- Guardian Life (Annapolis, MD)
- …Meet productivity requirements as established by department for handling Supplemental Health Claims . Leadership Behaviors + Demonstrates intellectual curiosity. ... have + Experience of 3 plus years processing Supplemental Health claims . (Accident, Critical Illness, Cancer and...flexible, and inclusive benefits and resources to our colleagues. ** Health Care** + Choice of [high deductible/copay] medical… more
- Lincoln Financial Group (Annapolis, MD)
- …You will effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims ... assigned caseload of Long-Term Disability appeals and Life Waiver of Premium claims . The role is responsible for interpreting and applying correct contract… more
- HomeSafe Alliance (Annapolis, MD)
- **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 (Annapolis, MD)
- …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 (Annapolis, MD)
- …regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Liability **PRIMARY PURPOSE** : To analyze and process low… more
- Lincoln Financial Group (Annapolis, MD)
- …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
- Lincoln Financial Group (Annapolis, MD)
- …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
- Lincoln Financial Group (Annapolis, MD)
- …**The Role at a Glance** We are excited to bring on highly motivated Leaves Claims Specialists to staff our ever-growing claims organization. As a Leaves ... responsible for administering and managing leave requests relating to the Family and Medical Leave Act (FMLA), the Americans with Disabilities Act (ADA) as well as… more
- Serco (Washington, DC)
- …matter expertise in medical records review of the Medicaid and Children's Health Insurance Program claims . The position is responsible for the advising on ... insurance industry, a utilization review firm, or another health care claims processing organization involving medical and coding reviews of a variety of… 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 ... work. + Calculate rates, employ different financial arrangements, interpret pricing policy and adapt to unusual situations. + Identify questionable claim patterns… more
- Elevance Health (Hanover, MD)
- …their status. + Notifies areas of identified problems or providers, recommending modifications to medical policy , on line policy edits. + Trains and provides ... control principals and working knowledge of CPT/HCPCS and ICD 10 coding and medical policy guidelines strongly preferred. + Certification as a Professional Coder… 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 (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
- 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 (Hunt Valley, MD)
- …without involvement of supervisor. + Thorough understanding of business line products, policy language, exclusions, ISO forms, and effective claims handling ... and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Medical /Financial Risk Evaluation Professional 2 /Analyst is responsible for ... supporting the development, implementation and monitoring of medical /financial risk. The Medical /Financial Risk Evaluation Professional...CMS and/or AHCA compliance + 2 or more years Claims experience + 2 or more years Audit and/or… 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
- Highmark Health (Annapolis, MD)
- …and evaluate claim processes specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of ... recover identified overpayments, performing a follow-up review to ensure that the claims were adjusted correctly, resulting in expected recovery/savings. + Perform … more