Claims - Processor, Claims I
Ampcus
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Claims - Processor, Claims I. Location: Baltimore, MD. ( Remote) Purpose:
- Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.
- 60% Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims. The Claims Processor also uses automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems.
- 25% Completes research of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receive coaching from leadership. Required participation in ongoing developmental training to perform daily functions.
- 10% Completes productivity daily data that is used by leadership to compile performance statistics. Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc.
- 5% Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions.
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
- Demonstrated analytical skills, Proficient.
- Demonstrated reading comprehension and ability to follow directions provided, Proficient.
- Basic written/oral communication skills, Proficient.
- Demonstrated ability to navigate computer applications, Proficient.
- Level: High School Diploma or GED.
- Less than one year's experience processing claim documents.
- 1-3 years Claims processing, billing, or medical terminology experience.
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Claims - Processor, Claims I in Baltimore, MD vacancy
$17.34 - $21.34 per hour
...Claims Processor Pay Range: $17.34hr - $21.34hr The Claims Processor is responsible for examining, researching, and resolving non-adjudicated claims to ensure accurate and timely processing in accordance with medical policies, contracts, and procedures. The role...SuggestedRemote job- ...Claims Processor Our client, a health insurance company, is looking for a Claims Processor for their Baltimore, MD location. Responsibilities: Research and improve operations by examining and researching systems problems by obtaining facts, analyzing problems...SuggestedWork experience placementWork at office
- Lewis Brisbois, a Baltimore, MD-based AmLaw 100 firm, seeks a partner-level attorney for its General Liability Practice. The ideal candidate will have 8–15 years of experience in general liability defense, with strong research and writing skills and a Maryland Bar admission...Suggested
Lewis Brisbois Bisgaard & Smith, LLP
Baltimore, MD4 days ago - ...The University of Maryland Faculty Physicians, Inc. seeks a Charges and Claims Specialist for Chesapeake Specialty Care. This remote, full‑time role handles initial claim creation and submission to insurers, and designates patient responsibility as needed. Primary duties...SuggestedFull timeRemote work
University of Maryland Faculty Physicians
Baltimore, MD1 day ago $82.8k - $97.3k
...Claims Specialist - AutoPhiladelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are...SuggestedPhiladelphia Insurance Companies
Lutherville Timonium, MD1 day ago$25k
...Property & Casualty Claims Representative III Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional...Davies North America
Baltimore, MD2 days ago- ...Claims AnalystLumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional...Contract work
Lumen Solutions Group Inc.
Baltimore, MD1 day ago - ...A leading claims adjustment firm in Catonsville is looking for Independent Insurance Claims Adjusters. This role plays a crucial part in supporting individuals and businesses affected by disasters. The firm offers training programs to equip candidates with the necessary...Flexible hours
MileHigh Adjusters Houston
Catonsville, MD2 days ago - ...A leading insurance claims adjustment company is seeking Independent Claims Adjusters to join their growing team. This opportunity offers training for newcomers and support for seasoned adjusters, allowing you to make a positive impact in people's lives. You will aid...Flexible hours
MileHigh Adjusters Houston
Lutherville Timonium, MD3 days ago $51.81k - $83.55k
...Claims SpecialistThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional...Full timeFlexible hoursCorVel
Nottingham, MD5 days ago- ...A leading claims adjusting firm in Towson, Maryland is seeking Independent Insurance Claims Adjusters to join their dynamic team. This role offers a rewarding career path where you will help individuals and businesses recover from unforeseen disasters. The firm provides...Flexible hours
MileHigh Adjusters Houston
Towson, MD3 days ago - ...A leading claims adjusting company in Maryland is seeking Licensed Insurance Claims Adjusters for a rewarding career. Join a dynamic team where you can help others recover from disasters while enjoying flexible work and competitive pay. Comprehensive training programs...Flexible hours
MileHigh Adjusters Houston
Halethorpe, MD1 day ago - ...A claims adjusting firm in Maryland is seeking Independent Insurance Claims Adjusters. As a Licensed Claims Adjuster, you will help individuals recover from disasters while enjoying a flexible and rewarding career. The firm offers comprehensive training to equip both...Flexible hours
MileHigh Adjusters Houston
Cockeysville, MD1 day ago - ...A leading claims adjustment company in Baltimore is seeking Independent Insurance Claims Adjusters to assist with the surge in storm-related claims. The role offers a rewarding career path with training programs designed to equip you for success in this dynamic field....Flexible hours
MileHigh Adjusters Houston
Baltimore, MD2 days ago $69.4k - $99k
...Property Field Inspection Claim SpecialistBeing good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State Farm. It is at the core of how we operate and the reason for our success. We're moving with urgency...Work experience placementWork at officeLocal areaRemote workWork from homeFlexible hoursState Farm
Baltimore, MD1 day ago$80k - $90k
...Claims Examiner The Atradius Group provides trade credit insurance, surety and collections services worldwide, and has a presence through 160 offices in 52 countries. The products offered by Atradius protect companies around the world against the default risks associated...Full timeWork at officeRemote workWorldwideFlexible hoursAtradius
Cockeysville, MD1 day ago- A leading training provider is seeking Independent Insurance Claims Adjusters in Reisterstown, Maryland. This role offers flexible work hours, competitive compensation, and extensive training to ensure you excel in the claims adjusting field. Whether you're experienced...Flexible hours
MileHigh Adjusters Houston
Reisterstown, MD3 days ago $100k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care PRIMARY PURPOSE OF THE ROLE: To analyze complex or...Full timeLocal areaFlexible hoursSedgwick
Baltimore, MD1 day ago- ...A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters for their growing team in Maryland. This role offers the opportunity to make a significant impact by assisting clients in recovering from disasters. Flexible career paths and comprehensive...Flexible hours
MileHigh Adjusters Houston
Pikesville, MD3 days ago - ...is seeking a Field Property Adjuster in Baltimore, Maryland. This role involves investigating residential and commercial property claims, and requires excellence in attention to detail and decision-making under pressure. Candidates should have a high school diploma, relevant...
Capstone ISG
Baltimore, MD1 day ago $69.92k - $133.62k
...you will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyze coverage, recognize liability exposure and negotiate equitable...Hourly payH1bLocal areaRemote workRelocationAfternoon shiftUSAA
Baltimore, MD5 days ago$100k
...products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description...Full timeLocal areaRemote workArgonaut Management Services, Inc
Baltimore, MD1 day ago- ...and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Claims - Adjuster, Claims I Location: Baltimore, MD Description: Required Skills: Medical Claims processing experience...
Ampcus
Baltimore, MD1 day ago - A dynamic claims adjusting firm in Parkville, Maryland is seeking Independent Insurance Claims Adjusters to join their team. This role offers flexibility, autonomy, and a rewarding career path in a growing industry. Whether you are an experienced adjuster or just starting...
$44.14k - $80.92k
...PURPOSE: Investigate and perform adjustment of highly complex claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies Insurance Claims by reviewing claims requirements; examining documentation...Work experience placementImmediate startCareFirst BlueCross BlueShield
Baltimore, MD2 days ago- A leading claims adjustment firm in Catonsville is looking for Independent Insurance Claims Adjusters. This role plays a crucial part in supporting individuals and businesses affected by disasters. The firm offers training programs to equip candidates with the necessary...Flexible hours
- A leading insurance claims adjustment company is seeking Independent Claims Adjusters to join their growing team. This opportunity offers training for newcomers and support for seasoned adjusters, allowing you to make a positive impact in people's lives. You will aid clients...Flexible hours
- A leading claims adjusting firm in Towson, Maryland is seeking Independent Insurance Claims Adjusters to join their dynamic team. This role offers a rewarding career path where you will help individuals and businesses recover from unforeseen disasters. The firm provides...Flexible hours
- A claims adjusting firm in Maryland is seeking Independent Insurance Claims Adjusters. As a Licensed Claims Adjuster, you will help individuals recover from disasters while enjoying a flexible and rewarding career. The firm offers comprehensive training to equip both newcomers...Flexible hours
- A leading claims adjustment company is seeking Independent Insurance Claims Adjusters in Maryland. This role offers the chance to join a growing sector with significant flexibility and competitive pay. Whether you are an experienced adjuster with a proven track record...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims - Processor, Claims I. Be the first to apply!
Related searches
- medical insurance claims specialist Baltimore, MD
- medical claims analyst Baltimore, MD
- claim specialist Baltimore, MD
- claims processor Baltimore, MD
- claims analyst Baltimore, MD
- claims consultant Baltimore, MD
- remote medical claims processor Baltimore, MD
- insurance claims processor Baltimore, MD
- claim examiner Baltimore, MD
- claims assistant Baltimore, MD