Claims Processing Director jobs in Maryland

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Claims Handler/Estimator
  • Fusion Claims Consultants, LLC
  • Belcamp, MD FULL_TIME
  • Company Description

    At Fusion Claims Consultants, we embody the spirit of unity and partnership, true to our name's promise. Located in Belcamp, MD, we're more than just a claims consultancy; we're a beacon of collaboration in an often fragmented industry. Our ethos, "Beyond Metrics: Your Partner in Success," drives every action we take. By integrating innovative solutions and a proven Supplementation process, we navigate and simplify the complexities of claims resolution. We're committed to efficiency, integrity, client satisfaction, and above all, bringing parties together to form a stronger, more effective whole.

     

    Role Description

    We are seeking a Claims Handler who is passionate about embodying our core values of collaboration, transparency, and innovation. This full-time, hybrid role, based in Belcamp, MD, offers the flexibility for some remote work. The ideal candidate will play a crucial role in managing claims processes, fostering strong partnerships between clients and insurance carriers, and working seamlessly with our dedicated team to ensure successful, equitable claims resolutions.

     

    Your Impact

    • Embrace Collaboration: Champion our ethos of unity, working closely with all stakeholders to streamline and enhance the claims handling process.
    • Champion Transparency: Commit to open, honest communication, setting a standard for clarity and trust in every interaction.
    • Drive Innovation: Utilize and contribute to our cutting-edge tools and methodologies, pushing the boundaries of what's possible in claims resolution.

     

    Qualifications

    • Proven Experience in Claims Handling and Management: Demonstrable skills in navigating the claims process, with a keen eye for detail and a commitment to excellence.
    • Exceptional Communication: Superior written and verbal communication skills, capable of fostering strong relationships and conveying complex information clearly.
    • Industry Knowledge: A deep understanding of the insurance claims process and industry standards, with a thirst for continuous learning and improvement.
    • Collaborative Spirit: A natural team player who thrives in a collaborative environment, with the ability to also work independently when required.
    • Educational Background: A Bachelor’s degree in Business, Insurance, or a related field is preferred, coupled with a passion for continuous personal and professional development.
    • Analytical and Problem-Solving Skills: Strong capability to analyze information, identify solutions, and resolve issues creatively and effectively.
    • Adaptability and Innovation: An agile mindset, open to change and innovation, with a drive to explore new technologies and methodologies to enhance the claims process.

     

    Why Join Us?

    • Culture of Support and Innovation: Be part of an environment that values each team member, encourages innovation, and supports professional growth.
    • Partnership and Success: Contribute to a team that's redefining the industry through strong partnerships and a commitment to positive outcomes.
    • Flexible and Rewarding Work: Benefit from hybrid work arrangements, competitive compensation, and comprehensive benefits, including health and retirement plans.
    • Professional Growth: Take advantage of continuous learning opportunities, training programs, and a pathway to career advancement within our dynamic team.

     

    *Fusion Claims Consultants is an equal opportunity employer, dedicated to fostering an inclusive, diverse workplace. We celebrate the unique contributions of our team members and are committed to creating a collaborative environment of success for all.

  • 2 Days Ago

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Claims Representative II
  • Davies Claims North America
  • Baltimore, MD FULL_TIME
  • About Us At Davies, we get it... you are not just looking for a job, you are looking to build a life and a career. We believe in our people and realize that our success is a direct result of creating ...
  • 2 Months Ago

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Liability Claims Supervisor
  • Davies Claims North America
  • Baltimore, MD FULL_TIME
  • At Johns Eastern, we believe in our people and realize that our success is a direct result of creating a learning atmosphere, leadership opportunities, and promoting from within. We believe that engag...
  • 2 Months Ago

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Director Central Sterile Processing
  • University of Maryland Medical System
  • Baltimore, MD FULL_TIME
  • Job DescriptionGeneral Summary:The Director of CSP will manage day to day operations of sterile processing across all shifts. Primary contact of multi-site activities including material requirements, ...
  • 6 Days Ago

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Director Central Sterile Processing
  • University of Maryland Medical System
  • East Case, MD FULL_TIME
  • Job Description General Summary: The Director of CSP will manage day to day operations of sterile processing across all shifts. Primary contact of multi-site activities including material requirements...
  • 24 Days Ago

1
Director/Senior Director, Oncology CAR-T Process Development
  • 10001096 - Director Science
  • Gaithersburg, MD FULL_TIME
  • Do you have a passion for science? Would you like to apply your expertise to impact a company that follows the science and turns ideas into life changing medicines? Then AstraZeneca might be the place...
  • 2 Months Ago

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Casualty Claims Director
  • Plymouth Rock Assurance
  • Boston, MA
  • Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA an...
  • 5/10/2024 12:00:00 AM

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Senior Claim Director
  • Chubb
  • Jersey City, NJ
  • Job Description Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countr...
  • 5/10/2024 12:00:00 AM

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Claims Director
  • Lemery Connects Recruiting & Consulting
  • Tampa, FL
  • Basic Function: The Claims Director serves as a front-line Manager, pivotal in achieving team objectives by nurturing an...
  • 5/9/2024 12:00:00 AM

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Director of Claims Quality
  • Tandym Group
  • Jersey City, NJ
  • A health services organization in New York City is currently seeking an experienced professional to join their staff as ...
  • 5/9/2024 12:00:00 AM

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Coverage Claim Director
  • Chubb
  • Philadelphia, PA
  • Job Description The Coverage/Claim Director in the Coverage and Complex Claim Department will have responsibility for ma...
  • 5/9/2024 12:00:00 AM

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Director Insurance & Claims
  • Hapag-Lloyd AG
  • Atlanta, GA
  • JOB SUMMARY The purpose of this role is to protect Hapag-Lloyd assets while servicing the interest of Hapag-Lloyd toward...
  • 5/8/2024 12:00:00 AM

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Claim Director
  • Chubb
  • Austin, TX
  • Job Description Perform assignments, tasks or activities that contribute to the overall business objectives of the corpo...
  • 5/7/2024 12:00:00 AM

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Director of Claims
  • Ten Four Truck Insurance
  • Carter Lake, IA
  • The Ten Four Insurance team has been around for over 30 years and only focuses on the Trucking Industry. We understand t...
  • 5/6/2024 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 Processing Director jobs
$163,954 to $220,321

Claims Processing Director in Cedar Rapids, IA
The Manager-Claims Process evaluates existing business processes, procedures, and results to identify variance, recommend best practices that ensure high quality/low cost outcomes, and gain alignment across the business.
January 22, 2020
Getting a clear picture of your claims processes is key to containing future costs.
December 23, 2019
Claims Processing Director in Salem, OR
To file a claim, you would need to call the claims department or stop by your local agent’s office.  Some insurance companies also accept claims filed over the Internet.  Regardless of how you submit the claim, the information required will be similar.
February 17, 2020
Claims Processing Director in Baltimore, MD
Officials said the advance work will allow the files to be assigned immediately to claims processors for a decision within 30 days.
February 21, 2020