9 Claims Adjuster I (Remote MD/DC/VA) Jobs in Baltimore, MD
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CareFirst BlueCross BlueShield is Hiring a Remote Claims Adjuster I (Remote MD/DC/VA)
Essential Functions
- Proactively investigate and perform adjustments of claims. Ensure claims are handled within authority limits, and in line with standard procedures and guidelines.
- Updates claims audit records by entering, verifying, and securing data.
- Settle standard/complex claims through payment or denial.
- Provides claims audit information and reports by collecting, analyzing, and summarizing data and trends.
- Improves claims adjustment job knowledge by attending training sessions
Experience: 3 years claims experience and complete understanding of all systems, policies and procedures.
Preferred Qualifications: Above Target performance rating preferable.
Knowledge, Skills And Abilities (KSAs)
- Ability to analyze information gathered from investigation.
- Excellent communication skills both written and verbal.
- Ability to recognize, analyze, and solve a variety of problems.
- Skill in completing assignments accurately with attention to detail.
Salary Range DisclaimerThe disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
DepartmentMedicare/Medicaid Claims
Equal Employment OpportunityCareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Where To ApplyPlease visit our website to apply: www.carefirst.com/careers
Federal Disc/Physical DemandNote: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
Physical DemandsThe associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in USMust be eligible to work in the U.S. without Sponsorship.
Job Summary
Full Time
$66k-82k (estimate)
07/14/2024
08/11/2024
CAREFIRST.COM
Owings Mills, MD
<25
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The job skills required for Claims Adjuster I (Remote MD/DC/VA) include Communication Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Adjuster I (Remote MD/DC/VA). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Adjuster I (Remote MD/DC/VA). Select any job title you are interested in and start to search job requirements.
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