You haven't searched anything yet.
Resp & Qualifications
PURPOSE:
Investigate and perform adjustment of complex claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records.
ESSENTIAL FUNCTIONS:
QUALIFICATIONS:
Education Level: High School Diploma or GED.
Experience: 5 years' claims experience and complete understanding of all systems, policies and procedures.
Preferred Qualifications:
Knowledge, Skills and Abilities (KSAs)
Salary Range: $37,152 - $68,112
Salary Range Disclaimer
The 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).
Department
Medicare/Medicaid Claims
Equal Employment Opportunity
CareFirst 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 Apply
Please visit our website to apply: www.carefirst.com/careers
Federal Disc/Physical Demand
Note: 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 DEMANDS:
The 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 US
Must be eligible to work in the U.S. without Sponsorship
#LI-CT1
Full Time
$73k-91k (estimate)
11/10/2023
05/20/2024
CAREFIRST.COM
Owings Mills, MD
<25
The job skills required for Claims Adjuster II (Remote) include Customer Service, Health Care, Communication Skills, Communicates Effectively, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Adjuster II (Remote). 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 II (Remote). Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims Adjuster II (Remote) positions, which can be used as a reference in future career path planning. As a Claims Adjuster II (Remote), it can be promoted into senior positions as a Claims Adjuster III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Adjuster II (Remote). You can explore the career advancement for a Claims Adjuster II (Remote) below and select your interested title to get hiring information.