Claims Clerk, Sr. jobs in Germantown, MD

Claims Clerk, Sr. reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk, Sr. verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk, Sr. processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk, Sr. works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Claims Clerk, Sr. typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Senior Claims Clerk
  • Crawford & Company
  • Fairfax, VA OTHER
  • Excellence In Everything We Touch

    Position Summary

     

    Under direct supervision, performs a variety of claim clerical support duties for the Service Center or for the Claim Office.

     

     

    Responsibilities

     

    • Matches proper file and/or claim number on unidentified correspondence by use of the various automated systems for mail delivered by USPS/ACS/Unmatched mail queue in ODM.
    • Types a variety of material such as letters, benefit notices, or memorandums for medical appointment, attorneys, or external clients.
    • Performs control operator functions for various Service Center or Claim Office data systems.
    • Retrieves and/or re-files items from central storage facility and maintains accurate records of file activity.
    • Receives dock and messenger service deliveries and verifies accuracy of delivered material.
    • Prepares outgoing mail for shipment which includes the necessary attachments, wrapping, and sealing. This will include shipping/receiving computer equipment.
    • Performs a variety of clerical duties such as answering telephones, taking messages, dispersing faxes, making payments, sort/preparing files, and data entry.
    • Assists in updating jurisdictional notices and manuals used in the office.
    • Pulls files from storage for in-house state audits.
    • Prepares files in electronic form for state audits (payment history, file notes, and gathering medical reports).
    • Contacts agents and insured on routine claims to obtain coverage information or obtains through the various systems.
    • Issues payments, requests wage information for the adjusters, orders surveillance, and completes medical calls to obtain the current work status.
    • Schedules medical appointments and sends all appropriate correspondence relating to that appointment.
    • Performs other related work as required or requested.
    • Upholds the Crawford Code of Conduct

     

    Requirements

     

    • 5 yrs’ minimum experience in the claims/liability environment or the equivalent, demonstrating a basic knowledge of computer operations and of claim file systems and procedures.
    • Must demonstrate basic knowledge of computer operations and of claim file systems and procedures.
    • High school diploma or GED; or the equivalent in related work experience.
    • Proficient in the Microsoft suite of products and like systems. 
    • Must be capable of working in a fast paced environment
    • Must be flexible, adaptable, and have excellent multi-tasking skills
    • Must be technically proficient.
    • Excellent oral and written communication skills are essential. 

     

    About Us

    Why Crawford?

     

    Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.

     

    At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

     

    We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.

     

    When you accept a job with Crawford, you become a part of the One Crawford family. 

     

    • Our total compensation plans provide each of our employees with far more than just a great salary
    • Pay and incentive plans that recognize performance excellence
    • Benefit programs that empower financial, physical, and mental wellness
    • Training programs that promote continuous learning and career progression while enhancing job performance
    • Sustainability programs that give back to the communities in which we live and work
    • A culture of respect, collaboration, entrepreneurial spirit and inclusion

     

    Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

     

     

     

     

    #LI-EM3

  • 22 Days Ago

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Systems Integrator (Mid-Sr) #1966
  • Sr) #1966 - COMPASS, Inc.
  • Chantilly, VA FULL_TIME
  • Position Title: Systems Integrator (Mid-Sr) #1966 Location: Chantilly, Virginia Clearance Required: Top Secret/SCI Overall Assignment Description: Mid to Senior level Systems Integrators support the G...
  • 23 Days Ago

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Strategic Business Analyst - Sr #1908
  • Sr #1908 - COMPASS, Inc.
  • Springfield, VA FULL_TIME
  • This position is contingent upon task order award. Position: Strategic Business Analyst - Sr #1908 Location: Springfield, VA Clearance: TS/SCI Overall Assignment Description: Serve as a Consultant to ...
  • 8 Days Ago

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Geospatial Analyst - Jr - Sr. #1998
  • Jr - Sr. #1998 - COMPASS, Inc.
  • Alexandria, VA FULL_TIME
  • This position is contingent upon task order award. Position Title: Geospatial Analyst Jr. - Sr. Location: Alexandria, VA Clearance Required: Secret Position Description: Utilizes Geographic Informatio...
  • 1 Month Ago

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System Engineer - Jr - Sr. #1999
  • Jr - Sr. #1999 - COMPASS, Inc.
  • Alexandria, VA FULL_TIME
  • This position is contingent upon task order award. Position Title: Systems Engineer Jr. - Sr. Location: Alexandria, VA Clearance Required: Secret Position Description: Develop and manage systems level...
  • 1 Month Ago

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GIS Developer - Jr - Sr. #1997
  • Jr - Sr. #1997 - COMPASS, Inc.
  • Alexandria, VA FULL_TIME
  • This position is contingent upon task order award. Position Title: GIS Developer Jr. - Sr. Location: Alexandria, VA Clearance Required: Secret Position Description: Understanding of Geospatial Informa...
  • 1 Month Ago

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0 Claims Clerk, Sr. jobs found in Germantown, MD area

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Claims Adjuster
  • Quality Services Moving
  • Lorton, VA
  • Job Description Job Description Veteran-owned moving and storage company headquartered in Lorton, VA seeks professional ...
  • 3/28/2024 12:00:00 AM

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Claims Support Specialist II
  • Erie Insurance Group
  • Silver Spring, MD
  • **Claims Support Specialist II** **Location:** Silver Spring, MD, US, 20904 **Division or Field Office:** Silver Spring ...
  • 3/28/2024 12:00:00 AM

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General Engineer/Physical Scientist (Open Continuous)
  • Department Of Energy
  • Germantown, MD
  • Summary This General Engineer/Physical Scientist open continuous public notice may be used to fill additional similar va...
  • 3/28/2024 12:00:00 AM

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Medical Director
  • Community Clinic Inc.
  • Silver Spring, MD
  • CCI Health Services mission is to deliver high quality, accessible care to our community members, leading the way to a m...
  • 3/28/2024 12:00:00 AM

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Public Health Analyst
  • Substance Abuse and Mental Health Services Administration
  • Rockville, MD
  • Summary This position is located in the Department of Health and Human Services, Substance Abuse and Mental Health Servi...
  • 3/28/2024 12:00:00 AM

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Program Analyst
  • Food and Drug Administration
  • Silver Spring, MD
  • Summary This position is located at the Department of Health and Human Services (HHS), Food and Drug Administration (FDA...
  • 3/28/2024 12:00:00 AM

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Pharmacy Technician
  • Ultra Care Pharmacy
  • Germantown, MD
  • Job Description Job Description Job description Qualifications Experience: relevant retail, 1 year (Preferred) * Full Jo...
  • 3/28/2024 12:00:00 AM

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Business Policy & Governance Director
  • Equiniti
  • Baltimore, MD
  • Management Level EQ US is a leading provider of ownership data management, analytics and advisory services to public and...
  • 3/27/2024 12:00:00 AM

Germantown is an urbanized census-designated place in Montgomery County, Maryland. With a population of 90,676 as of 2013 U.S. Census Bureau estimates, Germantown is the third most populous place in Maryland, after the city of Baltimore, and the census-designated place of Columbia. Germantown is located approximately 25–30 miles (40–48 km) outside of the U.S. capital of Washington, D.C. and is an important part of the Washington metropolitan area. Germantown was founded in the early 19th century by European immigrants though much of the area's development did not occur until the mid-20th centu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Clerk, Sr. jobs
$46,301 to $58,543
Germantown, Maryland area prices
were up 1.3% from a year ago

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