6d
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Claims Adjuster II
Bethesda, Maryland, United States
$63k-$92k/yr HybridFull Time
1.5+ YOEHigh school diploma/GED, minimum 18 months claims adjusting experience, knowledge of claims processing; AIC/ARM or applicable industry licensing preferred.
Claims Enterprise (CE)
2w
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Claims Representative, Auto
Virginia Beach or Seven Hills or Rhode Island or Indiana or Texas or Delaware or Kentucky or South Carolina or Florida or West Virginia or Maryland or North Carolina or Ohio or District of Columbia or Illinois or New Jersey or Iowa or Tennessee or Pennsylvania or New Hampshire or Maine or Michigan or Wisconsin or Virginia or Georgia or Massachusetts or Connecticut
$50k-$55k/yr OnsiteFull Time
Experience processing auto/property damage and lower-level injury claims; familiarity with personal/commercial lines, ability to assess damage and negotiate claims, strong communication and PC skills, secure state adjuster licenses as required.
Microsoft Office
5d
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Healthcare Claims Processor Bakinaw
Florida or Georgia or Maryland or Michigan or Texas
RemoteFull Time
5+ YOEMinimum 5 years processing complex professional and facility medical claims; familiarity with ICD-10, CPT, HCPCS, modifiers, bill types; strong attention to detail, communication, and Microsoft Office proficiency.
ICD-10, CPT, HCPCS, Microsoft Word, Microsoft Excel, Microsoft Outlook
2w
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Claims Examiner
Silver Spring, Maryland, United States
$68k-$101k/yr HybridFull Time
3+ YOEBachelor's degree in business, AIC preferred, adjuster license required within 1 year, 3+ years relevant experience preferred, proficiency with FCS software, word processing and spreadsheets, strong judgment and documentation skills.
FCS software, word processing, spreadsheet
1mo
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Process Manager, Commercial Casualty Claims - Remote
California or South Carolina or Louisiana or Washington or Virginia or Utah or Texas or Tennessee or Pennsylvania or Oregon or Oklahoma or Ohio or Michigan or New York or West Virginia or New Jersey or Missouri or Massachusetts or Wisconsin or New Hampshire or New Mexico or Nevada or Kansas or Georgia or North Carolina or Montana or Arkansas or Maine or Maryland or Delaware or Rhode Island or Kentucky or Mississippi or Indiana or Alabama or Illinois or Idaho or District of Columbia or Colorado or Arizona or Florida or Iowa or Nebraska or Vermont or South Dakota or Connecticut or Minnesota or United States
$137k-$182k/yr RemoteFull Time
10+ YOE5+ MgmtBachelor's degree or equivalent, 10+ years in financial/business analysis or process design, 5+ years supervisory experience, project management skills, experience with business process analysis and budgeting, proficiency with Visio, MS Project and Excel.
Microsoft Visio, Microsoft Project, Microsoft Excel
1w
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Warranty Administrator
Baltimore, Maryland, United States
$45k-$65k/yr OnsiteFull Time
Experienced in automotive warranty claim processing, reconciling warranty receivables, handling rejected claims, and working with service and accounting teams.
Reynolds and Reynolds, DMS
1mo
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Senior Analyst Claim Reporting and Special Services
Hartford or Arkansas or Idaho or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or New York or Connecticut or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or Arizona or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or Indiana or New Jersey or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Florida or Wyoming or Delaware or United States
$47k-$112k/yr HybridFull Time
2+ YOE2+ years processing claims through ACAS, knowledge of Aetna claim and provider systems, project coordination and root-cause analysis skills, data analysis ability, strong communication and composure under pressure.
Aetna claim and provider systems, ACAS, USQA reporting, Microsoft Excel, Microsoft Word, Microsoft Access
3w
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A/R Specialist
Woburn or Scarborough or Concord or Canton or Connecticut or Florida or Maine or Massachusetts or Maryland or New Hampshire or North Carolina or Ohio or Rhode Island or Texas or Vermont
$21-$23/hr RemoteFull Time
3+ YOE3+ years processing third-party health insurance claims; knowledge of Medicare/Medicaid and payer rules; familiarity with electronic claims processing, CPT/ICD9/HCPC coding, HIPAA; strong written/verbal communication and MS Word/Excel skills.
Microsoft Word, Microsoft Excel
1w
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Customer Service Representative - State Farm Agent Team Member
Bel Air, Maryland, United States
$18-$21/hr OnsiteFull Time
Provide policy information, process claims and changes, maintain records; strong communication, attention to detail, multitasking; prior customer service experience preferred.
1w
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Customer Service Representative - State Farm Agent Team Member
Frederick, Maryland, United States
$40k-$60k/yr OnsiteFull Time
Provide customer support for policies and claims, process policy changes, maintain records, strong communication and attention to detail; previous customer service experience preferred.
3mo
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(USA) Backroom Associate - Sam's Club
Catonsville, Maryland, United States
$18-$26/hr OnsiteFull Time
Maintain and process shipments, receive and organize merchandise, track claims, follow safety procedures; forklift certification required or obtained within 30 days; must be 18+.
5d
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Customer Service Representative - State Farm Agent Team Member
Germantown, Maryland, United States
$40k-$50k/yr OnsiteFull Time
Handling customer inquiries, assisting with policy changes, processing claims, maintaining records; strong communication, multitasking, customer service experience preferred; bilingual Spanish required.
2w
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Consumer Loan Servicing Representative
Upper Marlboro, Maryland, United States
$43k-$71k/yr HybridFull Time
Maintain consumer loan records, post payments/payoffs, process claims and corrections, handle title and collateral maintenance, and respond to member inquiries via phone, mail, and email.
Synergy, FCON
4d
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Experienced Automotive Warranty Administrator
Aberdeen, Maryland, United States
OnsiteFull Time
Process and submit warranty claims, review warranty documentation, communicate with technicians and manufacturers; strong organization, communication, attention to detail; CDK DMS proficiency; experience preferred but not required.
CDK DMS
1mo
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Customer Service Representative - State Farm Agent Team Member
Laurel, Maryland, United States
$40k-$60k/yr OnsiteFull Time
Provides exceptional customer service, answers policy inquiries, processes claims, maintains customer records; strong communication, attention to detail, multitasking; previous customer service experience preferred.
22h
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Physician Reviewer
Maryland, United States
RemotePart Time
3+ YOE3+ years practicing medicine as a board-certified MD or DO, experience in health insurance/utilization review or claims processing, knowledge of Medicare, and ability to interpret clinical documentation and guidelines.
2mo
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Provider Relations Representative I (Hybrid)
Baltimore, Maryland, United States
$49k-$98k/yr HybridFull Time
2+ YOEAssociate's Degree or equivalent experience; 2 years in provider relations, training, or claims processing; strong communication and problem solving; proficient in MS Office; willingness for hybrid work in the Baltimore area.
Microsoft Excel, Microsoft Access, Microsoft PowerPoint, Microsoft Word
1mo
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A&G Clinical Specialist
New York or West Virginia or North Dakota or Wisconsin or Indiana or Virginia or Texas or Tennessee or South Carolina or Pennsylvania or Ohio or Nevada or New Jersey or North Carolina or Minnesota or Maryland or Massachusetts or Florida or Delaware or Connecticut or New Hampshire or Arizona or Vermont or Alabama or Maine or Wyoming or Montana or South Dakota or Nebraska or New Mexico or Washington or Michigan or Hawaii or Oklahoma
$73k-$120k/yr RemoteFull Time
LPN or RN required; experience in clinical practice and appeals & grievances, claims processing, utilization review preferred. Knowledge of Utilization Review guidelines, InterQual or Medicare guidance; proficiency with Microsoft Word and Excel.
Microsoft Word, Microsoft Excel, Macess, InterQual
1w
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Pharmacy Coordinator
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$19-$24/hr RemoteFull Time
High school diploma/GED, experience in pharmacy prescription claims processing, knowledge of Medicaid/Medicare drug benefit design, strong computer and communication skills; preferred associate degree and pharmacy technician certification.
Microsoft Outlook, Microsoft Word, OnBase, Argus IPNS
4d
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Senior Clinical Coding Analyst
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$63k-$74k/yr RemoteFull Time
5+ YOERequires 5+ years clinical coding experience, 3+ years claims processing, high school diploma/GED, CIC/CCS/RHIT certification, U.S. citizenship and ability to pass DoD background investigation.
Microsoft Word, Microsoft Excel
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