Claims Representative I
2 weeks ago
We are seeking a highly motivated and detail-oriented Claims Representative I to join our team at Elevance Health. As a Claims Representative I, you will be responsible for processing and analyzing claims for payment, ensuring that all necessary information is provided and that payments are made in a timely manner.
Key Responsibilities- Process and analyze claims for payment, ensuring that all necessary information is provided
- Research and resolve claims issues in a timely and efficient manner
- Communicate with claimants, providers, and other stakeholders to resolve claims issues
- Maintain accurate and up-to-date records of claims processing and resolution
- Meet productivity and quality standards for claims processing and resolution
- High school diploma or equivalent required
- Related experience in claims processing or a related field preferred
- Good communication and analytical skills required
- Ability to work in a fast-paced environment and meet productivity and quality standards
- Previous experience in claims processing or a related field
- Knowledge of insurance regulations and laws
- Ability to work in a team environment and communicate effectively with colleagues and stakeholders
Elevance Health is a health company dedicated to improving lives and communities. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs, medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
-
Claims Representative I
2 weeks ago
Norfolk, Virginia, United States Elevance Health Full timeJob SummaryWe are seeking a Claims Representative I to join our team at Elevance Health. As a Claims Representative I, you will be responsible for processing claims forms for payment, researching and analyzing claims issues, and working under direct supervision to ensure accurate and timely processing of claims.Key ResponsibilitiesProcess claims forms for...
-
Claims Representative I
3 weeks ago
Norfolk, Virginia, United States Elevance Health Full timeJob Title: Claims Representative IWe are seeking a highly motivated and detail-oriented Claims Representative I to join our team at Elevance Health. As a Claims Representative I, you will play a critical role in ensuring the smooth processing of claims and providing excellent customer service to our members.Key Responsibilities:Process and analyze claims...
-
Customer Service Representative I
2 weeks ago
Norfolk, Virginia, United States Sentara Healthcare Full timeJob SummaryAs a Customer Service Representative I at Sentara Healthcare, you will play a critical role in delivering exceptional patient experiences. Your primary responsibility will be to handle incoming calls and provide timely resolutions to eligibility, claim, and payment issues, as well as patient scheduling and referral concerns.Key...
-
Investigator I
4 weeks ago
Norfolk, Virginia, United States Elevance Health Full timeJob Title: Investigator IJob Summary:We are seeking a skilled Investigator I to join our team at Elevance Health. As an Investigator I, you will be responsible for investigating assigned cases, collecting and analyzing claim data to detect fraudulent, abusive, or wasteful activities.Key Responsibilities:Conduct thorough investigations of assigned cases,...
-
Investigator I
4 weeks ago
Norfolk, Virginia, United States Elevance Health Full timeJob Title: Investigator IJob Summary:We are seeking a skilled Investigator I to join our team at Elevance Health. As an Investigator I, you will be responsible for investigating assigned cases, collecting and analyzing claim data to detect fraudulent, abusive, or wasteful activities.Key Responsibilities:Conduct thorough investigations of assigned cases,...
-
Customer Service Representative
3 weeks ago
Norfolk, Virginia, United States Elevance Health Full timeJob Title: Customer Care Representative IElevance Health is seeking a highly skilled and compassionate Customer Care Representative I to join our team. As a trusted advisor and educator, you will play a critical role in providing exceptional customer service to our members, addressing their inquiries, and resolving their concerns.Key Responsibilities:Respond...
-
Customer Service Representative I
1 week ago
Norfolk, Virginia, United States Hampton Roads Transit Full timeJob Summary: We are seeking a highly skilled Customer Service Representative I to join our team at Hampton Roads Transit. As a key member of our customer service team, you will be responsible for providing exceptional customer service to our passengers, responding to inquiries, and resolving issues in a timely and professional manner.Key...
-
Customer Service Representative
7 days ago
Norfolk, Virginia, United States Sentara Healthcare Full timeJob SummaryAs a Customer Service Representative at Sentara Healthcare, you will be responsible for handling incoming calls to effectively address eligibility, claim, and payment issues or patient scheduling, referral issues. You will also provide off-phone assistance to customers and department leadership.Key ResponsibilitiesHandle incoming calls to address...
-
Hospital Charge Auditor I
1 week ago
Norfolk, Virginia, United States Sentara Full timeJob SummaryAs a Hospital Charge Auditor I at Sentara Norfolk General Hospital, you will provide system-wide support for designated clinical Department(s) charge audit and billing functions. Your role will involve auditing billing records with a high degree of accuracy and comprehensive knowledge of charges, patient types, and billing systems.You will engage...
-
Customer Service Representative I
2 weeks ago
Norfolk, Virginia, United States Hampton Roads Transit Full timeJob SummaryAs a Customer Service Representative I at Hampton Roads Transit, you will be responsible for providing exceptional customer service to the general public, customers, visitors, and other interested parties. You will provide information regarding activities conducted at the establishment, location of departments, offices, and employees within the...
-
Investigator I
2 months ago
Norfolk, Virginia, United States Elevance Health Full timeAbout the Role:We are seeking a skilled Investigator I to join our team at Elevance Health. As a key member of our organization, you will play a critical role in detecting and preventing healthcare fraud, abuse, and wasteful practices.Key Responsibilities:Conduct thorough investigations of assigned cases, analyzing claim data and reviewing professional and...
-
Customer Service Representative
2 weeks ago
Norfolk, Virginia, United States Sentara Healthcare Full timeJob SummaryWe are seeking a highly skilled and compassionate Customer Service Representative to join our team at Sentara Healthcare. As a key member of our customer service team, you will be responsible for handling incoming calls and providing exceptional support to our patients and customers.Key ResponsibilitiesHandle incoming calls and respond to customer...
-
Nurse Case Manager I
7 days ago
Norfolk, Virginia, United States Elevance Health Full timeJob SummaryWe are seeking a skilled Nurse Case Manager I to join our team at Elevance Health. This role is responsible for providing care management services to members with complex and chronic care needs.Key ResponsibilitiesAssess and develop individualized care plans to address member health needsCoordinate internal and external resources to meet...
-
Customer Service Representative
2 weeks ago
Norfolk, Virginia, United States Insight Global Full timeJob OverviewInsight Global is seeking a Teleservice Representative to join their Policy Owner Services group.Responsibilities will include:Answering inbound calls from customers and assisting with questions or concerns related to their products, policy benefits, claim payments, and policy changes.Transferring calls to the appropriate department as...
-
Customer Service Representative I
7 days ago
Norfolk, Virginia, United States Hampton Roads Transit Full timeJob SummaryWe are seeking a highly skilled Customer Service Representative to join our team at Hampton Roads Transit. As a Customer Service Representative, you will be responsible for providing exceptional customer service to our customers, answering their inquiries, and resolving their issues in a timely and professional manner.Key ResponsibilitiesCustomer...
-
Mechanic I Position
2 weeks ago
Norfolk, Virginia, United States Hampton Roads Transit Full timeJob SummaryWe are seeking a highly skilled Mechanic I to join our team at Hampton Roads Transit. As a Mechanic I, you will be responsible for diagnosing and repairing complex vehicle malfunctions, performing preventive maintenance, and ensuring the safe and efficient operation of our fleet.Key ResponsibilitiesDiagnose and repair vehicle malfunctions using...
-
Utilization Management Representative
7 days ago
Norfolk, Virginia, United States ICONMA Full timeJob Summary:As a Utilization Management Representative at ICONMA, you will play a crucial role in coordinating cases for precertification and prior authorization review. This position requires strong analytical and communication skills to determine contract and benefit eligibility, provide authorization for inpatient admission, outpatient precertification,...
-
Investigator I
2 weeks ago
Norfolk, Virginia, United States Elevance Health Full timeAbout the Role:This position will work in a hybrid model, with a mix of remote and office work. The ideal candidate will live within 50 miles of one of our Elevance Health locations.Carelon Payment Integrity is a proud member of the Elevance Health family of companies. Our team is dedicated to recovering, eliminating, and preventing unnecessary medical...
-
Mechanic I Position
3 weeks ago
Norfolk, Virginia, United States Hampton Roads Transit Full timeJob SummaryWe are seeking a skilled Mechanic I to join our team at Hampton Roads Transit. As a Mechanic I, you will be responsible for diagnosing and repairing various types of transit and support vehicles, ensuring they are safe and reliable for our passengers.Key ResponsibilitiesDiagnose and repair vehicle malfunctions, perform preventive maintenance, and...
-
Norfolk, Virginia, United States Flatiron Construction Full timeFlatiron Construction is seeking an exceptional Senior Contracts Manager to oversee project controls and activities for our high-profile HRBT project.The $3.3 billion Design Build project will be the largest civil construction contract ever awarded by the Virginia Department of Transportation (VDOT). The project scope spans a 9-mile section of the I-64,...