- HomeSafe Alliance (Arlington, VA)
- **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
- Lincoln Financial Group (Washington, DC)
- …73259 **The Role at a Glance** We are excited to bring on a Recertification Claims Specialist to our claims organization. This position will be reviewing ... have been approved for the change in definition, there will be no pended claims **What you'll be doing** * Communicating with claimants, employers and various … more
- Humana (Annapolis, MD)
- …skills to make an impact** **Required Qualifications** + 5 or more years of Medical claims knowledge and/or claims processing experience within the ... part of our caring community and help us put health first** The Claims Review Representative 4...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… 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
- 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
- Lincoln Financial Group (Washington, DC)
- …at a Glance** We are excited to bring on highly motivated Short Term Disability Claims Specialists to staff our ever-growing claims organization. As a Short Term ... conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. You'll… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** Humana/iCare is seeking a Call Center and Claims Representative 2 to meet the needs of ... member and provider inquiries related to benefits, eligibility and claims , to provide support for the customer service representatives,...telephone etiquette. + Two (2) years of experience in health insurance. + Experience in the use of a… more
- Lincoln Financial Group (Washington, DC)
- …Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist** to support our ever-growing claims organization in a work from home ... west coast employer groups. _Background details_ As a Group Claims Specialist, you will support our Short Term Disability...requests relating to Short Term Disability, the Family and Medical Leave Act (FMLA), the Americans with Disabilities Act… 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
- 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
- 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
- Travelers Insurance Company (Chantilly, VA)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...+ Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical … 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
- 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
- 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
- Travelers Insurance Company (Chantilly, VA)
- …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