241 Results for

Claims Jobs in Rosedale, KS

Jobs

Baltimore, MD

Remote

$24.89–$24.89 / hour

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. In this role, you’ll investigate, evaluate, and resolve insurance claims while ensuring accuracy, compliance, and a positive experience for all stakeholders.

2 days ago

College Park, MD

$64,965.62–$99,000 / year

Competitive candidates should reside within one of the listed zip codes and will service this same territory: 20701 20705 20706 20708 20710 20715 20716 20720 20721 20724 20737 20740 20742 20755 20769 20770 20771 20781 20783 20784 20785 21114 21054 20001 20099 20201 20599 20601 20603 20607 20608 20613 20616 20623 20695 20711 20714 20733 20735 20736 20744 20745 20746 20748 20751 20754 20758 20762 20764 20765 20772 20774 20776 20778 20779 20602 20611 20612 20617 20622 20637 20639 20640 20646 20658 20675 20677 20678 20689 20732. Additional Details: Employees must successfully complete all required training, including applicable licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).

5 days ago

Washington, DC

$150,000–$400,000 / year

Experience 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.

4 days ago

Washington, DC

$22–$28

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.

6 days ago

Baltimore, MD

$19.55–$34.25

Processes refills and performs data entry of new prescriptions including demographics insurance plans and prescription information under the supervision of a pharmacist and according to policy; brings to the attention of a pharmacist any claims requiring overrides or interventions; troubleshoots insurance claim rejects; and follows up on problem prescriptions. Processes cash check credit card and payroll deduction transactions; secures appropriate signatures; ensures compliance with HIPAA requirements; prepares delivery tickets; reconciles delivery transactions; performs end of day register procedures; runs daily cash report and completes deposits as assigned.

6 days ago

Baltimore, MD

$35–$35 / hour

In this role, you’ll manage escalated service issues and serve as a key point of contact for members and brokers—especially when situations are complex, urgent, or sensitive. System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.

2 days ago

Baltimore, MD

$25–$31.50 / hour

This includes fielding inbound lead calls, conducting intake interviews in Spanish to gather key facts, assessing case qualification, and guiding eligible clients through the sign-up process in their preferred language. Lost Wage and PIP/Med Pay Claims: You will be responsible for opening and managing first-party claims on behalf of clients, including PIP, MedPay, and lost wage claims.

11 days ago

Baltimore, MD

Verifies 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. The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs.

3 days ago

Washington, DC, DC

$85,000–$95,000 / year
Full time

Strong knowledge of building systems and construction methods, including mechanical, plumbing, roofing, HVAC, electrical and elevators in high-rise, mid-rise and garden style communities, experience to include a strong understanding of complex central plant mechanical systems (cooling towers, heat exchangers, boilers, chillers, pumping systems, BAS) and site life safety systems (fire panel, wet/dry sprinklers, generators, etc.) and elevator maintenance. • Develop, implement, maintain and train all Emergency and Disaster Plans, Integrated Pest Management, Environmental Hazards and all Safety related procedures and policies • Support procurement and performance services related to maintenance, including, but not limited to, vendor service and general contracts, such as waste disposal, preventive maintenance, pest management, capital projects and repairs at the sites and all associated equipment in a safe and workmanlike manner in accordance with company policies and procedures.

9 days ago

Severna Park, MD

Full time

How We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.

30+ days ago

Joppa, MD

Full time

30+ days ago

Millersville, MD

Full time

30+ days ago

Arnold, MD

Full time

30+ days ago

Bel Air, MD

Full time

30+ days ago

Silver Spring, MD

Full time

30+ days ago

Aberdeen, MD

Full time

30+ days ago

Baltimore, MD

Full time

30+ days ago

Nottingham, MD

Full time

30+ days ago

Annapolis, MD

Full time

30+ days ago

Ellicott City, MD

Full time

30+ days ago

Lutherville Timonium, MD

Full time

30+ days ago

Parkville, MD

Full time

30+ days ago

Catonsville, MD

Full time

30+ days ago

Essex, MD

Full time

30+ days ago

Cockeysville, MD

Full time

30+ days ago

Elkridge, MD

Full time

30+ days ago

Abingdon, MD

Full time

30+ days ago

Reisterstown, MD

Full time

30+ days ago

Middle River, MD

Full time

30+ days ago

Halethorpe, MD

Full time

30+ days ago

Riverdale, MD

Full time

30+ days ago

Laurel, MD

Full time

30+ days ago

Pikesville, MD

Full time

30+ days ago

Edgewood, MD

Full time

30+ days ago

Glen Burnie, MD

Full time

30+ days ago

Columbia, MD

Full time

30+ days ago

Greenbelt, MD

Full time

30+ days ago

Pasadena, MD

Full time

30+ days ago

Severn, MD

Full time

30+ days ago

Baltimore, MD

This position is ideal for professionals who have hands-on experience reviewing, researching, adjusting, and resolving claims-related issues while ensuring accuracy and compliance with established guidelines. The ideal candidate will possess a strong background in healthcare claims processing and claims adjustments, with experience working on payer-side operations.

3 days ago

College Park, Maryland

$24–$28 / hour

10 days ago

baltimore, MD

Full time

Conduct a virtual walk-through inspection of the property, take some pictures, and fill out about 5 minutes worth of paper work. We are seeking motivated, self-starters in your area, who want to succeed.

30+ days ago

Baltimore, Maryland

Remote

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.

30+ days ago

Hunt Valley, Maryland

Remote

30+ days ago

Nottingham, MD

$16.74–$26.92 / hour
Part time

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. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

25 days ago

Baltimore, MD

Full time

Required Qualifications Minimum 4+ years of healthcare claims experience, including: 3+ years of claims processing experience (MUST HAVE) 1+ year of claims adjusting experience (MUST HAVE) Strong knowledge of healthcare claims processing and adjudication. This position is ideal for professionals who have hands-on experience reviewing, researching, adjusting, and resolving claims-related issues while ensuring accuracy and compliance with established guidelines.

2 days ago

Sparks, Maryland

$55,000–$65,000

This entry-level position is ideal for individuals interested in launching a career in insurance and gaining hands-on experience in claims handling. * Proficiency in Microsoft Word, Excel, and Outlook, with the ability to learn new systems quickly.

30+ days ago

Nottingham, MD

$51,807–$83,551 / year
Part time

The 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.

30+ days ago

Baltimore, MD

$76,200–$114,300 / 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. 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.

16 days ago

Columbia, MD

The claimant was eligible for benefits on the date(s) of service based on data in the administrator's eligibility files, The provider's network participation was correctly determined based on the date of service, Claims requiring utilization review approval were reviewed and processed in accordance with utilization review decisions, Deductibles, coinsurance and other appropriate cost-sharing features of the benefit plan were considered and correctly applied, The claim data was entered into the claim system correctly, and whether a paper claim was keyed or scanned, Appropriate checks were made to ensure that there was no other coverage available to the claimant or, if there was other coverage, payments were coordinated correctly, The "reasonable and customary" or provider discount features of the plan were correctly applied, including unbundling for physician services, Appropriate edits were made to ensure that the claim was not paid twice, The procedure(s) billed and paid were, in fact, covered by the plan and do not appear to be fraudulent billings by the provider, The mathematics and computations were correct, Any pre-authorization limits were appropriately applied, The paper claim form was completed appropriately and signed by the appropriate parties, The administrator adhered to its own internal policies and procedures when processing the claim, Appropriate approvals were applied to high dollar claims (pre- and post-payment), and. Audit a portion, as mutually agreed between the parties, of the combined financially stratified/attribute claim sample of medical and dental claims processed by medical care administrators.

30+ days ago

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Claims Jobs in Rosedale, KS

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Independent Insurance Claims Adjuster in Halethorpe, Maryland MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Riverdale, Maryland MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Laurel, Maryland MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Pikesville, Maryland MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Edgewood, Maryland MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Glen Burnie, Maryland MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Columbia, Maryland MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Greenbelt, Maryland MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Pasadena, Maryland MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Severn, Maryland MileHigh Adjusters Houston Inc

Claims Adjuster Lumen Solutions Group, Inc.

Claims Investigator - Part Time Allied Universal

459763 Public Adjuster Metro Public Adjustment

Senior Workers Compensation Claims Adjuster - VA, DC, MD Gallagher

Senior Lost Time Workers Compensation Claims Adjuster - MD, VA, DC Gallagher

Workers' Compensation Medical Only Claims Specialist CorVel Enterprise Claims, Inc.

Claims Adjuster Lumen Solutions Group Inc

Claims Administrator Ultimate Staffing Services

Claims Specialist CorVel Enterprise Claims, Inc.

Senior Manager, Insurance and Claims Advocacy Sun Life Financial

Claims Quality Auditor HealthCare Resolution Services

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