Insurance Claims Management Jobs in Maryland
Bay-Tek is looking for a PMO with at least 5 years experience in insurance claims data across both private and public sectors (Medicare / Medicade). Including implementation of state and federal regulations, industry best practices, standards and guidelines, especially as it pertains to HIPAA. Project Management Officer (PMO) will assist in the procurement of data base and analytics contractors, m...
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick...
Job Description: My clilent is an insurance firm based in Frederick MD and is seeking a seasoned Claims Representative to be responsible for the set up, research, review and processing of non-contestable claims within established productivity and quality standards. Complete all other claims related tasks to meet or exceed pre-defined productivity and quality standards. Complete other administrativ...
Work from Home Opportunity and Company Car Included! Position Summary: Kemper Services Group, a division of Kemper Corporation, is looking for a Property Field Claims Adjuster to work remotely in Baltimore, Maryland area. In this role, the Claims Representative will rely upon previous experience in the field, investigating and settling first party property claims. Customer service skills are a mus...
At Gallagher Bassett Services, Inc. (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000...
Position ID:31074 Position Title:Sr. Workers' Compensation Claims Specialist Min Education Desired:Bachelors Degree Travel Percentage:Minimum Relocation:No Job Summary:Zurich Insurance Group (Zurich) is a leading multi-line insurance provider with a global network of subsidiaries and offices in Europe, North America, Latin America, Asia-Pacific and the Middle East as well as other markets. It offe...
Required Qualifications: 3+ years of Maryland Workers' Compensation Lost Time claims handling experience Effective investigate, organizational and analytical skills Excellent written and verbal communication skills Preferred Qualifications: Municipality Experience Job Description: Our client, a stable insurance company, is offering a career opportunity as a Workers' Compensation Insurance Claims A...
Description: Serves customers by selling State Farm insurance products; meeting customer needs. Solicits new business and prospects within the local community. Serves in a customer service role to insure customer's concerns and needs are met. Duties: * Selling State Farm Insurance and Financial Service products to prospective clients. * Services new customer accounts by planning and organizing dai...
Description: XLHealth is currently recruiting for a Medicare Fraud Analyst position to identify, analyze and categorize fraudulent health care claims submissions and enrollment activity. This position will also facilitate operational activities with CMS entities, law enforcement, compliance and external vendors, in support of the fraud, waste and abuse department. The position will be responsible...
Please email to me an updated resume and call me to discuss the ETL Datastage Sr. Developer position, and review our website for more information about the company. Full Time Position With Benefits Salary: DOE Start Date Immediate Location : Gaithersburg MD This position provides data conversion analysis and development for a large MMIS (Medicaid Management Information System) implementation effor...
Description: Innovation. It's what we do. Join us and be a part of that process every day. In the Healthcare Data Business Analyst role, you will support the Coordination of Benefits (COB) process. You will gather and document requirements and create SQL queries to pull and perform analysis of claims data. You will then work with internal development teams to create algorithms designed to detect m...
Occupational Health Registered Nurse needed for a contract opportunity with Yoh's client located in Rockville, Maryland. The Big Picture - Top Skills You Should Possess: - Case Management - Worker's Compensation What You'll Be Doing: - Coordinate employee worker compensation claims and manage FMLA process - Manage the vaccination program and conduct on-boarding healthcare screenings - Triage and t...
Armada, an employer services firm that increases the competitiveness of emerging and middle market companies by transforming their mission-critical workforce management capabilities, seeks a Customer Care Representative . The ideal candidate would have prior experience in a TPA operation and possess strong customer service skills. Summary Our Customer Care Representatives are responsible for the d...
# of Positions 29 Job Type Para-professional/Support Full/Part Time Full-Time Shift First Weekends Required Both Why State Farm®? Our commitment to customers makes us the No. 1 insurer of cars and homes in the United States and an insurance leader in Canada. This same commitment to our work force is how we got here and how we stay here. Our 90-year track record highlights State Farm as an employer...
At MedStar Health, we promote a culture of respect towards both our patients and our staff. As you work in our friendly and supportive environment, you'll be assured each individual's contributions are valued and crucial to our success. In return for your hard work and dedication, we offer generous benefits and opportunities for professional advancement. Our Patient Financial Services (PFS) Depart...
Reports to: Operations Manager Summary: The Delivery Operations Coordinator directs and coordinates the ordering and delivery of materials to customers in the day-to-day operations. The Delivery Operations Coordinator adheres and promotes corporate policies and manages the general use of equipment, trucks, delivery personnel and materials. The Delivery Operations Coordinator directs the activities...
QSI/NextGen Healthcare builds software that improves patient care and reduced healthcare costs. Now we’re bringing the best of the cloud, social media and mobile to healthcare. Come build the future with us! Please visit our website at: www.nextgen.com Under general supervision, the Collections Specialist performs collection activities for assigned patient and insurance accounts, and develops and...
WellPoint is one of the nation's leading health benefits companies and a Fortune 50 company. Business Analyst III: Responsible for serving as the liaison between the business and IT in translating complex business needs into application software. Primary duties may include, but are not limited to: Analyzes complex end user needs to determine optimal means of meeting those needs. Determines specifi...
Signature Performance believes employees make the difference between a good company and a great company. As a leader in the healthcare revenue cycle industry, we have an opportunity available as Patient Financial Services Liaison. Serve as Liaison between medical facility and the Billing Vendor for information needed in initial claims filing, denial management and appeals Serve as Liaison within t...
Position Summary: The Commercial Account Representative reviews, evaluates, rates and markets commercial (and personal) insurance for current and prospective clients. Uses knowledge and independent judgment to determine eligibility of risks (when compared to guidelines of programs available). Responds to questions or requests from carriers, insureds and producers. Key Responsibilities: 1. Examines...
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Answers for Insurance Claims Management Jobs
Questions & Answers Powered by Yahoo! Answers
How much money does a top claims executive make?
How much money does a top claims executive make? Working in either the risk management department of a company or for an insurance company? 1. Claims Manager 2. Executive Claims Manager 3. ...
Whats an insurance underwriter or adjuster job like?
I wanted a view from the people who actually worked or know people who work in the area. Like for example people who work in customer service hate it even though the description is good. Whats it ...
Is it true that insurance companies purposely delay reimbursement?
Just wondering about it. My sister worked with [car] insurance companies in her previous two jobs, and said that when the claims are larger, they'll purposely delay it. I only ask out of curiosity....
I'm looking for an online job that I can do from home that doesnt coast anything to start or where you have to buy software....maybe like stuffing envelopes or typing info on line. Know of anything?
What exactly is an insurance nurse?
I never knew this was a type of nurse. Does anyone know anything about this profession? I couldn't find anything online. What requirements are needed to become one?
Insurance Career Tools
$24,960.00 - $109,450.00
Typical Salary for Manager in Maryland
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Accomplishes department objectives by managing staff; planning and evaluating department activities; maintaining departmental standards and product knowledge.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements.
Accomplishes financial objectives by forecasting requirements; preparing an annual budget; scheduling expenditures; recording profit and loss margins; adjusting budget appropriately when discrepancies are detected.
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