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Direct Claims Jobs in Baltimore, MD (NOW HIRING)

Ampcus

Claims - Processor, Claims I

Baltimore, MD · On-site

$17 - $21.25/hr

Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures. Essential functions ...

Corvel

Claims Specialist

Nottingham, MD · Hybrid

$51K - $83K/yr

... the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a Hybrid role reporting to White Marsh, MD. ESSENTIAL FUNCTIONS ...

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Direct Claims information

See Baltimore, MD salary details

$30.3K

$64.2K

$89.4K

How much do direct claims jobs pay per year?

As of Aug 30, 2026, the average yearly pay for direct claims in Baltimore, MD is $64,198.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,700.00 and $75,000.00 per year, depending on experience, location, and employer.

What is a direct claim?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are the key skills and qualifications needed to thrive as a direct claims specialist?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What are some common challenges faced by professionals in direct claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What are popular job titles related to Direct Claims jobs in Baltimore, MD?

For Direct Claims jobs in Baltimore, MD, the most frequently searched job titles are:

What job categories do people searching Direct Claims jobs in Baltimore, MD look for?

The top searched job categories for Direct Claims jobs in Baltimore, MD are:

What cities near Baltimore, MD are hiring for Direct Claims jobs?

Cities near Baltimore, MD with the most Direct Claims job openings:

Direct Claims jobs near you

Claims - Processor, Claims I

Baltimore, MD • On-site

Ampcus
IT Services • 1 - 5K employees
Learn more about Ampcusexternal

$17 - $21.25/hr

Other

Re-posted 9 days ago

Job description

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Claims - Processor, Claims I. Location: Baltimore, MD. ( Remote) Purpose:
  • Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.
Essential functions:
  • 60% Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims. The Claims Processor also uses automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems.
  • 25% Completes research of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receive coaching from leadership. Required participation in ongoing developmental training to perform daily functions.
  • 10% Completes productivity daily data that is used by leadership to compile performance statistics. Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc.
  • 5% Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions.
Qualifications:
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Knowledge, Skills and Abilities (KSAs):
  • Demonstrated analytical skills, Proficient.
  • Demonstrated reading comprehension and ability to follow directions provided, Proficient.
  • Basic written/oral communication skills, Proficient.
  • Demonstrated ability to navigate computer applications, Proficient.
Education:
  • Level: High School Diploma or GED.
Experience:
  • Less than one year's experience processing claim documents.
Preferred Qualifications:
  • 1-3 years Claims processing, billing, or medical terminology experience.
Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.
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About Ampcus

Sourced by ZipRecruiter

Ampcus Inc. is a ISO 20000, ISO 27000, ISO 9001, CMMI DEV/3 SM and CMMI SVC/3 SM certified global provider of a broad range of Technology and Business consulting services. From strategy to execution, our disciplined yet flexible approach starts and ends with our clients. By listening hard and working harder, client goals become our goals. Their success is our satisfaction. It’s why our clients sleep well at night. We believe that the success of an engagement is determined by strong project management, as well as clear communication and mutual commitment working collaboratively. Our methodology begins with listening to the customer about their needs, then working with their team to gain a clear understanding of the requirements, while providing knowledge transfer of best practices for the organization.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Chantilly, VA, US

Year founded

2004

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