- Sedgwick (Annapolis, MD)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** ... : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- CVS Health (Annapolis, MD)
- …And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ... amount levels on customer service platforms, specifically by using technical and claims processing expertise. + Apply medical necessity guidelines, determine… more
- CVS Health (Annapolis, MD)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Gilead Sciences, Inc. (Baltimore, MD)
- …will improve the lives of patients with life-threatening illnesses worldwide. As a Senior Field Activation Specialist within Gilead's HIV Prevention team, you ... with local cross-functional colleagues (Prevention Specialists, Community Liaisons, Market Access, Medical Scientists, and other field team members) to ensure a… more
- Johns Hopkins University (Middle River, MD)
- …rejections processes to resolve standard issues or escalate to a more senior specialist . **Specific Duties and Responsibilities** _Procedural Knowledge_ + Uses ... registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for… more
- Johns Hopkins University (Middle River, MD)
- …and rejections processes to resolve standard issues or escalate to a more senior specialist . **Specific Duties & Responsibilities** + Uses A/R follow-up systems ... registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for… more
- Johns Hopkins University (Middle River, MD)
- …rejections processes to resolve standard issues or escalate to a more senior specialist . **Principal Duties and Responsibilities** _Procedural Knowledge_ + Uses ... registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for… more
- UIC Government Services and the Bowhead Family of Companies (Aberdeen, MD)
- …of the Security Assistance Management Directorate (SAMD). As a Logistics Management Specialist you'll be making a difference in global security assistance by ... to manage your own workload independently. **Responsibilities** The Logistics Management Specialist will be responsible for logistics and acquisition type duties… more
- UIC Government Services and the Bowhead Family of Companies (Aberdeen, MD)
- **Overview** The Digital Transformation & Power Platform Specialist : The Digital Transformation & Power Platform Specialist will lead modernization efforts ... training and support to ensure successful adoption. + Brief senior leadership on new digital tools and dashboards to...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Highmark Health (Annapolis, MD)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Highmark Health (Annapolis, MD)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more