Claims Resolution Expert

2 weeks ago


Glen Allen, Virginia, United States Jobot Full time
Career Opportunity

We are seeking a highly skilled Claims Resolution Expert to join our team. As a key member of our organization, you will be responsible for managing the settlement of complex claims and suit files independently.

Job Summary

The ideal candidate will possess seven or more years of experience in handling claims, including advanced skills in coverage, investigation, litigation, negotiation, salvage, and subrogation. Strong knowledge of medical terms and legal issues is essential. Excellent computer skills are also required.

Responsibilities
  • Manage the settlement of complex claims and suit files independently
  • Analyze and interpret policies to resolve coverage and assess liability
  • Handle complex Commercial General Liability claims
  • Investigate losses, negotiate settlements, and present evidence in legal proceedings
  • Properly document information in claim files and review insurance policies for coverage
Benefits

A competitive salary of $90,000 - $120,000 per year and a dynamic work environment are just some of the benefits of joining our team. We prioritize exceptional culture and employee engagement, making us one of the best places to work in the Financial Services & Insurance Industry.



  • Glen Allen, Virginia, United States Qualified Staffing Full time

    Job SummaryWe are seeking a highly skilled Medical Claims Billing Specialist to join our team at Qualified Staffing in Glen Allen, VA. This role involves ensuring timely reimbursement for submitted claims and providing excellent customer service to key decision makers.Key Responsibilities:Respond to customer inquiries regarding statements and resolve issues...


  • Glen Allen, Virginia, United States Jobot Full time

    About UsAs a leading insurance company, we take pride in our exceptional culture and commitment to employee growth and development. Our team is dedicated to delivering innovative solutions for our clients and maintaining a positive work environment.Salary Range: $70,000 - $90,000 per yearJob DescriptionWe are seeking an experienced Claims Adjuster to join...


  • Glen Allen, Virginia, United States Qualified Staffing Full time

    Job OverviewWe are seeking a highly organized and detail-oriented Medical Claims Associate to join our team. This role is ideal for individuals with experience in insurance billing, claims management, and customer service.ResponsibilitiesProcess product returns from customers and ensure refunds are properly processed to insurance companies.Communicate...


  • Glen Allen, Virginia, United States LHH Recruitment Solutions Full time

    Job OverviewLHH Recruitment Solutions is seeking an experienced Medical Billing Specialist for a client in Richmond, VA. This role requires strong knowledge of private and government insurance, excellent communication skills, and the ability to identify discrepancies and handle appeals and denials effectively.Estimated Salary: $18.00 to $20.00 per hourKey...


  • Glen Allen, Virginia, United States Qualified Staffing Full time

    ResponsibilitiesResearch and resolve overpayments with claims, including refunding and communicating with insurance companies or customers.Identify discrepancies and effectively work towards their resolution or communicate to other personnel for resolution as appropriate.Monitor refunds to ensure properly retracted by payers. If not retracted, investigate...


  • Glen Allen, Virginia, United States HOME CARE DELIVERED, INC. Full time

    About the RoleWe are looking for a detail-oriented Revenue Credit Reviewer to work onsite at our Glen Allen, VA office.Key ResponsibilitiesThe ideal candidate will have experience with insurance billing and collections, as well as proficiency in Microsoft Office.Responsible for researching and resolving overpayments with claims, including refunding and...


  • Glen Allen, Virginia, United States LHH Recruitment Solutions Full time

    Are you a detail-oriented professional with a passion for medical billing and accounts receivable?Job OverviewLHH Recruitment Solutions is seeking an experienced Medical Billing Specialist to join our team in Glen Allen, VA. As a key member of our team, you will be responsible for processing medical claims, following up on outstanding accounts receivable,...


  • Glen Allen, Virginia, United States LHH Recruitment Solutions Full time

    Medical Billing and Collections Specialist Job OpportunityWe are seeking an experienced Medical Insurance Billing and Collections Specialist to join our team in Richmond, VA. This role requires a strong understanding of private and government insurance, excellent communication skills, and the ability to identify discrepancies and handle appeals and denials...


  • Glen Allen, United States Qualified Staffing Full time

    Job DescriptionJob DescriptionHave you dealt with insurance returns and refunds? Do you have experience in Medical Billing, specifically in claims, denials, and appeals? Our client, a national medical supply company in Glen Allen, is now hiring Medical Claims Returns Associates! Position: Medical Claims Returns AssociateLocation: Glen Allen, VACompensation:...


  • Glen Allen, United States Qualified Staffing Full time

    Job DescriptionJob DescriptionDo you have a strong attention to detail? Have you worked in Medical Billing, specifically in claims, denials, and appeals? Our client, a national medical supply company in Glen Allen, is now hiring Medical Claims Credit Reviewers! Position: Medical Claims Credit ReviewerLocation: Glen Allen, VACompensation: $18-19/HR – Based...


  • Glen Burnie, Maryland, United States APWU AFL-CIO HEALTH PLAN Full time

    Job DescriptionWe are seeking a Senior Claims Operations Leader to join our team at APWU AFL-CIO HEALTH PLAN. This is an exciting opportunity for a results-driven professional to lead and manage a team of claims analysts, ensuring efficient and effective claims processing.About the RoleThis position reports directly to the Manager, Claims Department and is...


  • Glen Burnie, Maryland, United States APWU AFL-CIO HEALTH PLAN Full time

    Job SummaryWe are seeking a highly skilled and experienced Senior Claims Inventory Supervisor to join our team at the APWU AFL-CIO HEALTH PLAN. The ideal candidate will have a proven track record of managing claims inventory and review processes, with a strong focus on timely and accurate processing.About the RoleThe Senior Claims Inventory Supervisor will...

  • Medical Biller

    2 days ago


    Glen Allen, United States LHH Recruitment Solutions Full time

    Job DescriptionJob DescriptionJob Title: Medical BillerLocation: Glen Allen, VA 23060Employment Type: Contract to Hire Start Date: ASAPPosition Overview:LHH Recruitment Solutions is excited to partner with a dynamic healthcare client in Glen Allen, VA, to find an experienced and detail-oriented Medical Biller. This role requires someone with a strong...


  • Glen Allen, United States USI Holdings Corporation Full time

    Start Date: July 7, 2025General Description: The Employee Benefits Account Representative Career Development Program provides in-depth training to prepare associates for client-facing and customer-oriented roles. Throughout the training program, associates join a mentorship business group, led by industry experts, to further develop skills while increasing...


  • Glen Allen, United States USI Holdings Corporation Full time

    Start Date: July 7, 2025General Description: The Employee Benefits Account Representative Career Development Program provides in-depth training to prepare associates for client-facing and customer-oriented roles. Throughout the training program, associates join a mentorship business group, led by industry experts, to further develop skills while increasing...


  • Glen Allen, United States LHH Recruitment Solutions Full time

    Job DescriptionJob DescriptionLHH is seeking experienced Medical Insurance Billing and Collections Specialists for an opportunity with one our clients in Richmond, VA. This role requires a strong understanding of both private and government insurance, excellent communication skills for interacting with insurance companies, and the ability to identify...


  • Allen, United States Government Employees Insurance Company Full time

    Personal Injury Examiner at Government Employees Insurance Company summary: As a Personal Injury Examiner, you will assist customers with auto insurance claims by investigating medical necessity and evaluating the validity of personal injury claims. You'll collaborate with involved parties, assess medical information, and monitor case files throughout...


  • Glen Allen, United States RadGov Inc. Full time

    Job Description:HybridWeb Cam Interview OnlyOversee and control comprehensive IT Systems and programs in alignment with the strategic goals of the agency to monitor, provide corrective measures for errors and produce strategies for new requirements.The System Administrator (SA) serves as the highest-level technical experts. The administrator uses advanced...


  • Glen Allen, United States RadGov Inc. Full time

    Job Description:HybridWeb Cam Interview OnlyOversee and control comprehensive IT Systems and programs in alignment with the strategic goals of the agency to monitor, provide corrective measures for errors and produce strategies for new requirements.The System Administrator (SA) serves as the highest-level technical experts. The administrator uses advanced...

  • System Administrator

    3 hours ago


    Glen Allen, United States ARK Solutions, Inc. Full time

    Job Title: System AdministratorLocation: Glen Allen, VAHybrid RoleABOUT THE ROLE:Oversee and control comprehensive IT Systems and programs in alignment with the strategic goals of the agency to monitor, provide corrective measures for errors and produce strategies for new requirements.The System Administrator (SA) serves as the highest-level technical...


  • Glen Allen, United States Astyra Corporation Full time

    Job DescriptionJob DescriptionGoAnywhere MFT Administrator*This is a hybrid position Description:Oversee and control comprehensive IT Systems and programs in alignment with the strategic goals of the agency to monitor provide corrective measures for errors and produce strategies for new requirements.The System Administrator SA serves as the highest-level...


  • glen allen, United States Rose International Full time

    Date Posted: 12/26/2024 Hiring Organization: Rose International Position Number: 475946 Job Title: System Administrator Job Location: Glen Allen, VA, USA, 23060 Work Model: Hybrid Employment Type: Temporary Estimated Duration (In months): 7 Min Hourly Rate ($): 40.00 Max Hourly Rate ($): 43.00 Must Have Skills/Attributes: CMDB,...


  • glen allen, United States Rose International Full time

    Date Posted: 12/26/2024 Hiring Organization: Rose International Position Number: 475946 Job Title: System Administrator Job Location: Glen Allen, VA, USA, 23060 Work Model: Hybrid Employment Type: Temporary Estimated Duration (In months): 7 Min Hourly Rate ($): 40.00 Max Hourly Rate ($): 43.00 Must Have Skills/Attributes: CMDB,...


  • Glen Allen, United States Rose International Full time

    Date Posted: 12/26/2024 Hiring Organization: Rose International Position Number: 475946 Job Title: System Administrator Job Location: Glen Allen, VA, USA, 23060 Work Model: Hybrid Employment Type: Temporary Estimated Duration (In months): 7 Min Hourly Rate ($): 40.00 Max Hourly Rate ($): 43.00 Must Have Skills/Attributes: CMDB, Documentation,...


  • Glen Allen, United States USI Holdings Corporation Full time

    General Description: Manage complex clients as the primary service contact. Responsible for client satisfaction, providing excellent customer service and leadership to accounts. Includes strategic planning responsibilities. **This position offers a hybrid schedule in which the employee will work in our Richmond office on Tuesday and Wednesday and the...


  • Glen Allen, United States USI Holdings Corporation Full time

    General Description: Manage complex clients as the primary service contact. Responsible for client satisfaction, providing excellent customer service and leadership to accounts. Includes strategic planning responsibilities. **This position offers a hybrid schedule in which the employee will work in our Richmond office on Tuesday and Wednesday and the...


  • Glen Burnie, Maryland, United States Bob Bell Ford Hyundai Full time

    **Warranty Administration Role**This exciting opportunity at Bob Bell Ford Hyundai requires a skilled and dedicated individual to oversee warranty processes and maintain accurate records. The ideal candidate will possess strong analytical and problem-solving skills, with the ability to work independently and collaboratively as part of a dynamic...


  • Blooming Glen, United States JAG Physical Therapy Full time

    About JAG Physical TherapyJAG Physical Therapy is a leading healthcare provider specializing in sports medicine and athletic training services. Our team of experts delivers high-quality care to individuals and organizations, ensuring compliance with industry standards.Job SummaryWe are seeking a skilled Sports Medicine Specialist to join our team at JAG...