Diedre Moire Corp.Insurance Claims Environmental Diedre Moire Corp.Insurance Claims EnvironmentalEssex, MD$110,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs. Seeking at least 5 years experience reviewing, investigating, and managing claims related to environmental, toxic tort, catastrophic injuries, construction defects, molestation or similar to advise on severe commercial general liability claims.
Metro Public Adjustment499492 Licensed Public Adjuster Metro Public Adjustment499492 Licensed Public AdjusterGlen Burnie, MD$20,000–$65,000 / yearTemporaryContractorPart timePartial on-site (at your home), and partial remote work (at a client's location. Learn how to assess homeowners insurance policies with clients.
Brightview Senior Living, LLCNewCapital Project Manager Brightview Senior Living, LLCCapital Project ManagerBaltimore, MD$95,000–$105,000Under the direction of the Director of Capital Projects, the Capital Project Manager will take on tasks to drive successful project outcomes, playing a critical role in supporting infrastructure development, community improvements, construction, building engineering and fleet management. The Capital Project Manager is responsible for assisting the Director of Capital Projects, Regional Maintenance Directors and the Accounting Department in planning, executing, and delivering capital projects across Brightview Senior Living Communities.
MedStar HealthNewPharmacy Technician MedStar HealthPharmacy TechnicianBaltimore, MD$19.55–$34.25Processes refills and performs data entry of new prescriptions including demographics insurance plans and prescription information under the supervision of a pharmacist and according to policy; brings to the attention of a pharmacist any claims requiring overrides or interventions; troubleshoots insurance claim rejects; and follows up on problem prescriptions. Processes cash check credit card and payroll deduction transactions; secures appropriate signatures; ensures compliance with HIPAA requirements; prepares delivery tickets; reconciles delivery transactions; performs end of day register procedures; runs daily cash report and completes deposits as assigned.
Metro Public Adjustment459763 Public Adjuster Metro Public Adjustment459763 Public Adjusterbaltimore, MDFull timeConduct a virtual walk-through inspection of the property, take some pictures, and fill out about 5 minutes worth of paper work. We are seeking motivated, self-starters in your area, who want to succeed.
WGK Personal Injury LawyersBilingual Personal Injury Legal Assistant WGK Personal Injury LawyersBilingual Personal Injury Legal AssistantBaltimore, MD$25–$31.50 / hourThis includes fielding inbound lead calls, conducting intake interviews in Spanish to gather key facts, assessing case qualification, and guiding eligible clients through the sign-up process in their preferred language. Lost Wage and PIP/Med Pay Claims: You will be responsible for opening and managing first-party claims on behalf of clients, including PIP, MedPay, and lost wage claims.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Middletown, Delaware MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Middletown, DelawareMiddletown, DEFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Newark, Delaware MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Newark, DelawareNewark, DEFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Severna Park, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Severna Park, MarylandSeverna Park, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Millersville, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Millersville, MarylandMillersville, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pasadena, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pasadena, MarylandPasadena, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Bear, Delaware MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Bear, DelawareBear, DEFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Bel Air, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Bel Air, MarylandBel Air, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Essex, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Essex, MarylandEssex, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Parkville, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Parkville, MarylandParkville, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Glen Burnie, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Glen Burnie, MarylandGlen Burnie, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Cockeysville, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Cockeysville, MarylandCockeysville, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Severn, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Severn, MarylandSevern, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Middle River, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Middle River, MarylandMiddle River, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Lutherville Timonium, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Lutherville Timonium, MarylandLutherville Timonium, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Joppa, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Joppa, MarylandJoppa, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Elkton, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Elkton, MarylandElkton, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Halethorpe, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Halethorpe, MarylandHalethorpe, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Abingdon, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Abingdon, MarylandAbingdon, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Baltimore, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Baltimore, MarylandBaltimore, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Nottingham, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Nottingham, MarylandNottingham, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Edgewood, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Edgewood, MarylandEdgewood, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Kennett Square, Pennsylvania MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Kennett Square, PennsylvaniaKennett Square, PAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Aberdeen, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Aberdeen, MarylandAberdeen, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Red Lion, Pennsylvania MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Red Lion, PennsylvaniaRed Lion, PAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Oxford, Pennsylvania MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Oxford, PennsylvaniaOxford, PAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pikesville, Maryland MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pikesville, MarylandPikesville, MDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
CorVel Enterprise Claims, Inc.Workers' Compensation Medical Only Claims Specialist CorVel Enterprise Claims, Inc.Workers' Compensation Medical Only Claims SpecialistNottingham, MD$16.74–$26.92 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
GallagherSenior Workers Compensation Claims Adjuster - VA, DC, MD GallagherSenior Workers Compensation Claims Adjuster - VA, DC, MDBaltimore, MarylandRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.
GallagherSenior Workers Compensation Claims Adjuster - DE, PA, NJ GallagherSenior Workers Compensation Claims Adjuster - DE, PA, NJNewark, DelawareRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.
GallagherSenior Claims Adjuster Workers Compensation GallagherSenior Claims Adjuster Workers CompensationNewark, DelawareRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.
GallagherSenior Lost Time Workers Compensation Claims Adjuster - MD, VA, DC GallagherSenior Lost Time Workers Compensation Claims Adjuster - MD, VA, DCHunt Valley, MarylandRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.
Ultimate Staffing ServicesClaims Administrator Ultimate Staffing ServicesClaims AdministratorSparks, Maryland$55,000–$65,000This entry-level position is ideal for individuals interested in launching a career in insurance and gaining hands-on experience in claims handling. * Proficiency in Microsoft Word, Excel, and Outlook, with the ability to learn new systems quickly.
CorVel Enterprise Claims, Inc.Claims Specialist CorVel Enterprise Claims, Inc.Claims SpecialistNottingham, MD$51,807–$83,551 / yearPart timeThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Sun Life FinancialSenior Manager, Insurance and Claims Advocacy Sun Life FinancialSenior Manager, Insurance and Claims AdvocacyBaltimore, MD$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
CorVel CorpClaims Specialist CorVel CorpClaims Specialistnottingham, MD$51,807–$83,551 / yearThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
AECOMContract Claims Manager AECOMContract Claims ManagerBaltimore, MD$140,000–$182,272.43 / yearWe invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. The Claims Manager will be responsible for coordinating and reviewing potential contract changes; engaging in claims avoidance activities; and engaging, strategizing, and working with construction oversight teams to support merit assessments and resolution of claims.
Lumen Solutions Group, Inc.Claims Analyst (Enrollment & EDI) Lumen Solutions Group, Inc.Claims Analyst (Enrollment & EDI)Baltimore, MDThis role will focus on onboarding vendors and brokers, managing enrollment processes, and supporting data exchanges related to ACA marketplace offerings, including ICHRA programs. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.
TriWest Healthcare AllianceSupervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminBaltimore, MDRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
TriWest Healthcare AllianceClaims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystBaltimore, MDRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
TriWest Healthcare AllianceClaims Escalation Rep TriWest Healthcare AllianceClaims Escalation RepBaltimore, MDRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.
TriWest Healthcare AllianceClaims Reviewer TriWest Healthcare AllianceClaims ReviewerBaltimore, MDRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
Lumen Solutions Group IncClaims Analyst (Enrollment & EDI) Lumen Solutions Group IncClaims Analyst (Enrollment & EDI)Baltimore, MDFull timeThis role will focus on onboarding vendors and brokers, managing enrollment processes, and supporting data exchanges related to ACA marketplace offerings, including ICHRA programs. Role: Claims Analyst (Enrollment & EDI) Location: Baltimore, MD (Remote) Type: Contract-to-Hire (C2H) Job Overview: We are seeking a detail-oriented Functional Analyst to support enrollment operations within a healthcare insurance environment.
Lumen Solutions Group IncClaims Processor Lumen Solutions Group IncClaims ProcessorBaltimore, MDRemoteFull timeKey Responsibilities Process medical claims accurately and efficiently in a high-volume environment Navigate the Facets G6 production platform to review and adjudicate claims Research, evaluate, and resolve claim discrepancies, edits, and errors Utilize internal tools such as SIR, TI Portal, and GuidingCare (if experienced) Maintain compliance with company policies and regulatory requirements Collaborate with supervisors and team members to meet quality and productivity goals Participate in a structured, instructor-led virtual training program Manage time effectively while working independently in a remote setting Required Skills & Experience Experience with: Stored Information Retrieval (SIR) Transaction Insight (TI Portal Database) HealthEdge GuidingCare Experience with HMO and PPO claims workflows Prior experience supporting Blue Cross Blue Shield plans ***Lumen and / or its clients will not provide equipment (Laptop, monitor, etc.) to the selected contractor. Role: Claims Processor Location: Remote Type: Contract Position Summary We are seeking experienced Claims Processors to join our remote team supporting the HMO and PPO lines of business.
AerotekClaims Reviews Specialist (Workers Compensation) AerotekClaims Reviews Specialist (Workers Compensation)Hanover, MarylandPrepares for and attends Claim Review Conference with TPA to evaluate individual cases; reviews, and adjusts financial reserves of claims; negotiates with TPA the settlement of claims within established authority and work together to develop detailed and doable Plans of Actions. Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specialist will assist in the monitoring and administering of Aerotek's workers compensation program to ensure the maximum cost containment.