1,445 Results for

Claims Jobs in Rockville, MD

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Liability Bodily Injury Claims Adjuster Whip

Rockville, Maryland

This position requires a detail-oriented claims professional with strong investigative skills, sound judgment, and the ability to effectively manage complex claims while ensuring fair, accurate, and cost-effective outcomes. We value individuals who take ownership of their claims, communicate effectively with stakeholders, and understand the importance of balancing fair claim settlements with responsible financial management.

5 days ago

Reinsurance/Stoploss Medical Claims Adjustor CVS Health Corp

$18.50–$42.35 / hour

Research and determine Reinsurance/Stoploss plan year, identify claim payments made by client versus the Stoploss carriers, and interpret complex plan language to ensure accurate handling of complex adjustments. Review, research, and adjust complex Reinsurance/Stoploss medical claims, splitting claims into multiple claim statuses; adjudicates high-dollar complex, sensitive, and/or specialized medical claims in accordance with claim processing guidelines.

6 days ago

Manager, Legal | Claims & Litigation Aprio

Rockville, MD

$94,000–$186,100 / year

As the Manager, Legal | Claims & Litigation, you drive consistent, compliant claim resolution across multiple practice groups, partnering with legal, service line Partners, insurance, finance, and outside counsel to contain costs, manage risk, and protect the organization's exposure. Aprio, LLP and Aprio Advisory Group, LLC, operate in an alternative business structure, with Aprio Advisory Group, LLC providing non-attest tax and consulting services, and Aprio, LLP providing CPA firm services.

19 days ago

Senior Claims Examiner Core Specialty Insurance Services

Washington

Working knowledge of Microsoft Word & Excel is required Strong analytical skills are required to effectively and efficiently analyze information. Excellent verbal and written communication skills to express complex evaluations and resolve claims through a well-planned negotiation strategy.

10 days ago

Manager, Legal | Claims & Litigation Aprio Technologies, Inc.

Rockville, MD

$94,000–$186,100 / year

As the Manager, Legal | Claims & Litigation, you drive consistent, compliant claim resolution across multiple practice groups, partnering with legal, service line Partners, insurance, finance, and outside counsel to contain costs, manage risk, and protect the organization''s exposure. Aprio, LLP and Aprio Advisory Group, LLC, operate in an alternative business structure, with Aprio Advisory Group, LLC providing non-attest tax and consulting services, and Aprio, LLP providing CPA firm services.

20 days ago

Director Product Pharmacy Claims Platform Prescryptive Health Inc

$177,500–$222,500 / year

We're looking for a Director, Product (Pharmacy Claims Platform) who brings deep experience developing pharmacy claims adjudication technology, understands how it works in a real-world PBM environment, and wants to help advance sophisticated pharmacy transaction capabilities. At least 8 years in product management or related platform roles, including at least 3 years directly accountable for the product requirements, priorities, and production delivery of a pharmacy claims adjudication engine or substantial core adjudication platform capabilities.

8 days ago

Associate Vice President of Resolutions (Claims) Comprehensive Group United Educators

Bethesda, MD

$180,000–$230,000 / year

United Educators offers a comprehensive benefits package designed to support employees' health, financial well-being, work-life balance, and professional experience, including: Health & Wellness: Medical with prescription and telehealth benefits, HSA with employer contribution, dental, vision, employer-paid basic life insurance, and short- and long-term disability coverage. Additional Benefits: Performance-based bonus eligibility, hybrid work environment (typically 2–3 days in office per week following initial training), employee events and monthly lunches, and opportunities to participate in Employee Resource Groups (ERGs), the Social Committee, and IDEA.

15 days ago

Worker's Compensation Claims Examiner | Dedicated Client | Jurisdictional Knowledge: MD | Hybrid Sedgwick Claims Management Services, Inc.

Largo, MD

Remote

$70,000–$80,000 / year

Mental: 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.

6 days ago

Claims Intake Specialist CACI International Inc.

Chantilly, VA

$70,800–$148,600 / year

Pay Range: There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. The Claims Intake Specialist will be responsible for processing claims efficiently, collaborating with team members, and ensuring that all necessary documentation is obtained to initiate the claims process.

15 days ago

Workers Compensation Claims Examiner | Dedicated Client | Jurisdictions: MD & FL | Licensing: FL Required Sedgwick Claims Management Services, Inc.

Remote

$80,000–$88,000 / year

8 days ago

Worker''''s Compensation Claims Examiner | Dedicated Client | Jurisdictional Knowledge: MD | Hybrid Sedgwick Claims Management Services, Inc.

Hunt Valley, MD

Remote

$70,000–$80,000 / year

6 days ago

Liability Claims Examiner | General Liability, Premise Liability & Litigation Experience | Jurisdictions: East Coast | Licensing: Preferred Sedgwick Claims Management Services, Inc.

Remote

$85,000–$90,000 / year

To analyze complex or technically difficult general liability, premise liability & litigated claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Mental: 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.

8 days ago

Claims Examiner CACI International Inc.

Chantilly, VA

$70,800–$148,600 / year

Pay Range: There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. As a valued team member, you'll be part of a high-performing group dedicated to our customer's missions and driven by a higher purpose - to ensure the safety of our nation.

19 days ago

Healthcare Claims Payment Policy Managing Consultant Guidehouse

Mclean, VA

$113,000–$188,000 / year

Experience supporting third-party administrator or claims operations implementation, including translating policy into business requirements, clarifying reimbursement logic, supporting testing, resolving operational questions, and tracking implementation issues. Experience leading a team or workstream, including setting priorities, assigning work, reviewing deliverables, coordinating subject matter experts, tracking deadlines, and communicating status, risks, and decisions to leadership.

11 days ago

Product Manager - AI Healthcare Claims CVS Health Corp

$83,430–$222,480 / year

Day to day, that means: Leading user research and discovery with claims processors and operations teams to understand workflows, friction points, and opportunities for AI-driven decision support. We build products that put intelligent decision support directly into the hands of the people doing this work, and we are investing aggressively, expanding that capability across all lines of business.

3 days ago

Claims Manager HITT Contracting

Falls Church, Virginia

$95,000–$140,000
Quick Apply

7+ years of multi-line commercial claims experience, including at least 2 years managing or mentoring claims professionals, with strong coaching and performance management skills. The role partners with the Claims Director on claims strategy execution, and works directly with carriers, third-party administrators, and defense counsel on assigned files.

1 day ago

ERP Business Analyst Stf - E4 - SAP / Incurred Cost Claim Lockheed Martin Corporation

Rockville, MD

$131,100–$243,500 / year

GeoZone Definition: GeoZones are geographic groupings created by Lockheed Martin to align compensation ranges with regional labor markets and cost-of-labor differences across the United States. You will be responsible for system design, development, configuration, spec generation, unit testing, and operational assessment readiness; scrum master tasks; and the following: Authoring functional specifications for enhancements, conversions, interfaces, reports, and custom transactions.

8 days ago

Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Inc

Baltimore, MD

Remote

$151,062–$181,254 / year

Boston 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.

19 days ago

Property Claims Adjuster Specialist - Field USAA

Baltimore Metro, Maryland

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

13 days ago

Process Consultant, Stop Loss Claims Sun Life Financial

Baltimore, MD

$60,400–$90,600 / year

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. 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.

23 days ago

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Claims Jobs in Rockville, MD

Liability Bodily Injury Claims Adjuster Whip

Reinsurance/Stoploss Medical Claims Adjustor CVS Health Corp

Manager, Legal | Claims & Litigation Aprio

Senior Claims Examiner Core Specialty Insurance Services

Manager, Legal | Claims & Litigation Aprio Technologies, Inc.

Director Product Pharmacy Claims Platform Prescryptive Health Inc

Associate Vice President of Resolutions (Claims) Comprehensive Group United Educators

Worker's Compensation Claims Examiner | Dedicated Client | Jurisdictional Knowledge: MD | Hybrid Sedgwick Claims Management Services, Inc.

Claims Intake Specialist CACI International Inc.

Workers Compensation Claims Examiner | Dedicated Client | Jurisdictions: MD & FL | Licensing: FL Required Sedgwick Claims Management Services, Inc.

Worker''''s Compensation Claims Examiner | Dedicated Client | Jurisdictional Knowledge: MD | Hybrid Sedgwick Claims Management Services, Inc.

Liability Claims Examiner | General Liability, Premise Liability & Litigation Experience | Jurisdictions: East Coast | Licensing: Preferred Sedgwick Claims Management Services, Inc.

Claims Examiner CACI International Inc.

Healthcare Claims Payment Policy Managing Consultant Guidehouse

Product Manager - AI Healthcare Claims CVS Health Corp

Claims Manager HITT Contracting

ERP Business Analyst Stf - E4 - SAP / Incurred Cost Claim Lockheed Martin Corporation

Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Inc

Property Claims Adjuster Specialist - Field USAA

Process Consultant, Stop Loss Claims Sun Life Financial

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