Top 5 Sr. claims examiner, wc Jobs in Baltimore, Md

Sr. Claims Examiner, WC
Harford Mutual Insurance Group —Bel Air, MD
- $72,000 - $103,500 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Bachelor's degree
Quick Apply
Claims Examiner
Atradius —Baltimore, MD
- $80,000 - $90,000 a year
- Full-time
- Hybrid work
- English
- Mid-level
- Office
- Disability insurance
- Health insurance
Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Annapolis, MD
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
Senior Auditor
Contact Government Services, LLC —Baltimore, MD
- $80,000 - $150,000 a year
- Full-time
- Hybrid work
- CPA
- 5 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply

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Sr. Claims Examiner, WC
Harford Mutual Insurance Group —Bel Air, MD
The incumbent will be expected to handle efficiently and competently medium to high severity claims, and to possess comprehensive knowledge of all coverages and…
$72,000 - $103,500 a year
Quick Apply
Claims Examiner
Atradius —Baltimore, MD
The ideal candidate holds a bachelor’s degree in business or a related field. Additionally, candidates for the Montreal or Mississauga offices must have a…
$80,000 - $90,000 a year

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Investigator, Special Investigations Unit (Meritain Health)
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Sr. Claims Examiner, WC

Harford Mutual Insurance Group -
Bel Air, MD

Quick Apply

Job Details

Full-time
$72,000 - $103,500 a year

Qualifications

Workers' compensation insurance knowledge
Policy verification in claims processing
Insurance policy review

Full Job Description

WHO WE ARE:

Harford Mutual Insurance Group is a growing, dynamic mutual insurance carrier providing commercial property and casualty insurance products and services to a regional market. Headquartered in Harford County, Maryland, Harford Mutual offers a positive, diverse, and inclusive work environment with a rich company culture. Founded in 1842 on the principles of mutuality, we believe in insuring opportunity through mutual success® for our policyholders, agents, communities, and employees, and invite our employees to continue that tradition with respect, integrity, exemplary service, and personal responsibility.

Listed within this posting is the anticipated salary range for this position, plus variable incentive compensation. The final salary offered to a successful candidate may vary and will be dependent on several factors that include, but are not limited to, your business experience, education, and individual capacity. Harford Mutual is a multi-state employer, and this salary range may not reflect positions that work in other states.

THE OPPORTUNITY:

The Senior Claims Examiner investigates, evaluates, and resolves workers’ compensation claims and makes recommendations for resolutions from any of Harford Mutual Insurance Group companies. The incumbent will be expected to handle efficiently and competently medium to high severity claims, and to possess comprehensive knowledge of all coverages and claims handling procedures while providing quality claims service to policyholders and agents.

LOCATION:

Hybrid (Bel Air, MD office)

WHAT YOU’LL DO:

Conducts prompt and thorough investigations of workers’ compensation claims within departmental and regulatory guidelines through telephone, written, and other communication methods with policyholders, claimants, attorneys, witnesses, and others with pertinent information.
Advocates for the injured worker and engages with nurse case management to mitigate lost time and facilitate a return-to-work.
Demonstrates specialized handling of lost time and lifetime medical cases with focus on long term cost-containment and injured worker advocacy.
Provides quality claims service to our policyholders and agents by remaining in constant communication with them throughout the claim lifecycle.
Evaluates coverage, determines compensability, utilizes negotiation skills to resolves claims within authority to include ability to draft the respective communications required on the claim.
Analyzes information to evaluate assigned claims to determine the extent of loss, taking into consideration coverage, compensability, and future investigation needs. Assign and manage nurse case managers, defense counsel, or other experts on a task assignment basis where necessary.
Demonstrate in-depth understanding of workers’ compensation statutes, jurisdictional formwork, regulatory requirements, and changing legal landscape.
Accurately apply the HMIG reserving practice by continually evaluating claim exposure to establish appropriate and timely reserves over the life of the claim and notify claim management when exposure exceeds authority.
Maintain a claim diary and comply with departmental diary procedures.
Direct and handle subrogation and loss recovery efforts on assigned files.

WHAT YOU’LL BRING:

Four-year college degree or comparable claims work experience; AIC or similar designation
5+ years’ experience in progressive claims roles;
Experience handling MD workers’ compensation claims
Ability to understand and analyze policy coverages
Ability to analyze information to determine compensability

BENEFITS:

PHYSICAL DEMANDS & WORK ENVIRONMENTAL FACTORS:

The physical demands described above are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

EEO STATEMENT:

Harford Mutual Insurance Group provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Most new hires fall within this range and have the opportunity to earn more over time. Initial placement within the salary range, however, is based on an individual's relevant knowledge, skills and experience for the position.

Base salary is only one component of our competitive Total Rewards package. To learn more, please visit the Perks & Benefits on our website.

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sr. claims examiner, wc jobs in baltimore, md

Sr. Claims Examiner, WC

Claims Examiner

Investigator, Special Investigations Unit (Meritain Health)

Senior Auditor

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