documentation, mentor peers, and engage in risk adjustment projects to support compliance...

Pioneer effective risk adjustment coding strategies to enhance healthcare quality. Collaborate with teams to optimize compliance with CMS guidelines and improve documentation accuracy, mentoring staff...

Shape the future of legal compliance by negotiating contracts and providing strategic legal advice. Collaborate with teams to enhance risk management and ensure adherence to security protocols while b...

Elevate the reinsurance placement process by leading treaty negotiations and building strong reinsurer relationships, ensuring compliance and timely execution while aligning with underwriting strategi...

Join a team that cultivates effective sales relationships to drive growth and profitability in a dynamic commercial territory, focusing on innovative sales strategies and agent engagement to achieve f...

Join a team that's shaping healthcare through innovative legal counsel. You'll oversee commercial contracting, guide compliance, and streamline legal operations for critical partnerships in health sys...

Unlock your potential by fostering strong, collaborative customer relationships, executing tailored account plans, and ensuring successful business agreements in a dynamic sales environment...

Elevate patient care by partnering with audiologists and surgeons to provide clinical support, education, and guidance on bone conduction hearing solutions, fostering strong relationships to enhance o...

Champion successful recoveries by guiding injured individuals through tailored treatment plans, collaborating with healthcare providers and employers to ensure cost-effective care and optimal recovery...

Manage the underwriting process for petroleum distribution insurance, evaluating applications and risks to ensure coverage aligns with established guidelines and profitability goals. Build relationshi...

Join a team that drives innovative marketing strategies, enhances website development, and optimizes lead generation efforts across digital channels. Leverage creativity and analytics to increase bran...

Unlock insights while conducting Medicare Advantage analysis and risk assessment. Collaborate on quarterly forecasts and support strategic business decisions to enhance financial performance and optim...

Accelerate progress at an innovative insurance team, driving risk selection, pricing, and relationship-building to achieve growth and profitability in a fast-paced environment. Thrive in a role focuse...

Join a strategic role focusing on retaining and renewing high-value accounts, engaging with C-suite executives to enhance compliance value and ensuring optimal service delivery through consultative co...

Build your expertise as you lead complex compensation processes, analyze data, and collaborate with diverse stakeholders to enhance operational resilience and accuracy in compensation outcomes. Suppor...

Join a dynamic team to analyze and validate Aggregate Stop Loss claims, ensuring compliance and accuracy in expense eligibility. Drive process improvements and produce detailed audit reports while fos...

Elevate your analytical career by supporting Value-Based Care initiatives through financial modeling, vendor performance assessment, and data analysis, while collaborating across teams to drive impact...

Advance business decision-making through actuarial analysis, financial modeling, and risk assessment. Leverage healthcare data to identify savings opportunities, enhance operational efficiencies, and...

Lead complex claims for executive risks by developing strategies, negotiating with insurers, and advising clients throughout the claim lifecycle to ensure optimal outcomes and coverage management...