1623 Forensics Claims Processor Analyst jobs in Richmond,VA

Benefits Coding Analyst

Sentara Health

Richmond, VA 23223

**Certified Professional Coder certification (CPC) (required)**
2+ years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing and /or various payment methodologies (required)
Thorough knowledge of anatomy and medical terminology
Expertise with NCCI (National Correct Coding Initiative) guidelines
Knowledge or direct experience processing Government program or commercial health claims for an MCO
Experience with ICD-10 CM, CPT, HCPCS, QNXT.
**This position is remote however, candidates must be able to commute to our Richmond location.**
Experience resolving billing and claims issues related to benefit to code assignment.

CVS Health

Richmond, VA 23274

Lomenick Agency

Richmond, VA 23223

Capital One

Richmond, VA 23218

PrimeFlight Aviation Services

Richmond, VA 23274

USAA

Richmond, VA 23218

High School Diploma or General Equivalency Diploma.
2 years relevant property adjusting and/or claims adjusting experience handling moderately complex claims or construction related industry/insurance experience.
Developing knowledge of residential construction.
Working knowledge of estimating losses using Xactimate or similar tools and platforms.
Demonstrated negotiation, investigation, communication, and conflict resolution skills.
Working knowledge of property claims contracts and interpretation of case law and state laws and regulations.
Proficient in prioritizing and multi-tasking, including navigating through multiple business applications.
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
May need to travel up to 50% of the year (local & non-local) and/or work catastrophe duty when needed.
Currently hold an active Adjuster License