Claims Processing Manager jobs in Baltimore, MD

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)

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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 Days 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...
  • 5 Days Ago

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Claims Examiner - Workers Compensation
  • Sedgwick Claims Management Services Inc.
  • Hunt Valley, MD FULL_TIME
  • The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option. Claims Examiner - Workers Compensation IF YOU...
  • 5 Days Ago

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Order processing manager
  • Rohde & Schwarz
  • Columbia, MD FULL_TIME
  • Make ideas real - with the perfect job. Functional areaAll Administration 11 Application Development 28 Construction 5 Controlling 4 Cybersecurity 3 Finance 16 Hardware Development 40 Human Resources ...
  • 23 Days Ago

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Manager Central Sterile Processing
  • Johns Hopkins Medicine
  • Baltimore, MD FULL_TIME
  • The Johns Hopkins Hospital is a world-renowned leader in patient care, serving the greater Baltimore community and patients from all across the globe. Our friendly and knowledgeable staff teams provid...
  • 7 Days Ago

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0 Claims Processing Manager jobs found in Baltimore, MD area

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Plant Manager - Meat Processing (Beef)
  • LHH
  • Baltimore, MD
  • Responsibilities: Provide daily labor to the operations of the plant in the focus area of meat processing. Maintain dail...
  • 3/28/2024 12:00:00 AM

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Knowledge Management / Business Process Analy
  • SPECIAL AEROSPACE SECURITY SERVICES INC
  • Washington, DC
  • Job Description Job Description Job Profile: As a Knowledge Management / Business Process Analyst, you will be responsib...
  • 3/26/2024 12:00:00 AM

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Principal Associate, Process Manager
  • Careerbuilder
  • Mc Lean, VA
  • Center 3 (19075), United States of America, McLean, VirginiaPrincipal Associate, Process Manager As a Principal Associat...
  • 3/26/2024 12:00:00 AM

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Business Process Management Lead
  • National Education Association (NEA)
  • Washington, DC
  • If you would enjoy working in a dynamic environment and are looking for an opportunity to become part of a stellar team ...
  • 3/26/2024 12:00:00 AM

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Manager, Process Management- Small Business Banking Data Management
  • Careerbuilder
  • Mc Lean, VA
  • Center 2 (19050), United States of America, McLean, VirginiaManager, Process Management- Small Business Banking Data Man...
  • 3/26/2024 12:00:00 AM

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Sr. Associate, Process Management - Small Business Banking Data Management
  • Careerbuilder
  • Mc Lean, VA
  • Sr. Associate, Process Management - Small Business Banking Data Management page is loaded Sr. Associate, Process Managem...
  • 3/26/2024 12:00:00 AM

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Subsidiary Governance & Compliance Vendor, Tool and Process Management
  • Lockheed Martin
  • Bethesda, MD
  • Job Description The Subsidiary Governance & Compliance Vendor, Tool and Process Management and OneLM Transformation (1LM...
  • 3/25/2024 12:00:00 AM

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EPX Risk Leader - Enterprise Services Risk Office (ES Risk)
  • Capital One
  • Baltimore, MD
  • Center 3 (19075), United States of America, McLean, Virginia EPX Risk Leader - Enterprise Services Risk Office (ES Risk)...
  • 3/25/2024 12:00:00 AM

Baltimore (/ˈbɔːltɪmɔːr/) is the largest city in the state of Maryland within the United States. Baltimore was established by the Constitution of Maryland as an independent city in 1729. With a population of 611,648 in 2017, Baltimore is the largest such independent city in the United States. As of 2017[update], the population of the Baltimore metropolitan area was estimated to be just under 2.808 million, making it the 20th largest metropolitan area in the country. Baltimore is located about 40 miles (60 km) northeast of Washington, D.C., making it a principal city in the Washington-Baltimo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$97,368 to $125,758
Baltimore, Maryland area prices
were up 1.5% from a year ago

Claims Processing Manager in Austin, TX
These claims management platforms are often not well integrated with peripheral systems, which also results in more human involvement and an increased cost per transaction.
January 26, 2020
Claims Processing Manager in Topeka, KS
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
Claims Processing Manager in Youngstown, OH
A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
December 11, 2019