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.
Learning & Development Specialist (Claims Trainer / Customer Service Trainer) Lumen Solutions Group, Inc.Learning & Development Specialist (Claims Trainer / Customer Service Trainer)Baltimore, MDThe ideal candidates will have strong Instructor-Led Training (ILT) experience, exceptional presentation and facilitation skills, and the ability to effectively train both virtually and in person. CareFirst BCBS is seeking two Learning & Development Specialists to design and deliver engaging training programs for adult learners in a corporate healthcare environment.
Contract 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.
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!).
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.
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.
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.
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 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.
NewAuto Adjuster (MMR Claims) Allstate Insurance CompanyAuto Adjuster (MMR Claims)Annapolis, MD$53,500–$86,400 / yearAnalytical Thinking, Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Centricity, Customer Service, Data Representation, Desktop Management, Digital Literacy, Inclusive Leadership, Insurance Claims Investigations, Insurance Coverage, Insurance Coverage Analysis, Insurance Policies, Insurance Policy Review, Investigative Skills, Learning Agility, Negotiation, Organizing, Results-Oriented. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Field Property Claims Adjuster Liberty Mutual Holding Company IncField Property Claims AdjusterGaithersburg, MDThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. This is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support.
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.
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.
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 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.
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.
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:
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.
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.
Property Casualty Claims Manager University of Maryland Faculty Physicians IncProperty Casualty Claims ManagerBaltimore, MDExact salary will ultimately depend on multiple factors, which may include the successful candidate's geographical location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/ training and other qualifications. Working within the Property/Casualty team structure and reporting to the Director of Property/Casualty Claims, the Property/Casualty Claims Manager is responsible for the strategic oversight, administration, and resolution of property and casualty claims across a large, complex academic medical system.
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.
California Workers' Compensation Claims Examiner | Remote King'S Insurance StaffingCalifornia Workers' Compensation Claims Examiner | RemoteWashingtonRemoteOur client, a highly respected A-rated Workers' Compensation carrier, is looking to add an experienced California Workers' Compensation Claims Examiner to join their growing team. The successful candidate will be comfortable managing a full caseload independently while partnering with employers, medical providers, attorneys, and internal stakeholders to drive claims toward successful resolution.
NewAuto Claims Adjuster Allstate Insurance CompanyAuto Claims AdjusterMD$50,000–$74,350 / yearAuto Insurance, Auto Insurance Claims, Case Management, Claims Administration, Claims Resolution, Claims Review, Coverage Analysis, De-Escalation, Insurance Administration, Insurance Claims, Insurance Coverage, Insurance Coverage Analysis, Insurance Policies, Insurance Policy Review, Policy Interpretation, Task Management, Time Management, Time Prioritization. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Claims Representative I Elevance HealthClaims Representative IBaltimore, MarylandLocation: Virtual - This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerDC$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
NewRemote Revenue Cycle Analyst - Claims & Billing Cardinal HealthRemote Revenue Cycle Analyst - Claims & BillingWashington, DCRemote$20.02–$25.78 / hourQualified candidates should have 2+ years of experience and strong Excel skills, with a preference for candidates familiar with ICD-10 coding and medical terminology. The role involves submitting medical billing data, researching claims, and preparing claims for insurance providers.
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.
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.
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.
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.
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.
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.
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 Processor ICONMA, LLCClaims 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.
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.