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Claims Processor Associate Jobs in Maryland (NOW HIRING)

The EDI (Electronic Data Interchange) Associate is responsible for supporting electronic claims ... Process and submit electronic healthcare claims through the EDI system in compliance with payer ...

The EDI (Electronic Data Interchange) Associate is responsible for supporting electronic claims ... Process and submit electronic healthcare claims through the EDI system in compliance with payer ...

Healthcare Account Associate

Bethesda, MD · On-site

$50K - $69K/yr

The Healthcare Account Associate is the liaison between MedVanta DTE Clients and our MSK services ... Processes daily incoming claims and aggregated Stop Loss claims including initial entry claims or ...

Showing results 41-60

Claims Processor Associate information

What does a claims processor associate do?

A Claims Processor Associate is responsible for reviewing, processing, and verifying insurance claims to ensure they are accurate and comply with policy guidelines. They investigate claim details, communicate with policyholders or medical providers for additional information, and enter claim data into company systems. Their role is crucial in ensuring timely and accurate payments or denials, helping both insurance companies and clients. Attention to detail, strong organizational skills, and excellent communication abilities are important for success in this position.

What are the key skills and qualifications needed to thrive as a claims processor associate, and why are they important?

To thrive as a Claims Processor Associate, you need strong attention to detail, analytical skills, and a high school diploma or equivalent, with some employers preferring experience in insurance or healthcare. Familiarity with claims management software, data entry systems, and basic office applications is typically required. Excellent organizational skills, clear communication, and the ability to work efficiently under deadlines are essential soft skills for this role. These abilities ensure accurate claims processing, minimize errors, and support timely service for clients and providers.

What are some common challenges faced by claims processor associates, and how can they be effectively managed?

Claims Processor Associates often encounter challenges such as handling a high volume of claims, navigating complex policy details, and meeting strict deadlines. Successfully managing these challenges requires strong organizational skills, attention to detail, and the ability to prioritize tasks effectively. Collaborating closely with team members and regularly communicating with supervisors can also help resolve discrepancies and ensure accuracy. Most organizations provide training and support to help associates stay updated on procedures and regulatory requirements, fostering a supportive work environment.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, strong organizational skills, and the ability to handle complex or difficult cases. However, workload and stress levels vary depending on the employer and work environment.

What are the most commonly searched types of Claims Processor jobs in Maryland?

The most popular types of Claims Processor jobs in Maryland are:

Infographic showing various Claims Processor Associate job openings in Maryland as of August 2026, with employment types broken down into 1% As Needed, 65% Full Time, 32% Part Time, 1% Temporary, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Field Claims Specialist, Remote - Southern CA Workers' Compensation

Great American Insurance Group

California, MD • Remote

$115K - $125K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 12 days ago


Great American Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

56th of 311 rated insurance


Job description

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

WhoWeAre

Strategic Comp is a leading provider of workers' compensation insurance for large employers committed to protecting their workforce. As part of Great American Insurance Group, we combine the strength and stability of a trusted organization with more than 150 years of history with the entrepreneurial spirit of a growing business.

Through our specializedinsuranceexpertiseandfield-based service model, we build lasting partnerships and deliver exceptional results for our customers.Our culture is built on collaboration, excellence, and a shared commitment to serving our customers and one another.

Here's what you would be doing if hired for the Field Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with the highest potential exposure. We take an extremely aggressive and pro-active approach in claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use. Because we focus on outcomes and not just processes, we look for the adjuster who is very skilled at developing strategies to bring claims to resolution.

The person hired for this position will work from an office in their home approximately 40% of the time and work in the field approximately 60% of the time. Overnight travel is required as needed and where caseload dictates. Candidates must reside in Southern California.

Responsibilities

  • Investigating losses

  • Analyzing coverage, determining compensability and benefits

  • Establishing reserves and negotiating settlements

  • Conducting face-to-face meetings with claimants and insureds

  • Preparing large loss reports to both internal and external audiences

  • Attending settlement conferences, pre-trials and trials as assigned

  • Working closely with defense attorneys and other vendors including medical case management, surveillance, etc.

Physical Requirements

  • Requires prolonged sitting and/or standing.

  • Requires frequent travel, including some overnight travel.

  • Requires ability to operate and/or travel in a motor vehicle for long periods of time.

  • May require occasional travel by airplane.

  • Requires frequent use of computer.

Qualifications

  • A minimum of 10 years of California workers' compensation claims adjusting experience with higher exposure claims is required

  • Active California workers compensation adjusters license is required

  • Location in Southern California is required

  • Strong consideration will be given to candidates with industry designations including Associate in Claims

  • You must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts

#LI-StrategicComp

Business Unit:

Strategic Comp


Salary Range:

$115,000.00 -$125,000.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

*Excludes seasonal employees and interns.


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