Claims Processing Manager jobs in Maryland

Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

F
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.

  • 16 Days Ago

D
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 ...
  • 1 Month Ago

D
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...
  • 1 Month Ago

C
Liability Claims Manager
  • CorVel Corporation
  • Rockville, MD FULL_TIME
  • The Liability Claims Manager is participates in formulating and administering company best practices as well as developing long-range goals and objectives, analyzing costs, activities and operations, ...
  • Just Posted

U
Manager, Claims Financials
  • United Educators
  • Bethesda, MD FULL_TIME
  • UE provides liability insurance and risk management services to about 1,600 members representing K-12 schools, colleges, and universities throughout the United States. With over 35 years serving educa...
  • 12 Days Ago

K
Commercial Liability Claims Manager
  • King's Insurance Staffing LLC
  • Baltimore, MD FULL_TIME
  • Our client is seeking to add a Commercial Liability Claims Manager to their Maryland operations. This person would be responsible for overseeing a team of Commercial Liability Claims Examiners handlin...
  • 1 Month Ago

L
Processing Manager
  • LHH
  • LHH Recruitment Solutions is currently seeking a Processing Manager in Cumberland County, NJ. This position assumes resp...
  • 4/26/2024 12:00:00 AM

A
Manager, Business Process Management - (REMOTE)
  • American Homes 4 Rent
  • Las Vegas, NV
  • Since 2012, we've grown to become one of the leading single-family rental companies and homebuilders in the country, rec...
  • 4/26/2024 12:00:00 AM

C
Processing Manager
  • Chobani
  • New Berlin, NY
  • Summary We are seeking a dynamic and experienced Manufacturing leader to oversee and manage our dairy processing facilit...
  • 4/26/2024 12:00:00 AM

R
Processing Manager
  • Rehrig Pacific Company
  • Buckeye, AZ
  • ***Hiring for Spring 2024 - May hire sooner to conduct training in our Los Angeles facility.***Here at Rehrig Pacific, w...
  • 4/24/2024 12:00:00 AM

D
Processing Manager
  • Diageo Espana Sa
  • Plainfield, IL
  • Plainfield, Illinois, United States of America Our performance ambition is to be one of the best performing, most truste...
  • 4/24/2024 12:00:00 AM

D
Processing Manager
  • Diageo
  • Plainfield, IL
  • Job Description : Title: Processing Manager Our performance ambition is to be one of the best performing, most trusted a...
  • 4/24/2024 12:00:00 AM

U
Processing Manager
  • Unavailable
  • Saint Louis, MO
  • PENNYMAC Pennymac (NYSE: PFSI) is a specialty financial services firm with a comprehensive mortgage platform and integra...
  • 4/23/2024 12:00:00 AM

M
Management Trainee - Processing
  • Mountaire
  • Lumber Bridge, NC
  • Primary Purpose To gain experience and knowledge in all aspects of vertical integration with special emphasis on Operati...
  • 3/11/2024 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 Manager jobs
$97,926 to $126,478

Claims Processing Manager in Topeka, KS
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Claims Processing Manager in Pittsburgh, PA
Depending on the employer’s needs, insurance claims and processing clerks may also be responsible for interviewing clients to obtain the information required on new insurance policy applications.
January 27, 2020
Claims Processing Manager in Medford, OR
Claims Manager Plus ingests a hospital’s daily claims file and runs it through a sophisticated rules engine to modify claims based on the hospital’s defined configurations, as well as parse out claims not meeting criteria for payment.
December 11, 2019