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.
Public Adjusting Services Claims Rep - 11717 Metro Public AdjustmentPublic Adjusting Services Claims Rep - 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.
Professional Claims Writer - 581888 Metro Public AdjustmentProfessional Claims Writer - 581888MarylandMetro Public Adjustment is looking for customer-oriented individuals to join our team of claims representatives. Once reviewed, If you want a face-to-face interview, we typically conduct them on Zoom: For Interview time and location, use the link below:
NewClaims Representative - 533968 Metro Public AdjustmentClaims Representative - 533968Baltimore, MDFull timePart timeIf 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 from their insurance claim.
NewSr. Auto Appraiser - Field (Maryland) USAASr. Auto Appraiser - Field (Maryland)Baltimore, MD$63,590–$121,530 / yearField Auto Appraiser, you will within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in compliance with state laws and regulations. Supports workload surges and catastrophe (CAT) response operations as needed, including required on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
New(i) Program Manager – Core Consolidation / FACETS Transformation System One(i) Program Manager – Core Consolidation / FACETS TransformationBaltimore, MD$75–$91 / hourAs a Program Manager - Core Consolidation , you'll lead a high-visibility enterprise program that brings together business, technology, operations, and vendor teams to successfully migrate claims processing capabilities into a unified FACETS platform. We're building a FACETS transformation team to support a large-scale healthcare payer modernization initiative focused on consolidating multiple legacy claims platforms into FACETS (NASCO FACETS) .
New(v) Software Engineer – FACETS Extensions / Application Development System One(v) Software Engineer – FACETS Extensions / Application DevelopmentBaltimore, MD$45–$73 / hourWe are seeking a Software Engineer – FACETS Extensions / Application Development to design, develop, and support applications and integrations that enhance the FACETS platform and related claims processing workflows. As part of this strategic transformation, we are building a strong FACETS talent bench to support multiple project waves across engineering, application development, integrations, and platform modernization.
New(vi) Data / DBA / Backend Engineer – FACETS Data (SQL, ETL, Conversions) System One(vi) Data / DBA / Backend Engineer – FACETS Data (SQL, ETL, Conversions)Baltimore, MD$55–$73 / hourSystem One is supporting a large-scale healthcare modernization initiative and is actively building a pipeline of experienced Data Engineers, Database Administrators, and Backend Engineers with FACETS expertise. As multiple project teams ramp up over time, we are seeking professionals with strong data, database, and healthcare claims experience to support data conversions, integrations, migrations, and platform optimization.
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.
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, 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.
Business Systems Analyst Synerfac Technical StaffingBusiness Systems AnalystWindsor Mill, MDRemote$20–$25 / hourTemporaryContractorOur client is seeking a Business Systems analyst to bridge the gap between business needs and technical execution - gathering requirements, analyzing workflows, and helping shape web-based reporting tools used across a national healthcare network. By applying for this job, you agree to receive calls, Al-generated calls, text messages, or emails from Synerfac Technical Staffing and our contracted partners.
NewMedical Claims Analyst CVS Health CorpMedical Claims AnalystMD$18.50–$35.29 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
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.
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.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistMD$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Senior Manager, Claims Services Sun Life Financial IncSenior Manager, Claims ServicesBaltimore, 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.
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.
NewLong 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.
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.
Claims Unit Manager Marriott International IncClaims Unit ManagerBethesda, MDThe manager monitors caseloads to maintain appropriate balance based on jurisdictional requirements and the complexity of workers' compensation and general liability claims, ensuring high-quality, timely, and cost-effective claim outcomes. Partner with the Regional Director and Operations Managers to ensure effective communication, coordination, and issue resolution across key operational areas, including: Notifying leadership of staff absences, schedules, and appointments.
NewClaims Assistant CorVel Enterprise Claims, Inc.Claims AssistantRockville, MD$15–$23.42 / hourPart timePay 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!).
Remote Claims Representative -581888 Metro Public AdjustmentRemote Claims Representative -581888Baltimore, MDRemoteMetro Public Adjustment is looking for customer-oriented individuals to join our team of claims representatives. Once reviewed, If you want a face-to-face interview, we typically conduct them on Zoom: For Interview time and location, use the link below:
Principal Solutions Architect - Claims Processing (Remote) Blue Cross and Blue Shield AssociationPrincipal Solutions Architect - Claims Processing (Remote)Baltimore, MDRemote$155,600–$278,135 / yearMust have recent solution/domain architecture experience with Facets G6 real-time and batch claims processing, pre-adjudication validation, EDI-based transaction data management, claim editing engines, and third-party integrations with partner organizations that provide these services. Has an expert knowledge of integration solutions and communicates with business owners, domain architects, other Solution Architects, technical delivery staff, and key technical stakeholders, including Security, Data, and Technology Centers of Excellence.
Senior Manager, LTD Claims (Remote) Sun Life Financial IncSenior Manager, LTD Claims (Remote)Baltimore, MDRemote$72,500–$108,800 / yearThe opportunity: The Senior Manager, Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day-to-day operations of our Long-Term Disability claims team, as well as fostering client relations and ensuring the accurate risk management of disability claims. How you will contribute: Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners.
Senior Manager, Claims Sun Life Financial IncSenior Manager, ClaimsMD$72,500–$108,800 / yearThe Senior Manager, Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day-to-day operations of our Long Term Disability claims team, as well as fostering client relations and ensuring the accurate risk management of disability claims. What you will do: Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerBaltimore, MDRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsBaltimore, Maryland$64,965.62–$91,000 / yearFull timeWith 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).
Contract Claims Manager AECOMContract Claims ManagerBaltimore, MDWe invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. The Claims Manager will be responsible for coordinating and reviewing potential contract changes; engaging in claims avoidance activities; and engaging, strategizing, and working with construction oversight teams to support merit assessments and resolution of claims.
Senior Liability Claims Specialist CorVel Enterprise Claims, Inc.Senior Liability Claims SpecialistRockville, MD$61,053–$98,334 / yearPart timePay 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!).
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.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEAnnapolis, MDRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
NewClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEAnnapolis, MDRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Remote Claims Representative 604380 Metro Public AdjustmentRemote Claims Representative 604380Owings Mills, MDRemoteIf 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 from their insurance claim.
NewRemote Claims Representative - 11717 Metro Public AdjustmentRemote Claims Representative - 11717Baltimore, MDRemoteIf 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 from their insurance claim.
NewClaims Representative 628238 Metro Public AdjustmentClaims Representative 628238Baltimore, MDIf 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 from their insurance claim.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminBaltimore, MDRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystBaltimore, MDRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
NewSenior Program Specialist, Occupational Health Services - Medical Claims Marriott International IncSenior Program Specialist, Occupational Health Services - Medical ClaimsBethesda, MDProgram Specialist, Occupational Health Services (OHS) - Medical Only supports Marriott's OHS and Risk Management operations by coordinating medical-only claim activity, maintaining accurate claim documentation, supporting timely communication with associates, providers, properties, claim partners, and internal stakeholders, and helping ensure consistent claim handling across the organization. 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.
Field Property Claims Adjuster Liberty Mutual Holding Company IncField Property Claims AdjusterGaithersburg, MDThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. This is a role where people who love every day to be new, different and exciting, can thrive - you'll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support.
Claims Representative III W. R. Berkley CorpClaims Representative IIITowson, MD$70,000–$85,000 / yearOffering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers'' compensation exposures and deliver industry-leading results. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OMD$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.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerBaltimore, MDRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Assistant County Attorney III, Chief of Claims Management - Non-Merit Baltimore County MarylandAssistant County Attorney III, Chief of Claims Management - Non-MeritTowson, MD$95,880–$151,097 / yearUnder the general supervision of the Deputy County Attorney, supervises liability and worker's compensation claims against the Baltimore County Self Insurance Fund; supervises administrative staff (excluding attorneys) handling primarily first party and property damage claims; utilizes working knowledge within office setting, providing guidance and technical assistance in order to meet unit goals. Prepares and tries complex cases on behalf of the Baltimore County government in State appellate and Federal courts and the Circuit Court of Baltimore County; prepares briefs, interrogatives, motions and other documents necessary for the proper defense of the County.
NewClaims Assistant CorVel CorpClaims AssistantRockville, MD$15–$23.42 / hourPay 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!).
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheAnnapolis, MD$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
Claims Specialist needed in Hunt Valley $55k Ultimate Staffing ServicesClaims Specialist needed in Hunt Valley $55kHunt Valley, Maryland$55,000–$65,000Position Overview: Ultimate Staffing Services is actively seeking a dedicated Claims Specialist to join a prestigious team in H unt Valley, Maryland . This role offers a dynamic environment where the specialist will be responsible for managing a variety of claims processes and ensuring efficient communication between all involved parties.
Senior Counsel - Commercial Claims GEICO GENERAL INSURANCE COMPANYSenior Counsel - Commercial ClaimsBethesda, MD$148,625–$260,350 / yearProvide legal advice to claims organization and business leaders on complex commercial insurance claims, including providing coverage advice, evaluating risk transfer demands and opportunities, and evaluating risk associated with potential extra-contractual exposure and alleged bad faith. A successful candidate should have ten or more years' experience advising claims organizations in insurance coverage and claims-related litigation arising from commercial insurance policies and ideally would have some familiarity with claims-related litigation risks across all fifty states.
Claims Representative III BerkleyClaims Representative IIITowson, Maryland$70,000–$85,000 / yearOffering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.