- Lincoln Financial Group (Annapolis, MD)
- …more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII) of a Claims Specialist at Lincoln Financial Group ! **What you'll be doing** + ... We are excited to bring on a highly motivated ** Group Claims Specialist** to support our ever-growing...guidance and solutions across four core businesses - annuities, life insurance, group protection and retirement plan… more
- Zurich NA (Owings Mills, MD)
- …Professional - Public D&O Claims 115723 Zurich is currently looking for a Legal Claims Professional for our Management Solutions group to work out of one of ... our US Claims Offices. If you are ready for a career...company with a global footprint that offers an excellent work/ life balance, terrific benefits including a 401K match and… more
- Lincoln Financial Group (Annapolis, MD)
- …customers trust our guidance and solutions across four core businesses - annuities, life insurance, group protection and retirement plan services. As of December ... reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a...role you will act as a clinical resource for Group Protection benefit specialists and claim professionals. You will… more
- The Cigna Group (Baltimore, MD)
- …year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health ... claim trend targets are met. + Utilize internal data such as claims , completed negotiations and network composition along complete and external benchmarking to… more
- Exelon (Baltimore, MD)
- …($4 Million) by managing an area(s) of expertise within the workers' compensation group ; litigated and non-litigated Workers' Compensation Claims , and direct the ... claims . + Self-motivated and ability to handle heavy case load under pressure + Excellent written and verbal...company contribution + Medical, Dental and Vision Insurance + Life and disability insurance + Generous paid time off,… more
- Elevance Health (Hanover, MD)
- …members in enrolling in Medicare when they are entitled. + Determines primacy on each case using a complex set of Primacy Rules as mandated by State and Federal ... to assist members enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well as recovered in… more
- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- …mental health & substance abuse, surveillance, drug and alcohol testing, referrals, case management, and counseling to all Metro employees referred to the Employee ... Professional Certified Breath Alcohol Technician and Urine Drug Collector **Medical Group :** Ability to satisfactorily complete the medical examination for this job.… more
- CareFirst (Baltimore, MD)
- … Life Underwriter **Experience:** 5 years underwriting experience in group health, medical, ancillary benefits and/or pharmacy. **Knowledge, Skills and Abilities ... available information, factors and formulae to accurately predict future claims and non- claims expenses. Works closely with...of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to… more
- Humana (Annapolis, MD)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute… more
- Humana (Annapolis, MD)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services… more
- J&J Family of Companies (Annapolis, MD)
- …learning algorithms to analyze large-scale healthcare datasets, including HER/EMR and claims data. * **Predictive Modeling & Forecasting:** Design, implement, and ... Qlik.) a plus + Real world data experience preferred (EMR/EHR, medical claims , pharmaceutical, etc.); experience with international healthcare data a plus + Deep… more
- J&J Family of Companies (Annapolis, MD)
- …may be considered for qualified candidates. Remote work options may be considered, on a case -by- case basis and if approved by the Company. At Johnson & Johnson, ... the economic value of products and therapies with clinical and quality of life outcomes data from clinical trials and/or epidemiology studies. * Support the… more
- Norstella (Annapolis, MD)
- …patient access. Each organization (Evaluate, MMIT, Panalgo, The Dedham Group ) delivers must-have answers for critical strategic and commercial decision-making. ... nearly three decades. MMIT believes that patients who need life -saving treatments should not face delays because accessing drugs...for business alignment by client type and RWD use case to advise on pre-sales activities such as solution… more
- Ascension Health (Baltimore, MD)
- …in building a partnership between the medical staff and Nursing and Case Management. + Establishes strong relationships with community and business leaders as ... inspections by accrediting/licensure bodies. + Assists in investigating complaints, incidents, claims of malpractice and/or negligence on the art of hospital… more