Senior Claims Representative - 11717 Metro Public AdjustmentSenior Claims Representative - 11717MDLocal Opportunities – Serve homeowners across Philadelphia, Bucks County, Montgomery County, and nearby parts of South Jersey. Whether you’re looking for a new career or supplemental income, you’ll find success here if you bring a positive attitude, professionalism, and the drive to help others.
Professional Claims Writer - 581888 Metro Public AdjustmentProfessional Claims Writer - 581888MarylandMetro Public Adjustment is looking for customer-oriented individuals to join our team of claims representatives. Once reviewed, If you want a face-to-face interview, we typically conduct them on Zoom: For Interview time and location, use the link below:
Public Adjusting Services Claims Rep - 11717 Metro Public AdjustmentPublic Adjusting Services Claims Rep - 11717MDLocal Opportunities – Serve homeowners across Philadelphia, Bucks County, Montgomery County, and nearby parts of South Jersey. Whether you’re looking for a new career or supplemental income, you’ll find success here if you bring a positive attitude, professionalism, and the drive to help others.
NewManager, Claims & Risk Management HITT ContractingManager, Claims & Risk ManagementFalls Church, VA$95,000–$140,000 / yearIndependent claims handling and shared coordination with direct reports for the major lines of coverage including but not limited to auto, general liability, workers’ compensation, builder’s risk, pollution liability, and professional liability. • Bachelor’s degree in Risk Management, Business, Finance, Economics, Safety, or related fields preferred, but not required; in lieu of a degree, additional work experience is acceptable.
Attorney - FCA/Healthcare Fraud Enforcement JobotAttorney - FCA/Healthcare Fraud EnforcementWashington, DC$150,000–$400,000 / yearExperience representing hospitals, health systems, physician groups, Medicare Advantage organizations, managed care organizations, pharmacy benefit managers (PBMs), healthcare technology companies, or private equity-backed healthcare platforms. Demonstrated experience representing clients before the U.S. Department of Justice (DOJ), U.S. Attorney's Offices, Department of Health and Human Services Office of Inspector General (HHS-OIG), Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, and other federal or state enforcement authorities.
Claims - Adjuster, Claims I Ampcus IncorporatedClaims - Adjuster, Claims IBaltimore, MD$20–$25.75 / hourVerifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records. Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services.
Senior Liability Claims Specialist CorVel Enterprise Claims, Inc.Senior Liability Claims SpecialistRockville, MD$61,053–$98,334 / yearPart 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!).
NewBilingual Claims Administrator - R2710 Fort Myer Construction CorpBilingual Claims Administrator - R2710Washington, DCIf you do not mind hard work, desire job security associated with essential infrastructure projects, and want to make a difference in our communities, then please consider joining the Fort Myer Family. Summary:The Bilingual Claims Administrator manages the intake, processing, and resolution of workers compensation claims from the initial report of injury through claim closure.
Contract Claims Manager AECOMContract Claims ManagerBaltimore, MDWe 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.
Claims Representative W. R. Berkley CorpClaims RepresentativeManassas, VAThe actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Record and code injured worker demographics, job information and accident information in company's claims management system and files necessary forms with state regulatory agencies.
NewClaims Unit Manager Marriott International IncClaims Unit ManagerBethesda, MDThe manager monitors caseloads to maintain appropriate balance based on jurisdictional requirements and the complexity of workers' compensation and general liability claims, ensuring high-quality, timely, and cost-effective claim outcomes. Partner with the Regional Director and Operations Managers to ensure effective communication, coordination, and issue resolution across key operational areas, including: Notifying leadership of staff absences, schedules, and appointments.
Workers Compensation Claims Adjuster (Northeast Jurisdictions) Cottingham & ButlerWorkers Compensation Claims Adjuster (Northeast Jurisdictions)Columbia, MDYou will be working from home so previous workers compensation adjusting experience is required (i.e. taking statements, paying lost wage benefits, filing state forms, denying claims, subrogation, litigation, etc.). Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.
NewSenior Manager, LTD Claims (Remote) Sun Life Financial IncSenior Manager, LTD Claims (Remote)Baltimore, MDRemote$72,500–$108,800 / yearThe opportunity: The Senior Manager, Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day-to-day operations of our Long-Term Disability claims team, as well as fostering client relations and ensuring the accurate risk management of disability claims. How you will contribute: Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners.
Senior Manager, Claims Services Sun Life Financial IncSenior Manager, Claims ServicesBaltimore, MD$68,200–$102,300 / 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.
Senior Disability Claims Examiner (LTD) (Virtual) Prudential Financial IncSenior Disability Claims Examiner (LTD) (Virtual)DCRemote$61,700–$101,900 / yearThe Long-Term Disability (LTD) Senior Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication.
Senior Manager, Claims Sun Life Financial IncSenior Manager, ClaimsMD$72,500–$108,800 / yearThe Senior Manager, Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day-to-day operations of our Long Term Disability claims team, as well as fostering client relations and ensuring the accurate risk management of disability claims. What you will do: Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners.
Corporate Insurance and Claims Manager JK Moving ServicesCorporate Insurance and Claims ManagerSterling, VirginiaFull timeAbout: As the largest independent mover in North America, JK delivers superior relocation and logistics services to military service members, government agencies, large corporations, businesses and homeowners around the world….and the list goes on! During 2018, the company established the JK Community Farm, a charitable effort designed to alleviate hunger by growing and harvesting crops and livestock and donating them to Loudoun Hunger Relief.
Claims Consultant - Physicians & Surgeons (Mideast Region) The Medical Protective CompanyClaims Consultant - Physicians & Surgeons (Mideast Region)DCService to insureds, assist where possible in sales and retention efforts of sales force. Confirm coverage and then manage claims and suits brought against policyholders in our Dental Division.
Claims Consultant - Healthcare Professionals The Medical Protective CompanyClaims Consultant - Healthcare ProfessionalsDCProvide service to insureds, assist where possible in sales and retention efforts of sales force. Confirm coverage and then manage claims and suits brought against policyholders.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEAnnapolis, MDRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
NewClaims Bluecard Analyst IV, Lead Healthcare Management AdministratorsClaims Bluecard Analyst IV, LeadWashingtonAs a BlueCard/ITS claims Specialist, this role ensures accurate, compliant adjudication across complex BlueCard claims, translates BlueWeb and Association changes into operational action, partners closely with Regence and InterPlan stakeholders, and monitors and improves IPP (InterPlan Program) performance. The Claims Specialist/BlueCard Hybrid serves as an enterprise escalation point, leads cross-functional initiatives, and drives training, quality, and process improvements that safeguard claim outcomes and member experience.
Remote Claims Representative -581888 Metro Public AdjustmentRemote Claims Representative -581888Baltimore, MDRemoteMetro Public Adjustment is looking for customer-oriented individuals to join our team of claims representatives. Once reviewed, If you want a face-to-face interview, we typically conduct them on Zoom: For Interview time and location, use the link below:
NewStop 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.
Claims Representative BerkleyClaims RepresentativeManassas, Virginia$65,000–$75,000 / yearBase Salary Range: $65k-$75k The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Record and code injured worker demographics, job information and accident information in company’s claims management system and files necessary forms with state regulatory agencies.
Corporate Insurance and Claims Manager JK Moving and Storage IncCorporate Insurance and Claims ManagerSterling, VAAs the largest independent mover in North America, JK delivers superior relocation and logistics services to military service members, government agencies, large corporations, businesses and homeowners around the world….and the list goes on! During 2018, the company established the JK Community Farm, a charitable effort designed to alleviate hunger by growing and harvesting crops and livestock and donating them to Loudoun Hunger Relief.
Stop Loss Claims Analyst CVS Health CorpStop Loss Claims AnalystDC$18.50–$35.29 / hourThis role involves preparing, tracking, reconciling, and helping generate and marshal stop loss filings to completion while serving as a key liaison across internal business partners, external stakeholders, and stop loss carriers. The position offers exposure to many areas of healthcare claims administration, including stop loss and reinsurance policy, data analytics, underwriting, eligibility, finance, client management, and provider and broker relations.
Senior Claims & Insurance Operations Specialist - US Free2moveSenior Claims & Insurance Operations Specialist - USWashington, District of ColumbiaYou will evolve in an ultra-dynamic, innovative, agile, internationally-focused structure and integrate our talented teams, full of ideas and motivation and with multidisciplinary skills, at the crossroads of the digital eco-system and the fast-changing automotive sector. Born from the merger of the Stellantis Group and the start-up TravelCar, Free2move, thanks to its agility and its spirit of conquest has managed to establish itself in just few years as a reference player to revolutionize the mobility of all travellers.
Claims Adjuster I (Remote) Blue Cross and Blue Shield AssociationClaims Adjuster I (Remote)DCRemote$36,576–$67,056 / yearVerifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records. Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
Sr. Claims Specialist BerkleySr. Claims SpecialistManassas, Virginia$110,000–$160,000 / yearWe provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $110,000-$160,000 • Eligible to participate in annual discretionary bonus.
NewRemote Claims Representative - 11717 Metro Public AdjustmentRemote Claims Representative - 11717Baltimore, MDRemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
NewRemote Claims Representative 604380 Metro Public AdjustmentRemote Claims Representative 604380Baltimore, MDRemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
Director , Product Management - AI Claims Platform CVS Health CorpDirector , Product Management - AI Claims PlatformDC$144,200–$288,400 / yearThis is a rare opportunity to own a flagship AI product in healthcare from strategy through delivery - partnering closely with Business executives, Operations teams, Enterprise technology, Data science and Engineering, with strong visibility to senior leadership. A&BC leverages advanced analytics, machine learning, modeling, and a hypothesis-driven approach to transform data into actionable, customer-centric insights to drive growth, improve health outcomes and access to health care across all our businesses in CVS Health.
NewClaims Consultant CoreTechsClaims ConsultantBethesda, MDRemote$110,000–$160,000 / yearSUMMARY/OBJECTIVE: The Claims Consultant will be responsible for conducting impact analysis, analyzing risk on complex projects, and performing forensic schedule and cost analysis consisting of identifying critical path delays, schedule disruptions, evaluating labor productivity, and pricing general conditions costs. Perform construction claims forensic analysis including document review and organization, key issue identification, schedule analysis, labor productivity studies, general conditions calculations, pricing, and graphic exhibits for input to expert reports.
Senior Construction Claims Analyst (Full Time) Mcdonough Bolyard Peck IncSenior Construction Claims Analyst (Full Time)Vienna, VA$107,000–$150,000 / yearMBP is looking for Senior Construction Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
Claims Recovery Specialist II (Remote) Blue Cross and Blue Shield AssociationClaims Recovery Specialist II (Remote)DCRemote$42,624–$78,144 / yearSpecialist will assist to maximize recovery amounts due to refund of payments made in error to members and/or providers, retro terms and/or focused provider audits. ESSENTIAL FUNCTIONS: Under supervision, reviews, audits, and/or initiates recovery efforts for medical, and/or dental claims to recover overpayments, ensuring all parts of the process are documented properly.
Workers Compensation Claims Adjuster (Northeast Jurisdictions) CBCSWorkers Compensation Claims Adjuster (Northeast Jurisdictions)Columbia, MDYou will be working from home so previous workers compensation adjusting experience is required (i.e. taking statements, paying lost wage benefits, filing state forms, denying claims, subrogation, litigation, etc.). Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.
Claims Counsel (Insurance Defense) Williams & Connolly LLPClaims Counsel (Insurance Defense)Washington, DC$165,000–$180,000 / yearResponsibilities include, but are not limited to:* Developing a case strategy* Answering complaints* Drafting and responding to discovery* Client communications* Handling all communications with opposing counsel* Hiring and managing expert witnesses as needed* Drafting motions and responses to motions* Conducting and defending depositions* Drafting mediation statements* Conducting mediations* Appearing in court as needed* Pre-trial preparations* Conduct trials* Drafting settlement agreements* Administrative duties related to case tracking and reporting . This position requires the ability and flexibility to manage a high-volume caseload in cooperation with firm management, partners, associates, other Claims Counsel, and firm employees in a professional manner as well as the ability to manage and prioritize a large volume of work assignments, meeting all deadlines.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEDCRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Senior Consultant- Epic Resolute Hospital Billing Claims and Remittance Deloitte Touche Tohmatsu LtdSenior Consultant- Epic Resolute Hospital Billing Claims and RemittanceMD$91,000–$143,000 / yearBuilds rapport and always promotes teamwork by maintaining a professional and positive attitude, working to maintain open and professional lines of communication with all end users and colleagues, and utilizing key change management principles. Our Industry Solutions team brings clients the knowledge of industry leaders who understand the relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific organization.
Healthcare Claims Operations Team Lead - Washington, DC (On-site) Gainwell Technologies LLCHealthcare Claims Operations Team Lead - Washington, DC (On-site)DC$50,000–$55,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $50,000 - $55,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
IT Production and Systems Support Engineer (Mainframe and Claims Processing) MindlanceIT Production and Systems Support Engineer (Mainframe and Claims Processing)Columbia, MDThe ideal candidate will combine mainframe expertise, application support, data analysis, and incident management skills to support both legacy and modern platforms while delivering high-quality service to internal teams and external plan vendors. This role is responsible for ensuring stability, performance, and continuous improvement of applications supporting claims vouchering, adjudication, and EDI processing.
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterMDRemote$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Clearing the error involves researching to obtain the missing or misaligned information (sometimes requiring communication with the claimant or insured) and entering or correcting data in various fields in either our claims system or the state's reporting site.
Global Casualty Claims Specialist Under Armour IncGlobal Casualty Claims SpecialistBaltimore, MD$60,000–$80,000 / yearAt Under Armour, we are committed to empowering those who strive for more, and the companys values - Act Sustainably, Celebrate the Wins, Fight on Together, Love Athletes and Stand for Equality - serve as both a roadmap for our teams and the qualities expected of every teammate. Handles a multitude of tasks simultaneously while maintaining focus and effectiveness, maintaining a high productivity level to maximize the productivity of the department leadership.
Senior Counsel - Commercial Claims GEICO GENERAL INSURANCE COMPANYSenior Counsel - Commercial ClaimsBethesda, MD$148,625–$260,350 / yearProvide legal advice to claims organization and business leaders on complex commercial insurance claims, including providing coverage advice, evaluating risk transfer demands and opportunities, and evaluating risk associated with potential extra-contractual exposure and alleged bad faith. A successful candidate should have ten or more years' experience advising claims organizations in insurance coverage and claims-related litigation arising from commercial insurance policies and ideally would have some familiarity with claims-related litigation risks across all fifty states.
Stop Loss Claims Specialist Marsh McLennanStop Loss Claims SpecialistWashingtonThe primary role of the Stop Loss Claims Analyst role is to manage the stop loss claims process for the MMA Stop Loss Center of Excellence including establishing the claims submission process in accordance with vendor processes, overall tracking and auditing to assure timely payment of eligible stop loss claims managed by the Center of Excellence. REQUIRED EDUCATION AND EXPERIENCE : Minimal of High School Graduate with Associate’s Degree in Risk Management & Insurance, Actuarial Science, Mathematics and/or other related field is preferred or equivalent experience preferred; Minimum of two years prior work experience the Benefits Brokerage, Consulting, or Insurance industry; Strong background in self-funding, stop loss or claims administration required.
Senior Claims Specialist California Workers Compensation (Remote) W. R. Berkley CorpSenior Claims Specialist California Workers Compensation (Remote)Manassas, VARemote$85,000–$115,000 / yearYou'll serve as a Subject Matter Expert (SME) for all technical claims handling activities, including regulatory compliance, serve as the primary liaison for key internal and external business partnerships and programs, lead special projects and programs, and lead claims related account management activities for large clients. Assume full-responsibility of claims related account management activities for our large clients and serve as the Claims liaison and primary point of contact and collaborate closely with Business Development and Underwriting teams to deliver and maintain a high-level service.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&ODC$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.
Principal Solutions Architect - Claims Processing (Remote) Blue Cross and Blue Shield AssociationPrincipal Solutions Architect - Claims Processing (Remote)Baltimore, MDRemote$155,600–$278,135 / yearMust have recent solution/domain architecture experience with Facets G6 real-time and batch claims processing, pre-adjudication validation, EDI-based transaction data management, claim editing engines, and third-party integrations with partner organizations that provide these services. Has an expert knowledge of integration solutions and communicates with business owners, domain architects, other Solution Architects, technical delivery staff, and key technical stakeholders, including Security, Data, and Technology Centers of Excellence.
Claims Loss Specialist Restoration Estimator & Project Manager PuroClean Metropolitan WashingtonClaims Loss Specialist Restoration Estimator & Project ManagerRockville, MarylandThe Claims Loss Specialist is expected to take ownership of assigned jobs, prepare accurate estimates, communicate with all parties involved, sell the job and help manage the project through production and closeout. Please submit your resume and a brief summary of your relevant experience in estimating, project management, restoration, reconstruction, construction, commercial work, multifamily work, or property claims.
Claims Processor IconmaClaims ProcessorBaltimore, MD$27.95–$32.95 / hourResponsibilities: 50% Research and improve operations by examining and researching systems problems by obtaining facts, analyzing problems/identifying root cause recommending and facilitating resolution. In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.