Top 86 Claims representative Jobs in Dundalk Md

Claims Representative III
Berkley —Towson, MD
- $70,000 - $85,000 a year
- Full-time
- Analysis skills
- Travel
- Organizational skills
- Profit sharing
- Health insurance
2d
Claims Analyst - REMOTE
Ryder System —Annapolis, MD
- $90,000 - $100,000 a year
- Full-time
- Remote
- Customer service
- Bachelor's degree
- Experience equivalent to degree accepted
- Disability insurance
- Health insurance
Accounts Receivable Rep- 3rd Party Non-Gov't payers
TridentCare —Sparks, MD
- $0.01 - $999.00 an hour
- Remote
- Computer literacy
- High school diploma or GED
- Analysis skills
- Paid holidays
- Disability insurance
Quick Apply
Patient Collections Representative
OneOncology —Owings Mills, MD
- Full-time
- 5 years
- Data analysis skills
- Mid-level
Quick Apply
10d
Broker Support Representative II (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $49,320 - $90,420 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- 401(k)
Quick Apply
Field Property Adjuster
Capstone ISG Inc —Baltimore, MD
- No experience needed
- Residential
- High school diploma or GED
- Profit sharing
- Paid training
Quick Apply
Insurance Customer Service Representative
The Gainey Agency —Baltimore, MD
- Remote
- Communication skills
- Entry level
- Opportunities for advancement
Quick Apply
Medical Office Call Center Representative
National Spine and Pain Centers —Rosedale, MD
- Call employer
- Background check
- HIPAA
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Associate Call Representative (Unemployment Ins Associate I (Contractual))
State of Maryland - LABOR - Unemployment Insurance —Baltimore, MD
- $20.53 an hour
- Online Application
- Background check
- Spanish
- High school diploma or GED
- AD&D insurance
- Dental insurance
Provider Relations Representative I (Hybrid)
CareFirst BlueCross BlueShield —Baltimore, MD
- $49,464 - $98,241 a year
- Full-time
- Microsoft Word
- Microsoft Access
- Up to 50% travel
Quick Apply
P&C Claim Representative III
Davies —Baltimore, MD
- $71,760 - $77,250 a year
- Email
- Background check
- Customer service
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
4d
Sr. Customer Service Representative (Hopkins Fulfillment Services)
Johns Hopkins University —Baltimore, MD
- $16.20 - $28.80 an hour
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
Patient Service Representative
Prism Vision Group —Baltimore, MD
- $18.00 - $31.89 an hour
- Computer literacy
- HIPAA
- English
Patient Account Representative
Luminis Health —Annapolis, MD
- $18 - $25 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Paid holidays
Remote Customer Service | Insurance Agent
The Gainey Agency —Baltimore, MD
- Full-time
- Remote
- Mid-level
- Residential
- Communication skills
- Opportunities for advancement
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Gail Bugg - State Farm Agent —Nottingham, MD
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Medical Accounts Receivable Specialist
BALTIMORE MEDICAL SYSTEM, INC. —Baltimore, MD
- $16.60 - $23.50 an hour
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Walter Jones - State Farm Agent —Parkville, MD
- $40,000 - $45,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Patient Account Representative - Lead
Luminis Health —Annapolis, MD
- $20 - $29 an hour
- Full-time
- Microsoft Outlook
- English
- Mid-level
- AD&D insurance
- Paid holidays
4d
Customer Service Representative - State Farm Agent Team Member
Gabrielle Brennan - State Farm Agent —Timonium, MD
- $18.50 - $23.00 an hour
- Part-time
- Spanish
- Office
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply

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Claims Representative III

Berkley -
Towson, MD

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Job Details

Full-time
$70,000 - $85,000 a year
2 days ago

Benefits

Profit sharing
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Customer relationship building
Insurance claims settlement negotiation
Claims payment authorization
Insurance dispute resolution
Regulatory compliance in claims processing
Claims negotiation
Client relationship development
Workers' compensation insurance knowledge
Analysis skills
Insurance regulation
Decision making
Insurance claims litigation
Fiduciary duties
Risk analysis
Coordinating with insurance clients
Vendor relationship management
Vendor communication
Document review
Organizational skills
Insurance policy review
Case referral
Claims documentation management
Senior level
Insurance claims reserve management
Implementing cost-saving initiatives
Communication skills
Managing litigation projects
Time management
Litigation response management

Full Job Description

Company Details:

With over 35 years of proven expertise in the workers' compensation industry, Key Risk delivers innovative and responsive solutions that provide our clients the freedom to do what they do best. Offering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results.

All products and services are distributed through appointed insurance agents and brokers. Key Risk is a member company of W. R. Berkley Corporation, whose insurance company subsidiaries are rated A+ (Superior), Financial Size Category XV by A.M. Best Company and A+ (Strong), by S&P.

For further information about Key Risk please visit www.KeyRisk.com

Responsibilities:

The Workers’ Compensation Claims Representative III is responsible for the analysis and management of complex workers’ compensation claims. The ideal candidate must reside in Maryland. This position will review, investigate, and make decisions regarding coverage, compensability, and appropriateness of claims. The position will process, and document claims to ensure compliance with company standards, industry best practices, and legislative provisions. Acts in a fiduciary role on behalf of policyholders and negotiates claim settlements. Claims Representative III conducts the handling of claims in the utmost of good faith in compliance with the rules, regulations and state statutes. The Claims Representative III is expected to function with a high degree of competency. The use of sound judgment coupled with technical claim handling skills and consistent results are expected.

Key Functions will include but not be limited to:

Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim.
Negotiate settlement of claims up to designated authority level and makes claims payments.
Calculates and assigns timely an appropriate reserves to claims and continues to manage reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level.
Develops and manages claims though well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution.
Prepares necessary state filings within statutory limits.
Actively manages the litigation process; ensures timely and cost-effective claims resolution.
Coordinates vendor referrals for additional investigation and/or litigation management.
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims.
Frequently communicates with all appropriate parties involved with the claim.
Maintains professional client relationships.
Actively executes appropriate claims activities to ensure consistent delivery of quality claims services.

Qualifications:

3+ years of MD and DC workers compensation claims handling experience preferred
In depth knowledge of appropriate insurance principles and laws of workers’ compensation, preferably jurisdiction specific.
May be required to obtain Adjuster license for other jurisdictions
Strong written and verbal communication skills.
Strong interpersonal, time management and organizational skills.
Strong negotiation skills.
Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail.
Ability to perform with a sense of urgency.
Ability to work both independently and within a team environment.
Ability to travel for business purposes, approximately less than 10%.

Additional Company Details: We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $70,000 – $85,000 • Eligible to participate in annual discretionary bonus. • Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details: Sponsorship not Offered for this Role

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Refine Your Search

claims representative jobs in dundalk md

Claims Representative III

Claims Analyst - REMOTE

Accounts Receivable Rep- 3rd Party Non-Gov't payers

Patient Collections Representative

Broker Support Representative II (Remote)

Field Property Adjuster

Insurance Customer Service Representative

Medical Office Call Center Representative

Associate Call Representative (Unemployment Ins Associate I (Contractual))

Provider Relations Representative I (Hybrid)

P&C Claim Representative III

Sr. Customer Service Representative (Hopkins Fulfillment Services)

Patient Service Representative

Patient Account Representative

Remote Customer Service | Insurance Agent

Customer Service Representative - State Farm Agent Team Member

Medical Accounts Receivable Specialist

Customer Service Representative - State Farm Agent Team Member

Patient Account Representative - Lead

Customer Service Representative - State Farm Agent Team Member

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