- Evaluate claim submissions for completeness, accuracy, and compliance with applicable federal regulations.
- Perform substantive analysis using government-provided methodologies and decision frameworks.
- Determine eligibility based on established criteria and prepare recommended approvals or denial letters with clear supporting rationale.
-
Kaiva Tech, LLC is seeking Licensed Attorney - Claims Reviewer · Location: Washington, D.C. · Clearance: 5C Public Trust · Position Type: Full-Time, Hybrid/Remote · Position Summary · Kaiva Tech, LLC is seeking a highly analytical and detail-oriented Licensed Attorney to support ...
Washington, District of Columbia, United States $120,000 - $160,000 (USD) per year11 hours ago
-
Kaiva Tech is seeking a Licensed Attorney to review and adjudicate claims under an agency-managed program. · ...
Washington, DC1 month ago
-
Aerotek has an immediate opening for a Claims Review Specialist at the corporate office in Hanover MD Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager the Claims Review Specialist will assist in the monitoring and administeri ...
Glen Burnie $60,000 - $80,000 (USD) OTHER1 month ago
-
Overview · Aerotek has an immediate opening for a Claims Review Specialist (Workers Compensation) at the corporate office in Hanover, MD. · OVERVIEW · Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specia ...
Hanover $60,000 - $80,000 (USD) OTHER1 day ago
-
Aerotek has an immediate opening for a Temporary Claims Review Specialist (Workers Compensation) at the corporate office in Hanover, MD. · ...
Glen Burnie $60,000 - $80,000 (USD) TEMPORARY1 month ago
-
Dane Street seeks experienced Registered Nurses (RNs) to support disability case review process. · Perform clinical reviews of disability claims. · ...
Washington1 month ago
-
We are seeking an experienced Medical Coder - Quality Assurance professional to support a high-volume urgent care provider. · This role will focus heavily on Evaluation & Management (E/M) coding review, pre-payment claim audits, and medical record adjudication. · The ideal candid ...
Washington2 weeks ago
-
This is an excellent opportunity for a certified medical coder seeking a high-impact role with potential for long-term employment. · ...
Washington3 weeks ago
-
Support PPMW's Revenue Cycle activities by assuming a senior role within the medical billing team. · ...
Washington $65,000 - $85,000 (USD) Full time1 month ago
-
The Health Insurance Claims Specialist role will support attorneys by reviewing claim files compiling factual summaries identifying key documents and facilitating legal analysis regarding liability potential defenses exposure valuations and settlement strategies This role can be ...
Washington $78,000 - $119,000 (USD)1 month ago
-
Title: Senior Paralegal (Claims Review) · Location: - Washington, DC Onsite) · Hire Type: Contract · Day to Day Responsibilities: · Works under the direction of a Supervisory Paralegal or a Project Supervisor. · Work products are reviewed prior to submission; however, often deve ...
Washington2 weeks ago
-
Responsibilities & Duties:Claims Processing and Assessment: · Evaluate incoming claims to determine eligibility, coverage, and validity. · Conduct thorough investigations, including reviewing medical records and other relevant documentation. · Analyze policy provisions and contra ...
Washington $20 - $25 (USD)2 weeks ago
-
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partne ...
Washington1 week ago
-
The Sr Coding Specialist position at Houston Methodist Primary Care Group is responsible for applying correct coding conventions to patient charge encounters in a clinical environment.Coding specialists abstract diagnosis and procedural services from physician records and review ...
Washington1 month ago
-
+ Lead coding specialists at Houston Methodist Primary Care Group.+ Abstract diagnosis and procedural services from physician records.+ Review charge review and claim edit related coding errors.<+ Mentor coding specialists,<+ Provide cross-training,+ Collaborate with management o ...
Washington1 month ago
-
Serves as an entry level professional who develops baseline plans for ensuring the integrity and accuracy of claims processes and protocols. · ...
Washington1 month ago
-
Supervise and provides daily direction to multi-functional team members regarding training and development, policies, procedures, and work production quantity and quality. · ...
Washington $62,856 - $129,641 (USD)1 month ago
-
Role Title: Paralegal/Legal Assistant II · Location: Washington, DC 20005 · Duration: 1.5 Year · *Public Trust clearance required · Position details: · Education: Bachelor's degree · Required Skills: · Claims Review, Reporting, SharePoint, MS Office 365 At least two years of liti ...
Washington $52,000 - $92,000 (USD) per year2 weeks ago
-
Job Title: Paralegal (Claim Specialist) · Location: Washington, DC hybrid - 1-2 days per week onsite) · Duration: 2-month contract with 1 year renewal (through end of May 2027) · Job Description: · Working under the direction of a Supervisory Paralegal or Project Supervisor, th ...
Washington $48,000 - $90,000 (USD) per year2 weeks ago
-
Verigent’s client is seeking a Licensed Attorney to support their Department of Education program in reviewing and adjudicating claims submitted under an agency-managed program. · ...
Washington1 month ago
-
This role involves insurance claims (Workers Compensation, liability, auto etc.) applying workers compensation and insurance laws reviewing and resolving claim disputes and issues evaluating medical records billing and treatment plans conducting claim investigations strong writin ...
Washington1 month ago
Licensed Attorney – Claims Reviewer - Washington - Kaiva Tech
Description
Job Title: Licensed Attorney – Claims Reviewer
Kaiva Tech, LLC seeks a licensed attorney to support our federal government customer in reviewing and adjudicating claims.
Key Responsibilities:
The position involves working effectively in a dynamic environment with evolving priorities and processes. The selected candidate must be able to maintain timely professional communication with supervisors and designated government points of contact. They should uphold strict standards of integrity confidentiality professionalism jurisdiction juris Doctor degree from an accredited law school active bar membership strong written verbal skills ability draft clear structured defensible decision letters analyses work remote standard full-time schedule aligned operating hours.
-
Licensed Attorney – Claims Reviewer
Only for registered members Washington, District of Columbia, United States
-
Licensed Attorney – Claims Reviewer
Only for registered members Washington, DC
-
Claims Reviews Specialist
OTHER Only for registered members Glen Burnie
-
Claims Reviews Specialist
OTHER Only for registered members Hanover
-
Temporary Claims Reviews Specialist
TEMPORARY Only for registered members Glen Burnie
-
Registered Nurses
Only for registered members Washington
-
Medical Coder
Only for registered members Washington
-
Medical Coder
Only for registered members Washington
-
Billing Analyst II
Full time Only for registered members Washington
-
Health Insurance Claims Specialist
Only for registered members Washington
-
Senior Paralegal
Only for registered members Washington
-
Claims Examiner
Only for registered members Washington
-
Operations Dispatch Coordinator- Remote
Only for registered members Washington
-
Senior Coding Specialist
Only for registered members Washington
-
Senior Coding Specialist
Only for registered members Washington
-
Auditor/Investigator I
Only for registered members Washington
-
Operations Supervisor
Only for registered members Washington
-
Paralegal/Legal Assistant II
Only for registered members Washington
-
Paralegal (Public Trust Clarence)
Only for registered members Washington
-
Licensed Attorney
Only for registered members Washington
-
Workers Compensation Claims Specialist
Only for registered members Washington