Claims Adjuster

6 days ago Be among the first 25 applicants Direct message the job poster from KORAK GLOBAL HEALTHCARE SERVICES LLC Administrative & Recruitment Specialist | Virtual Assistant | Talent Acquisition | Calendar Management | Remote Support Expert Overview We are seeking an experienced and detail-oriented Claims Adjuster to join our remote team on a 1-year full-time contract . In this role, you will investigate, evaluate, and resolve claims in accordance with company guidelines, authority limits, and industry best practices. Your primary goal will be to ensure fair and timely settlements while maintaining high standards of accuracy, professionalism, and customer service. While this is a fully remote position, candidates who reside in the Washington, DC metro area (including Maryland and Virginia) are strongly preferred to align with team collaboration and time zone needs. What You’ll Do Investigate and adjust claims : Proactively handle standard and complex claims while adhering to authority limits, policies, and procedures. Maintain and update audit records : Accurately document claims activity, secure data, and ensure compliance with audit protocols. Settle claims : Approve or deny claims with careful consideration and sound judgment. Analyze and report trends : Provide audit summaries and contribute to process improvement through data insights. Grow your expertise : Attend training sessions to enhance your claims adjustment knowledge and skills. Duration: 1-Year Full-Time Contract Schedule: Monday to Friday, standard business hours Work Environment: 100% Remote – All equipment provided ( Washington DC, Maryland or Virginia applicants preferred to align with team collaboration and time zone needs.) Qualifications Education: High School Diploma or GED (required) Experience: Minimum 5 years of hands-on claims adjustment experience Solid understanding of claims systems, policies, and procedures Strong problem-solving, analytical, and communication skills (verbal & written) Proficient in Microsoft Excel, Outlook, Adobe Acrobat, and related tools Ability to manage time effectively in a fast-paced, deadline-driven environment Comfortable interacting with challenging customers and providing high-quality service Preferred Experience Familiarity with Inter-Plan Teleprocessing System (ITS) claims Proven ability to analyze and solve diverse and complex claim issues Strong attention to detail and commitment to accuracy Candidates must disclose any debarment or exclusion that affects their ability to work directly or indirectly on Federal healthcare programs. Why Join Us? 100% Remote: Work from the comfort of your home Stability: Full-time hours with a defined 1-year contract Supportive Team: Join a collaborative, experienced group of professionals Training Provided: Opportunities for skill development and growth Apply Today! If you’re a seasoned claims adjuster looking for a fully remote, contract-based role with a respected organization, we encourage you to apply now! Job Types: Full-time, Contract Pay: $22.00 - $24.00 per hour Expected hours: 40 per week Schedule: 8 hour shift Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Finance and Sales Industries Hospitals and Health Care Referrals increase your chances of interviewing at KORAK GLOBAL HEALTHCARE SERVICES LLC by 2x Get notified about new Claims Adjuster jobs in Maryland, United States . Work From Home | Claim Representative | Flexible Hours Maryland, United States $31.00-$35.00 4 weeks ago REMOTE WORK FROM HOME/CLAIMS REPRESENTATIVE Claim Rep Trainee, Outside Property - Baltimore Co. MD Workers’ Compensation Claims Specialist (MD, NC, TN, GA, KY) REMOTE Maryland, United States $57,000.00-$98,000.00 1 week ago Maryland, United States $57,000.00-$98,000.00 5 days ago Claim Rep Trainee, Outside Property - Montgomery Co. MD Baltimore, MD $80,000.00-$95,000.00 6 hours ago Workers Compensation Claims Adjuster (Must be located in Maryland) Claim Rep Trainee, Outside Property - Baltimore, MD Maryland, United States $90,000.00-$150,000.00 4 months ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr