NewSenior Claims Specialist Summit ConsultingSenior Claims SpecialistMarylandRemoteStrategically orchestrates and leads comprehensive claims investigations to confirm coverage and to determine liability, compensability and damages. Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service.
Senior Claims Specialist Great American Insurance CompanySenior Claims SpecialistMaryland, MDRemoteStrategically orchestrates and leads comprehensive claims investigations to confirm coverage and to determine liability, compensability and damages. Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service.
Process Consultant, Stop Loss Claims Sun Life FinancialProcess Consultant, Stop Loss ClaimsBaltimore, MD$60,400–$90,600 / 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. Job Description: The opportunity: The Process Consultant, Stop Loss Claims is accountable for process governance, end-to-end documentation strategy, and continuous improvement that strengthens quality, compliance, scalability, and risk management within Stop Loss Claims Operations.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryMD$70,000–$80,000 / yearTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Claims Examiner - Liability | PIP/NO FAULT | Jurisdiction: FL, NY, MI, MD | Licensing: FL and NY preferred - Remote Sedgwick Claims Management Services, Inc.Claims Examiner - Liability | PIP/NO FAULT | Jurisdiction: FL, NY, MI, MD | Licensing: FL and NY preferred - RemoteMDRemote$60,000–$75,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze PIP/ No Fault claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Commercial Claims Insurance Analyst - Remote CSAA Insurance GroupCommercial Claims Insurance Analyst - RemoteMDRemote$99,855–$110,950 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 15 more}. Your Work: Performs complex data analysis for assigned client groups, evaluating findings in relation to broader business objectives Collaborates with cross-functional partners outside of IPM/IPO to gather insights, validate findings, and gain alignment on recommended actions.
Claims Examiner Workers' Comp I Maxim Healthcare Services IncClaims Examiner Workers' Comp IColumbia, MDParticipates in calls with local offices, third-party administrators (TPAs), medical providers, attorneys, and other Maxim team members, in order to agree upon, communicate, and execute claim handling plans. Working independently and in coordination with other WC team members, the WC Examiner I will consult with the WC Manager regarding reserve adjustments, a plan of action, and the appropriate settlement value of assigned claim files.
ServiceNow Claims Lead Engineer The Fortegra Group IncServiceNow Claims Lead EngineerWashington, DC$120,000–$180,000 / yearThe platform leverages ServiceNow Customer Service Management (CSM), App Engine, and Integration Hub with extensive scripted customizations and complex integrations across policy administration, financial systems, and enterprise data platforms. This role is focused on architecture, design, and hands-on development, working closely with engineering leadership, product stakeholders, and a Software Integrator (SI) to deliver scalable, high-quality solutions.
Stop Loss Claims Resolution Consultant Sun Life Financial IncStop Loss Claims Resolution ConsultantBaltimore, MD$54,100–$81,200 / yearThis role combines deep technical expertise as a Stop Loss Health Claims Analyst with responsibility for managing end-to-end inquiry resolution, including research, claim determination support, documentation review, and clear customer communication. Through 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.
Assistant County Attorney III, Chief of Claims Management - Non-Merit Baltimore County MarylandAssistant County Attorney III, Chief of Claims Management - Non-MeritTowson, MD$95,880–$151,097 / yearUnder the general supervision of the Deputy County Attorney, supervises liability and worker's compensation claims against the Baltimore County Self Insurance Fund; supervises administrative staff (excluding attorneys) handling primarily first party and property damage claims; utilizes working knowledge within office setting, providing guidance and technical assistance in order to meet unit goals. Prepares and tries complex cases on behalf of the Baltimore County government in State appellate and Federal courts and the Circuit Court of Baltimore County; prepares briefs, interrogatives, motions and other documents necessary for the proper defense of the County.
Complex Claims Consultant - Epl, Private & NFP D&O CNA Financial Corp.Complex Claims Consultant - Epl, Private & NFP D&OTimonium, MD$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OTimonium, MD$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
SENIOR (MAINFRAME) PROGRAMMER ANALYST - CLAIMS TEAM (IT PROGRAMMER ANALYST, LEAD/ ADVANCED (FULL-TIME CONTRACTUAL)) State of MarylandSENIOR (MAINFRAME) PROGRAMMER ANALYST - CLAIMS TEAM (IT PROGRAMMER ANALYST, LEAD/ ADVANCED (FULL-TIME CONTRACTUAL))Baltimore City, MDExperience: Six years of experience, two years of experience designing, developing, testing, implementing and maintaining applications systems and programs using generally accepted computer programming languages or other developmental tools and an additional four years of experience converting data from project specifications by writing program code using generally accepted computer programming languages or other developmental tools. Candidates may substitute the possession of a Bachelor''s degree from an accredited college or university in Information Technology, Computer Science, Management Information Systems, or other information technology related field and two years of experience designing, developing, testing, implementing and maintaining applications systems and programs using generally accepted computer programming languages or other developmental tools for the required experience.
Risk Claims Coordinator Keller North America, Inc.Risk Claims CoordinatorHanover, Maryland$70,000–$100,000 / yearThe North American Division is part of Keller Group plc, which is publicly traded on the London Stock Exchange and is the largest international ground engineering firm. Actual salary will be based on a variety of factors including relevant internal and external experience, knowledge, skills, scope of job, geographical location or other factors permitted by law .
Healthcare Claims Functional Analyst Glint Tech Solutions LLCHealthcare Claims Functional AnalystBaltimore, MDThe role also involves providing operational support, root cause analysis, testing, and documentation to ensure efficient claims processing operations. Research and resolve operational and systems issues by gathering facts, identifying root causes, and facilitating practical solutions.
Healthcare Claims Functional Analyst Glint Tech SolutionsHealthcare Claims Functional AnalystBaltimore, MarylandThe role also involves providing operational support, root cause analysis, testing, and documentation to ensure efficient claims processing operations. Research and resolve operational and systems issues by gathering facts, identifying root causes, and facilitating practical solutions.
Claims Manager CorVel CorpClaims ManagerMD$87,190–$134,613 / yearPay 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. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Claims Resolution Representative Metasys TechnologiesClaims Resolution RepresentativeMcLean, VARemote$18.62–$23.27 / hourThis position serves as a crucial liaison between members, providers, agencies, and the internal claims department, demonstrating leadership, collaborative skills, and commitment to achieving results. Review paper claims and attachments, scanning them using scanning equipment to attach the documents to corresponding transaction control numbers.
Claims Analyst Lumen Solutions Group, Inc.Claims AnalystBaltimore, MDThe ideal candidate will have strong experience in claims research, data validation, data entry, and Excel, with the ability to analyze issues, maintain accurate records, and support day-to-day claims operations. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsGaithersburg, Maryland$69,398.62–$91,000 / yearFull timeWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).