- HomeSafe Alliance (Washington, DC)
- **Title:** Claims Adjuster (SCA) HHG/Military Move **HomeSafe Alliance** is the single global household goods movement manager of over 300,000 Military Household ... an SCA position** . **Position Summary** : **HomeSafe Alliance** is seeking experienced Claims Adjustors with experience in HHG/Military Move to process and settle … more
- Ryder System (Washington, DC)
- …Job Applicant Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy- policy )\_ **Summary** The Senior Claims Representative handles ... salary for this position ranges from $75K to $80K Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision, life… more
- HUB International (Ellicott City, MD)
- …Mid-Atlantic, Inc: + Medical , Dental, Vision and Prescription Drug Coverage + Health Plan Reimbursement Program + Health Savings Account (HSA) + 401(k) ... broad array of property, casualty, risk management, life and health , employee benefits, investment and wealth management products and...our talent. We currently have an opportunity for a ** Claims Assistant** to join our team in our **Ellicott… more
- Sedgwick (Baltimore, MD)
- …regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze...are properly documented and correctly coded based on the policy . + Develops and maintains action plans to ensure… more
- Guardian Life (Washington, DC)
- …for initial and ongoing claim management (eg current earnings, other income benefits, medical information, etc.); notifies claimants when claims are pended for ... **Position Summary** The STD/Absence Claims Case Manager I (CM) is responsible for...flexible, and inclusive benefits and resources to our colleagues. ** Health Care** + Choice of [high deductible/copay] medical… more
- Sedgwick (Baltimore, MD)
- …regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Recovery **PRIMARY PURPOSE:** To identify and pursue auto/rental… more
- Amazon (Arlington, VA)
- …and regulatory requirements; and (2) provide thought leadership and work with our policy lead to ensure we are thinking holistically about risk to buyers, sellers, ... and Amazon with every new policy , product launch, and program update. The scope for...brilliant, hard-working, resilient, fun, energetic, diverse, and prioritizes personal health and wellness above all else. This role is… more
- Ascension Health (Baltimore, MD)
- …+ Monitors major issues and trends in the practice of medicine and area of health policy advising medical staff and executive leadership in relation to ... Ascension St. Agnes is looking to hire a Chief Medical Officer to join our team! Serving Maryland for...years to come. **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including… more
- CareFirst (Washington, DC)
- … policies. Assesses, communicates and elevates issues that may require assessment by medical policy . + Provides pricing of procedure codes which require ... day to day review of complex professional and institutional claims and provider appeals that require medical ...date on coding rules and standards. + Participates in medical policy meetings, nurse's forums, and review… more
- Johns Hopkins University (Baltimore, MD)
- …prompt payment of claims . Communicates with providers regarding appeals and medical policy denials, and provides appropriate proactive guidance for future ... and/or relating to high-cost procedures. Will incorporate research findings on medical policy into appeals documentation. Communicates with payers to… more
- Trinity Health (Aspen Hill, MD)
- …Required:** High school graduate possessing two () years experience in accounting and medical claims management, preferably in a hospital or physician's office ... hospitals limited community benefit resources by implementing the financial assistance policy with fairness and accuracy. Resolve patient's billing concerns via the… more
- Johns Hopkins University (Middle River, MD)
- …to HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI). + Comprehensive knowledge of medical billing applications. ... to expedite payments. The Specialist will research and interpret medical policies regarding denials based on medical ...+ Utilize online resources to research policy and regulations to facilitate efficient claims … more
- Travelers Insurance Company (Hunt Valley, MD)
- …issues involving claim resolution. Familiarity with commercial lines/personal lines products, policy language, exclusions, ISO forms, effective claims handling ... practices. + Extensive experience handling large exposure and/or complex liability claims + Familiarity with commercial lines products, policy language,… more
- Travelers Insurance Company (Hunt Valley, MD)
- …input and shares ideas. + Thorough understanding of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices. ... reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle… more
- Johns Hopkins University (Middle River, MD)
- …Specialist_** who will be responsible for the collection of unpaid third-party claims and appeals, using various applications of JHM and JHU/ PBS billing ... Works with the payers to resolve issues and facilitate prompt payment of claims . Follow-up with insurance companies to collect outstanding accounts for which payment… more
- Johns Hopkins University (Middle River, MD)
- …of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI). + Working knowledge of medical billing applications. ... + Applies appropriate discounts / courtesies based on department policy . + Prepares delinquent accounts for transfer to self-pay...+ Utilize online resources to facilitate efficient claims processing. + Knowledge of medical terminology,… more
- Elevance Health (Hanover, MD)
- … office**_ The **Provider Reimburse Admin** ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... **_Location:_** _open to any Elevance Health office location_ _**this position will work a...Make an Impact:** + Reviews company-specific, CMS-specific, and competitor-specific medical policies, reimbursement policies, and editing rules, as well… more
- Travelers Insurance Company (Hunt Valley, MD)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer ... + Timely coverage analysis and communications with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager… more
- Elevance Health (Hanover, MD)
- …research findings. + Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider ... The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance … more
- Humana (Washington, DC)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health … more