Regional Claims Manager jobs in Norfolk, VA

Regional Claims Manager manages the operations of an insurance claims department to meet operational, financial, and service requirements. Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Regional Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Regional Claims Manager recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation. Typically requires a bachelor's degree. Typically reports to top management. The Regional Claims Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Regional Claims Manager typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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Manager Rating/Claims Analysts
  • Elevance Health
  • Norfolk, VA FULL_TIME
    • Job Family: IFT > IT Bus Systems Solutions Planning
    • Type: Full time
    • Date Posted: Apr 09, 2024
    • Anticipated End Date: Apr 23, 2024
    • Reference: JR112047

    Description

    Manager Rating/Claims Analysts

    Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations listed here: Norfolk, VA; Atlanta, GA; Cincinnati, OH; Richmond, VA.

    The Manager Rating/Claims Analysts will be responsible for managing the day to day workload/workflow for team members. Ensures that needs of all business partners are considered and appropriately met.

    How you will make an impact:

    • Sets direction for the team and associated systems.

    • Acts as a liaison to other teams in regards to systems work and provides subject matter expertise.

    • Works with business partners to address obstacles and communicates both feasibility and status of various requests.

    • Educates business partners as to the process and functionality of the associated systems.

    • May participate in systems analyst work.

    • Hires, trains, coaches, counsels and evaluates performance of direct reports.

    Minimum Requirements:

    • Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 8 years systems analyst or business analyst experience; or any combination of education and experience, which would provide an equivalent background.

    Highly Preferred Skills, Capabilities, and Experiences:

    • Medicaid/Medicare experience preferred.

    Preferred Skills, Capabilities, and Experiences:

    • Agile and JIRA experience strongly preferred.

    • People Management experience preferred.

    • Claims operations experience preferred.

    • Facets claims system experience preferred.



    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. 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.

    How We Work

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    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 elevancehealthjobssupport@elevancehealth.comfor assistance.

  • 14 Days Ago

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Care Manager
  • Chesapeake Regional Healthcare
  • Chesapeake, VA FULL_TIME
  • The Care Manager combines clinical expertise with knowledge of medical appropriateness criteria, and applies principles of utilization and quality management, discharge planning and the management of ...
  • Just Posted

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Program Manager
  • NANA Regional Corporation
  • Portsmouth, VA OTHER
  • NANA Regional Corporation
  • 1 Day Ago

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Lab Manager II
  • Chesapeake Regional Healthcare
  • Chesapeake, VA FULL_TIME
  • Summary The Lab Manager is responsible for the overseeing of clinical/technical areas of the laboratory and personnel performance testing. These responsibilities include evaluating employee performanc...
  • 22 Days Ago

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RN Nurse Manager
  • Chesapeake Regional Healthcare
  • Chesapeake, VA FULL_TIME
  • Summary:# The Nurse Manager is responsible for and performs unit management functions and fiscal management for the unit. Conducts and manages performance improvement activities, develops and monitors...
  • 29 Days Ago

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Manager, Diabetes & Nutrition Services
  • Chesapeake Regional Healthcare
  • Chesapeake, VA FULL_TIME
  • Summary The Manager of Diabetes and Nutrition Services is responsible for managing outpatient Diabetes Self-Management Education Program and outpatient Nutrition Services. In accordance with the Natio...
  • 1 Month Ago

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0 Regional Claims Manager jobs found in Norfolk, VA area

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Construction Superintendent
  • Oakmont Contracting LLC
  • Norfolk, VA
  • Job Description Job Description Construction Superintendent Position Description: Leads, directs, and coordinates the wo...
  • 4/26/2024 12:00:00 AM

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Internal Revenue Agent (Fed State Local Gvmt Spec - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • Norfolk, VA
  • Duties WHAT IS THE TAX EXEMPT & GOVERNMENT ENTITIES (TE/GE) DIVISION? A description of the business units can be found a...
  • 4/26/2024 12:00:00 AM

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Medical Billing Specialist
  • Regional Business Office
  • Norfolk, VA
  • Overview: Employment Type: Full Time In-Office Position Benefits: M/D/V, Life Ins., 401(k) Norfolk, Virginia Pay Range: ...
  • 4/26/2024 12:00:00 AM

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Supervisory Store Associate
  • Defense Commissary Agency
  • Portsmouth, VA
  • Summary Serves as a Supervisory Store Associate in a commissary store at a Defense Commissary Agency (DeCA) facility. Th...
  • 4/26/2024 12:00:00 AM

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Customer Service Representative | VA | Portsmouth | 07 Jul 2021
  • CARSTAR Franchising, Inc.
  • Portsmouth, VA
  • Customer Service Representative **Customer Service Representative - CARSTAR Advantage Collision Center** **JOB SUMMARY**...
  • 4/26/2024 12:00:00 AM

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QUALIFIED INTELLECTUAL DISABILITIES PROFESSIONAL MANAGER
  • BrightSpring Health Services
  • Norfolk, VA
  • Our Company ResCare Community Living Overview The Qualified Intellectual Disabilities Professional (QIDP) Manager overse...
  • 4/25/2024 12:00:00 AM

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Police Officer
  • Department of Defense
  • Portsmouth, VA
  • Summary You will serve as a Police Officer for the DEPARTMENT OF THE NAVY. Learn more about this agency Help Overview * ...
  • 4/25/2024 12:00:00 AM

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Project Manager
  • Flatiron Construction Corp
  • Norfolk, VA
  • As a Project Manager on the multibillion dollar Hampton Roads Bridge Tunnel expansion project, you will Manage a single ...
  • 4/24/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 96 square miles (250 km2), of which 54 square miles (140 km2) is land and 42 square miles (110 km2) (43.9%) is water. Norfolk is located at 36°55′N 76°12′W / 36.917°N 76.200°W / 36.917; -76.200 (36.8857° N, 76.2599° W) The city is located at the southeastern corner of Virginia at the junction of the Elizabeth River and the Chesapeake Bay. The Hampton Roads Metropolitan Statistical Area (officially known as the Virginia Beach-Norfolk-Newport News, VA-NC MSA) is the 37th largest in the United States, with an estimated...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Regional Claims Manager jobs
$151,035 to $211,530
Norfolk, Virginia area prices
were up 1.2% from a year ago

Regional Claims Manager in Tucson, AZ
As a Regional Contract Claims Manager, located in our Broomfield, CO office, you will have responsibility for claims management within your assigned region.
December 13, 2019
Regional Claims Manager in Las Cruces, NM
Paul Martin of Colorado seek an unspecified amount of damages against defendants Shelly Reams, former administrator of the Wyoming Aeronautics Commission; members of the Cheyenne Regional Airport Board; Dave Haring, manager of the Cheyenne airport; and Great Lakes Aviation.
February 18, 2020
Regional Claims Manager in Passaic, NJ
Aligning performance of regional teams, to support delivery of the wider Third-Party Claims Targets & Objectives.
January 16, 2020