NewPrincipal Claims Product Tester Geico InsurancePrincipal Claims Product TesterBethesda, MD$100,450–$157,850 / yearIn this role, you will be responsible for testing new platform developments and enhancements before they are released into production, ensuring quality, stability, and seamless customer experiences. This is an opportunity to contribute to a high-visibility enterprise transformation initiative while developing expertise in automation technologies, orchestration, and modern software testing methodologies.
Long Term Care Claims Representative - Payment Servicing Genworth Financial IncLong Term Care Claims Representative - Payment ServicingMD$45,500–$66,000 / yearYou will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. Your experience or education has provided you with knowledge of medical terminology, diseases/diagnoses, and the ability to understand and interpret contract language, disability processes, nursing home licensing, and rehabilitative requirements.
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.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistMDRemote$137,496–$164,934 / yearBoston 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, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
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.
Claims Processor Iconma LLCClaims ProcessorBaltimore, MDResponsibilities: 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.
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.
NewWorkers Compensation Claims Examiner | MD Jurisdiction Knowledge And Experience | Baltimore, MD - Hybrid Scheduled Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | MD Jurisdiction Knowledge And Experience | Baltimore, MD - Hybrid ScheduledBaltimore, MD$60,000–$68,000 / 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 Lost-Time Workers Compensation 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.
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.
NewWorkers Compensation Claims Examiner | MD Jurisdiction Knowledge and Experience | Baltimore, MD - Hybrid Scheduled Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | MD Jurisdiction Knowledge and Experience | Baltimore, MD - Hybrid ScheduledBaltimore, MD$60,000–$68,000 / 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 Lost-Time Workers Compensation 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.
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.
Claims Specialist CorVelClaims 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.
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.
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.
NewCLAIMS REVIEWER I State of MarylandCLAIMS REVIEWER IBaltimore City, MDEnsuring courtrooms are set up and ready for hearings; Additional duties include assisting with coverage of the reception desk, helping the public obtain copies via mail and accessing CompHub, receiving and calculating payments for copies, date-stamping and routing incoming correspondence to correct departments, processing subpoenas and ensuring forms are accurate and up-to-date. Monitor undeliverable mail notifying parties and maintain current business names and addresses; Responsible for handling incoming and outgoing telephone inquiries from employers, insurance companies, attorneys, and claimants that require further clarification or additional information for processing documents received in accordance with the established procedures.
Stop Loss Claims Resolution Consultant Sun Life FinancialStop 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.
NewPharmacy Claims Specialist CommuniCarePharmacy Claims SpecialistMarylandNew Admits for assigned homes (MOP, group codes, tax Group, addresses, invoice group, customer group, allergies, MRN, MEDA Days, Per Diem Days when applicable). Authorizations – gaining approval from facilities and families on non-covered meds or medication requiring authorization.
Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience | Remote Sedgwick Claims Management Services, Inc.Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience | RemoteMDRemote$63,404–$88,765 / yearTo analyze GL Litigated, Premise, Auto, Bodily Injury & Product claims on behalf of our valued dedicated client to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsBaltimore, MD$64,965.62–$91,000 / yearWith 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).