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.
Property Claims Inspector - 533968 Metro Public AdjustmentProperty Claims Inspector - 533968MDIf 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 to from their insurance claim.
New(ii) Technical Program Manager / Technical Delivery Manager – FACETS System One(ii) Technical Program Manager / Technical Delivery Manager – FACETSBaltimore, MD$78–$84 / hourWe are seeking an experienced Technical Program Manager / Technical Delivery Manager to lead the delivery of FACETS platform workstreams supporting large-scale claims system consolidation initiatives. The ideal candidate brings strong enterprise delivery leadership experience, deep knowledge of software development and release management processes, and prior exposure to healthcare payer systems.
459763 Public Adjuster Metro Public Adjustment459763 Public Adjusterbaltimore, MDFull timeConduct 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.
NewOutside Sales Representative AmeriPro RoofingOutside Sales RepresentativeColumbia, MD$120,000–$250,000 / yearWe are always looking for committed and hard-working people to join our team and have job openings ranging from project manager and sales representatives to property inspectors through to joining the management team, plus everything in-between!\r\nCareers Icon\r\nPositions are full time, W2 positions!\r\nWe invite you to build and advance your career with AmeriPro Roofing and help contribute to the future success of our company. AmeriPro Roofing has been featured in Fortune 500 Magazine and was named a Top 100 Roofer by Roofing Contractor Magazine.\r\nTrophy Icon\r\nAmeriPro Roofing has earned the rank of Platinum Preferred Contractor with Owens Corning as well as being the Top Volume Contractor in the nation with Owens Corning 6 years in a row.
NewEMERGENCY RESTORATION ESTIMATOR PARAGON PROPERTY RESTORATION LLCEMERGENCY RESTORATION ESTIMATORAlexandria, VAThis position is ideal for someone who can properly inspect losses, communicate with adjusters and customers, build accurate estimates, and help move jobs efficiently from emergency services through reconstruction. Paragon Property Restoration is looking for an experienced and motivated Emergency Restoration Estimator to join our growing team.
NewPersonal Injury Paralegal MOOREHEAD LEGAL LLCPersonal Injury ParalegalPikesville, MDDraft comprehensive, persuasive settlement demand packages, including detailed cover letters, liability analysis, summaries of injuries and treatment, itemized special damages, and supporting documentation. We are seeking an experienced, highly organized, and proactive Personal Injury Paralegal to play a pivotal role in managing our pre-litigation caseload from post-intake through settlement.
NewAssociate Attorney - Personal Injury MOOREHEAD LEGAL LLCAssociate Attorney - Personal InjuryPikesville, MDThe ideal candidate will evaluate case value, approve settlement demands, negotiate directly with insurance carriers, and counsel clients at every decision point, supported by a full case management team that handles records, bills, and liens. This role demands sound legal judgment, strong negotiation skills, and a proactive mindset to drive cases toward successful resolutions.
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.
NewClaims Management Program Analyst (O-5 Billet) Non-Supervisory U.S. Department of Homeland SecurityClaims Management Program Analyst (O-5 Billet) Non-SupervisoryWashington, DCLiaises regionally and, or, nationally with applicable stakeholders internal and external stakeholders [e.g., Customs and Border Patrol, Office of Field Operations, Homeland Security Investigation (HSI) and third-party claims vendor] regarding claims processes, trainings, and principles. Should possess some knowledge of International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), current procedural terminology (CPT), diagnosis-related group (DRG), and other Centers for Medicare and Medicaid Services (CMS) coding/billing requirements.
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.
Claims Bluecard Analyst IV, Lead Healthcare Management AdministratorsClaims Bluecard Analyst IV, LeadWashingtonAs a Claims Bluecard Analyst Lead, 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 Bluecard Analyst Lead serves as an enterprise escalation point, leads cross-functional initiatives, and drives training, quality, and process improvements that safeguard claim outcomes and member experience.
Claims Inventory Manager ApolisClaims Inventory ManagerBaltimore, MDRemote$90–$95 / hourThe ideal candidate will have a strong understanding of the claims lifecycle, the ability to bridge business and technical teams, and proven experience leading cross-functional initiatives in a healthcare environment. We are seeking an experienced Claims Inventory Manager with expertise in healthcare claims processing and Facets configuration.
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.
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.
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.
NewProcess Consultant, Stop Loss Claims Sun Life FinancialProcess Consultant, Stop Loss ClaimsBaltimore, MD$60,400–$90,600 / 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. 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.
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.
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 Manager, Stop Loss & Health Claims Sun Life FinancialSenior Manager, Stop Loss & Health ClaimsBaltimore, 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.