Job Type
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Claims Investigator Jobs in Cheverly, MD

105Jobs

  • 3.5
    Johns Hopkins Health Care – Glen Burnie, MD
    $31k-$48k(Glassdoor est.)
    6 days ago 6d
    Supervisor of Claims Services and is responsible for the analysis, investigation, and adjudication of medical claims. Receive requests… medical claims. Familiarity with on-line claims systems processing preferred. Processing basic payments and/or claim denials…
  • 4.2
    Pacesetter Claims Service – Washington, DC
    $41k-$60k(Glassdoor est.)
    HOT
    S/he will provide timely customer/insured contact, investigation of claim via physical inspection as well as via verbal interaction… customer service, policy, claims process, estimate writing, and claim closures as they relate to given claim assignment. This will…
  • 3.6
    RSM US LLP – McLean, VA
    $78k-$121k(Glassdoor est.)
    13 days ago 13d
    to assist in resolving disputes pertaining to interests and claims involving antitrust and competition policy, bankruptcy and restructuring… and settlement Research and quantitative analyses of damages claims and ancillary issues arising in bankruptcy, contract, M&A, securities…
  • 3.6
    Anne Arundel Medical Center – Annapolis, MD
    $69k-$95k(Glassdoor est.)
    7 days ago 7d
    potential and asserted claims and lawsuits, performing initial investigation of potential/actual claims and cases with professional… development of claims management policies and procedures with regard to program expectations as to claimsinvestigations, case analysis…
  • 3.4
    Liberty Mutual – Washington, DC
    $44k-$67k(Glassdoor est.)
    17 days ago 17d
    customers through the claims process Manages, investigates and resolves assigned Property Loss claims. Provides policyholders… Property Claims Team, you will play a vital role in providing an outstanding customer experience by using your investigative and negotiation…
  • 3.6
    Department of Commerce – Washington, DC
    13 days ago 13d
    receive an assignment within the Investigations and Threat Management Division of OSY. Investigations and Threat Management staff are… indicate on your resume the type of veteerans' preference you are claiming and provide the appropriate supporting documenation (DD-214…
  • 2.7
    CorVel Corporation – Largo, MD
    EASY APPLY
    $22k-$35k(Glassdoor est.)
    NEW
    will participate in investigations and fact gathering on new claims, and approve payments based on pre-determined authority levels… Medical Only Workers Compensation claims. ESSENTIAL JOB DUTIES: Assist in Investigations and fact gathering including recorded…
  • 4.1
    United Educators – Bethesda, MD
    $30k-$48k(Glassdoor est.)
    5 days ago 5d
    RESPONSIBILITIES Claim File Responsibilities: Review reported claims for accurate loss coding information Evaluate claims severity… letters Develop a strategy for claims management with insured, TPA or legal counsel for claims in suit Secure budgets for cases…
  • 4.8
    Morgan Stephens – Mc Lean, VA
    EASY APPLY
    12 days ago 12d
    guidelines during claims processing Pend claims and order Medical records for review and investigation of possible gross misrepresentation… seeking a Claims Auditor. The Claims Auditor is responsible for new Claims Analyst training and auditing of trainee claim processing…
  • 3.9
    Johns Hopkins University – Glen Burnie, MD
    NEW
    Research suspicious claims activities Develop subject matter specific audit/investigation tool Conduct investigations/audits of suspect… other health care field 3 years coding/claims auditing experience 3 years claim system experience (MC400 and/or IDX strongly…
  • 3.7
    Federal Aviation Administration – Washington, DC
    $51k-$82k(Glassdoor est.)
    10 days ago 10d
    reference the announcement number. All Veterans: If you are claiming veterans' preference, you must submit either a DD Form 214… active duty service under honorable conditions. If you are claiming 10 point preference, you must also submit a completed SF-15…
  • 3.8
    US Department of Transportation – Washington, DC
    $50k-$80k(Glassdoor est.)
    11 days ago 11d
    Registration is required for males born after 12/31/1959. Veterans claiming veterans preference MUST submit supporting documentation.… reference the announcement number. All Veterans: If you are claiming veterans' preference, you must submit either a DD Form 214…
  • 3.8
    Ethos Risk Services – Bethesda, MD
    6 days ago 6d
    detailed investigative reports. Uploading video and photographic evidence as well as surveillance reports to our claims system.… nationally renowned, full-service investigative company specializing in various investigative services: pre-employment screening…
  • 4.8
    Morgan Stephens – Bethesda, MD
    EASY APPLY
    $37k-$59k(Glassdoor est.)
    12 days ago 12d
    denials for Medicaid medical claims. Process remittances and claim rejections. Investigateclaims and properly resolve by follow-up… seeking a Claims Representative. The Claims Representative candidate should be able to process basic payments and/or claim denials…
  • 3.4
    Leidos – Washington, DC
    $47k-$75k(Glassdoor est.)
    13 days ago 13d
    statutory/regulatory requirement to determine sufficiency of a claim; drafting legal memoranda, notices and other legal documents… Description: Leidos is looking for a qualified, highly motivated Investigator/ Legal Assistant to join our team. Responsibilities will…
  • 3.7
    Fairfax County Virginia – Fairfax, VA
    NEW
    insurance claims programs. Provides team lead oversight and serves as technical resource to the claims staff. Investigates and resolves… citizens to resolve complex claims issues. Performs other administrative tasks associated with the claims program. Illustrative…
  • 3.7
    Johns Hopkins Medicine – Glen Burnie, MD
    NEW
    Research suspicious claims activities Develop subject matter specific audit/investigation tool Conduct investigations/audits of suspect… other health care field 3 years coding/claims auditing experience 3 years claim system experience (MC400 and/or IDX strongly…
  • 2.7
    Department of Labor – Washington, DC
    7 days ago 7d
    recognized by the Department of Education. Any applicant falsely claiming an academic degree from an accredited school will be subject… highly-sensitive criminal investigations as directed by the Office Director, the Supervisory Investigator where appropriate, other…
  • 3.2
    Department of Homeland Security – Washington, DC
    HOT
    of prior experience, no points will be assigned. Are you claiming special priority selection rights under the Agency Career Transition… counter-intelligence investigations/programs directly affecting national security and agency integrity; Conducting investigations of major…
  • 3.8
    Nationwide – Columbia, MD
    $42k-$62k(Glassdoor est.)
    NEW
    -------- JOB SUMMARY: Investigates and effectively resolves non-injury personal lines liability claims via telephone, internet… Your Side"" customer service. Investigates and effectively resolves personal lines liability claims via telephone. Responsible for…
  • 2.7
    CorVel Corporation – Washington, DC
    $34k-$53k(Glassdoor est.)
    7 days ago 7d
    validity & compensability of claim by investigating & gathering infor, file necessary documentation with state agencies Establish… outcome in the claim. Essential Job Duties: Receives claim, confirms policy coverage & acknowledgement of claim Determine validity…
  • 3.5
    Johns Hopkins Health Care – Glen Burnie, MD
    6 days ago 6d
    Research suspicious claims activities Develop subject matter specific audit/investigation tool Conduct investigations/audits of suspect… other health care field 3 years coding/claims auditing experience 3 years claim system experience (MC400 and/or IDX strongly…
  • 4.2
    Department of the Air Force – Washington, DC
    7 days ago 7d
    QUALIFY: You MUST provide transcripts to support your educational claims. Education must be accredited by an accrediting institution… include service dates and character of service. In addition, if claiming 10-point preference you must submit a VA Letter or a disability…
  • 4.0
    Georgetown University – Washington, DC
    $88k-$140k(Glassdoor est.)
    4 days ago 4d
    executive risk claims. Reviews incident reports, performs preliminary investigations, ensures reporting of claims to appropriate… insurance budgets, and allocates claim costs and premiums to departments and campuses. Claims Management Oversees the management…
  • 3.4
    US Department of Labor – Washington, DC
    14 days ago 14d
    highly-sensitive criminal investigations as directed by the Office Director, the Supervisory Investigator where appropriate, other… and developing assigned cases and cases the investigator identifies for investigation, obtaining evidence, interviewing all contacts…
  • 3.2
    Washington Metropolitan Area Transit Authority – Washington, DC
    $49k-$74k(Glassdoor est.)
    5 days ago 5d
    thorough investigations of liability and damages on all assigned claims. Handling complex, high visibility claims as assigned… concerning claims under investigation. Secures any necessary permission/releases prior to interviewing. Investigates and settles…
  • 3.0
    PAE – Washington, DC
    $60k-$75k(Glassdoor est.)
    HOT
    background investigation. Minimum of 3+ years of relevant experience with Bachelor's degree. Experience with medical claims data… the Most Exciting and Meaningful Missions in the World Claims Data Analysts - Remote/Washington, DC PAE is seeking Data…
  • 3.3
    Aetna – Rockville, MD
    $39k-$66k(Glassdoor est.)
    28 days ago 28d
    pertaining to the investigation of health care fraud cases. Investigates to prevent payment of fraudulent claims committed by providers… BACKGROUND/EXPERIENCE desired: Experience in insurance claimsinvestigation or professional/clinical experience, background with…
  • 3.2
    CSRA – Rockville, MD
    5 days ago 5d
    conclusions Value-Add Experience Experience with FWA claims and investigations # of Openings: 1 Scheduled Weekly… recommendations to CMS, e.g. further investigation, education, site visits As needed, develop an Investigative Plan of Action (IPOA) and…
  • 3.1
    TheBestIRS – Arlington, VA
    NEW
    years of Field Commercial Property claims handling experience Must be able to investigate, evaluate and negotiate settlements… Claims Adjuster - Field Commercial Property Location: Arlington, VA Zip Code: 20330 Length of Assignment:…
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