Claims Examiner jobs in Maryland

Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Claims Examiner - Worker's Compensation
  • Sedgwick Claims Management Services Inc.
  • Hunt Valley, MD OTHER
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Examiner - Worker's Compensation Claims examiner Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. ARE YOU AN IDEAL CANDIDATE? To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. Negotiating settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. QUALIFICATIONS Education & Licensing: 3 years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Licensing / Jurisdiction Knowledge: MD, DC TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements for entry-level opportunities include – Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. #claimsexaminer As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 63K-88K. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Taking care of people is at the heart of everything we do. Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us.
  • 4 Days Ago

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Claims Examiner
  • Healthcare Support Staffing
  • Annapolis, MD FULL_TIME
  • Company DescriptionWhy You Should Work For Us:HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placin...
  • 20 Days Ago

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Workers' Compensation Claims Examiner
  • King's Insurance Staffing
  • Timonium, MD FULL_TIME
  • Our client is seeking to add a Workers Compensation Claims Examiner to their Maryland operations. This role will consist of managing Maryland Workers Compensation Lost Time claims in an oversight capa...
  • 5 Days Ago

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Workers' Compensation Claims Examiner II
  • Maxim Healthcare Services
  • Columbia, MD FULL_TIME
  • The Workers’ Compensation (WC) Claims Examiner II understands and participates in every aspect of the WC claim process. Working in a team approach, the WC Examiner II will make decisions concerning re...
  • Just Posted

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ASSISTANT MEDICAL EXAMINER, BOARD CERTIFIED
  • State of Maryland - MDH Ofc of Chief Med Examiner
  • Baltimore, MD FULL_TIME
  • IntroductionTHIS POSITION IS ELIGIBLE FOR A $25,000 RECRUITMENT/HIRING BONUS FOR NEWLY HIRED MEDICAL EXAMINERS.� PAYABLE AFTER COMPLETING 6 MONTHS SATISFACTORY PERFORMANCE FROM HIRE DATE. Established ...
  • 14 Days Ago

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ASSISTANT MEDICAL EXAMINER, NON BOARD CERTIFIED
  • State of Maryland - MDH Ofc of Chief Med Examiner
  • Baltimore, MD FULL_TIME
  • IntroductionTHIS POSITION IS ELIGIBLE FOR A $25,000 RECRUITMENT/HIRING BONUS FOR NEWLY HIRED MEDICAL EXAMINERS.� PAYABLE AFTER COMPLETING 6 MONTHS SATISFACTORY PERFORMANCE FROM HIRE�DATE.� Established...
  • 1 Month Ago

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Claims Examiner
  • US Tech Solutions, Inc.
  • Atlanta, GA
  • Job Title: Claims Examiner Location: Remote Duration: 06 months contract (C2H) Job Description: Responsibilities: • Inve...
  • 6/11/2024 12:00:00 AM

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Claims Examiner
  • Manpower
  • El Segundo, CA
  • Our client, Legal Industry is seeking a Claims Examiner to join their team. As a Legal Claims Examiner you will be part ...
  • 6/11/2024 12:00:00 AM

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Claims Examiner
  • Insight Global
  • Folsom, CA
  • Insight Global is looking for a Claims Examiner for one of their insurance clients in Folsom, CA. This is a fully onsite...
  • 6/10/2024 12:00:00 AM

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Claims Examiner
  • Insight Global
  • Folsom, CA
  • The Claims Examiner is responsible for ensuring claims are coded and processed correctly and for meeting production requ...
  • 6/10/2024 12:00:00 AM

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Claims Examiner
  • Capital Blue Cross
  • Harrisburg, PA
  • Position Description: This position is responsible for the coding and total processing of claims and triaging claim adju...
  • 6/9/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • Position Overview: As a Commercial Auto and General Liability Claims Adjuster, you will be responsible for managing comp...
  • 6/8/2024 12:00:00 AM

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Claims Examiner
  • AIG
  • Cincinnati, OH
  • This is a hybrid role in Cincinnati Ohio requiring 3 to 4 days in office. Who we are American International Group, Inc. ...
  • 6/8/2024 12:00:00 AM

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Claims Examiner
  • JCW
  • JCW is currently recruiting on behalf of a rapidly growing Property & Casualty Insurance Company who are looking to add ...
  • 6/7/2024 12:00:00 AM

Maryland (US: /ˈmɛrələnd/ (listen) MERR-əl-ənd) is a state in the Mid-Atlantic region of the United States, bordering Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware to its east. The state's largest city is Baltimore, and its capital is Annapolis. Among its occasional nicknames are Old Line State, the Free State, and the Chesapeake Bay State. It is named after the English queen Henrietta Maria, known in England as Queen Mary. Sixteen of Maryland's twenty-three counties border the tidal waters of the Chesapeake Bay estuary and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$49,594 to $65,765