Head of Claims HITT ContractingHead of ClaimsFalls Church, VA$115,000–$165,000 / yearFull timeThis role is responsible for enterprise claims strategy, portfolio performance, reserve adequacy, litigation oversight, and total cost of risk while leading the claims organization and partnering with executive leadership on risk financing and insurance program strategy. The Senior Manager, Claims & Risk Management leads HITT's enterprise claims function across all property and casualty lines for HITT Contracting and its affiliated operating companies.
Claims Processor III Premera Blue CrossClaims Processor IIIWashingtonYou’ll research and resolve complex issues, support quality outcomes, and serve as a trusted technical resource while continuing to expand your knowledge across the Claims organization. If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at careers@premera.com or via phone at 425-918-4785.
NewClaims Processor IV Premera Blue CrossClaims Processor IVWashingtonReprocess carve-out claims, researching history and contractual agreements for pricing, override designated claim edits (dup edits, clinical edits, default processing, contracting statues) and complete all reprocessing documentation ( claim notes, CSR routes, refund requests, and configuration question sheets). Provide specialized knowledge of complex claims processing to Care Facilitation, Customer Service, Appeals, benefit configuration, and other claims teams, when questions or challenges arise regarding the handling of a complex claim.
NewClaims Processor II Premera Blue CrossClaims Processor IIWashingtonFor our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement. Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.
Claims Processor Total Recon Auto CenterClaims ProcessorRockville, Maryland$23–$26 / hourpointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]"> Position Overview: As a Claims Processor at Total Recon, a Tesla-approved body shop, you will be the primary liaison with insurance companies. You will ensure that all claims progress smoothly and are properly compensated, while keeping the Production staff and Customer Service Representatives (CSRs) informed on all claim-related matters.
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.
Claims 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.
Senior Claims Adjuster, Casualty Claims, Hamilton Select Hamilton GroupSenior Claims Adjuster, Casualty Claims, Hamilton SelectUSA, Richmond, Virginia, VAWorking remotely or based in Richmond, Virginia or the tri-state area and reporting to a Claims Manager who is based in Richmond, you will be responsible for the direct handling of casualty and/or specialty claims, including both primary and excess placements, along with assisting in the mentoring of future claims adjusters. Hamilton Select is our US excess and surplus lines insurer based in Richmond, Virginia, underwriting hard-to-place accounts in the small and middle-market space through an appointed wholesale broker network.
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 - Field Claims Representative Cincinnati Financial CorporationClaims - Field Claims RepresentativeFairfax, VA$70,000–$90,000 / yearOur Field Claims department is currently seeking field claims representatives to service the territory surrounding: Northern Virginia (Loudoun and Fairfax Counties. This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements.
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.
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.
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 Adjuster II Marriott International IncClaims Adjuster IIBethesda, MDThis role will manage a caseload ranging from 100-150 causality claims (the acceptable caseloads vary based on the jurisdiction(s), mix and complexity of cases as determined by the Claims Unit Manager). Full-time positions also offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending account, life insurance, disability insurance, accident insurance, adoption expense reimbursements, paid parental leave and educational assistance.
Claims Resolution Representative Metasys TechnologiesClaims Resolution RepresentativeMcLean, VARemote$18.62–$23.27 / hourThis position serves as a crucial liaison between members, providers, agencies, and the internal claims department, demonstrating leadership, collaborative skills, and commitment to achieving results. Review paper claims and attachments, scanning them using scanning equipment to attach the documents to corresponding transaction control numbers.
NewLead Veterans Claims Examiner (Regulations Lead) U.S. Department of Veterans AffairsLead Veterans Claims Examiner (Regulations Lead)Washington, DC$107,446–$139,684 / yearDeals with issues of both sensitive and high-profile nature (e.g., Traumatic Brain Injury, Military Sexual Trauma, Agent Orange, Gulf War, etc.) and advises leadership on the national and local impact of changes in process, protocol, regulations or legal statutes, which may impact or shape the future direction of the organization. Applicants must demonstrate comprehensive knowledge of complex laws, regulations, policies, procedures, and Federal legislation governing the full range of VA benefits programs, as well as the ability to interpret and apply these authorities to resolve complex issues, provide authoritative technical guidance, and ensure consistent implementation of program requirements.
Stop 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.
Insurance Payment Processor/Poster Position Control Number PP1-22-920-01 U M FDSP Associates PAInsurance Payment Processor/Poster Position Control Number PP1-22-920-01Baltimore, MD$15–$18 / hourPreparing daily deposits of check copies (received from lockbox and as per check database assignments) as appropriate including: completed Daily Deposit Summary and Bank Deposit Report from AxiUm. FDSP Associates is the organization that provides patient care focused staffing for the clinic operations so that faculty and students may provide patient care to the general public.