Healthcare Claims Adjuster I
Baltimore, Maryland
Experience: 3
Education: High School, GED
Category: Healthcare
Contractor Work Model: Remote
Brand: System One
Compensation Range: 24.89 Per Hour
Job ID: 351857
Date Posted: 06/05/2026
Shortcut: http://jobs.systemone.com/jRsxrv
Job Title: Healthcare Claims Adjuster I
Location: Baltimore, MarylandType: Contract To Hire
Compensation: $24/HR
Contractor Work Model: 100% Remote
About the Role
We are looking for a detail-oriented and proactive Claims Adjuster to join our team. In this role, you’ll investigate, evaluate, and resolve insurance claims while ensuring accuracy, compliance, and a positive experience for all stakeholders. If you enjoy problem-solving, analyzing information, and working in a fast-paced environment, this could be a great fit.
What You’ll Do
-
Investigate & Evaluate Claims
- Review and assess claims to determine validity and coverage
- Analyze documentation, calculations, and supporting data
- Ensure claims are handled within authority limits and in accordance with company policies and procedures
- Identify and flag exceptions or unusual situations
-
Maintain Accurate Records
- Update and maintain claims systems and audit records
- Enter, verify, and secure claim-related data with a high level of accuracy
-
Resolve Claims
- Process claim settlements through payment or denial
- Handle both standard and moderately complex claims
-
Reporting & Analysis
- Prepare reports by collecting, analyzing, and summarizing claims data and trends
- Support audit and compliance activities
-
Continuous Improvement
- Attend training sessions to stay up to date on industry regulations, tools, and best practices
- Contribute ideas to improve claims processes and efficiency
What You Bring
Education
- High School Diploma or GED required
Experience
- 3+ years of claims adjusting experience
- Strong understanding of claims systems, policies, and procedures
Preferred Experience
- Medical claims processing and adjustment
- Familiarity with:
- Medical terminology
- Provider refunds
- Subrogation
- Workers’ Compensation
- Claims disbursements
System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
#M-1
#LI-AJ1
Ref: #851-Rockville-S1
-
Lead Data Scientist (Healthcare / ML)
Columbia, Maryland
Job Title: Lead Data Scientist (Healthcare / ML) Location: Columbia, Maryland Type: Contract To Hire Compensation: $81 per hour Contractor Work Model: Hybrid – onsite and remote Responsibilities Lead proliferation of machine learning and artificial int...
Date Posted: 05/20/2026 Recommended
-
Client Relationship Manager
Baltimore, Maryland
Job Title: Client Relations Manager Location: Baltimore, Maryland Type: Contract To Hire Contractor Work Model: Hybrid – onsite and remote We’re looking for a Client Relationship Manager who thrives in a fast-paced, high-touch customer service environm...
Date Posted: 06/04/2026 Recommended
-
Performance Tester
Lanham, Maryland
Job Title: Performance Tester Location: Lanham, Maryland Type: Contract To Hire Contractor Work Model: Onsite – onsite Hours: 40.0 hours per week Responsibilities Lead performance testing efforts using LoadRunner to assess application scalability and p...
Date Posted: 05/19/2026 Recommended
-
Project Manager (Senior Product Manager)
Baltimore, Maryland
Project Manager (Senior Product Manager) – Medicaid Eligibility Outcomes Location: Baltimore, MD (Hybrid) Type: Contract-to-hire Overview We’re seeking a senior-level Product Manager (this role is titled “Project Manager” internally) to lead product vi...
Date Posted: 04/30/2026 Recommended
-
Research Analyst
Baltimore, Maryland
Research Analyst Location: Baltimore, Maryland | Onsite Contract To Hire Compensation: $34-$36/h Role Overview This is a data-driven marketing analyst/research support role focused on turning campaign and business data into clear, actionable insights. ...
Date Posted: 04/23/2026 Recommended
-
Dynatrace Consultant (remote)
Rockville, Maryland
Job Title: Dynatrace Consultant Contractor Work Model: Remote Security Clearance: Active secret clearance or higher Responsibilities Expand existing Dynatrace Gen3 deployment to incorporate use cases, such as Teams Observabilty integration, Job Service...
Date Posted: 05/27/2026 Recommended
-
Senior Systems Architect
Scott AFB, Maryland
Job Title: Senior Systems Architect Location: Scott AFB, Maryland Contractor Work Model: Onsite – onsite Security Clearance: Secret clearance Overview Responsibilities Support a specialized enterprise architecture team in designing, developing, and eva...
Date Posted: 05/28/2026 Recommended
-
Business Intelligence Analyst (GCP & Tableau)
Remote, Maryland
Business Intelligence Analyst (GCP & Tableau) Location: Remote (U.S.) Type: Contract-to-Hire Compensation: $55/HR Overview Join a team supporting an analytics platform on Google Cloud Platform (BigQuery) and Tableau. You’ll focus on production data sta...
Date Posted: 05/07/2026 Recommended
-
Animal Health Technician
Rockville, Maryland
Job Title: Animal Health Technician Location: Rockville, MD Hours/Schedule: Monday – Friday, standard business hours Compensation: $20.00-$28.00/hour Type: Contract Overview A leading preclinical research organization is seeking an Animal Health Techni...
Date Posted: 05/15/2026 Recommended
-
Utilization Management Coordinator
Baltimore, Maryland
Job Title: Utilization Management Coordinator Location: Must live in D.C., VA or MD per client requirement Type: Contract Compensation: $24/HR Contractor Work Model: 100% Remote ALTA IT Services is staffing a contract to hire opportunity for a Utilizat...
Date Posted: 05/15/2026 Recommended
-
Business Development Manager
Rockville, Maryland
Job Title: Business Development Manager Location: Rockville, Maryland Type: Direct Hire Work Model: Hybrid – onsite and remote Responsibilities Drive new revenue by identifying, qualifying, and securing IT staffing and consulting opportunities Build an...
Date Posted: 05/04/2026 Recommended
-
Software Architect (SA3)
Suitland, Maryland
Software Architect If interested reach out directly to kimberly.spicer@systemone.com Requirements 9 years' experience in the design and development of applications. 9 years' experience using Java. Experience using the latest version of Angular (not JS)...
Date Posted: 04/03/2026 Recommended
-
Senior Help Desk Engineer
Bethesda, Maryland
Job Title: Senior Help Desk Engineer Location: Onsite 5 days a week in Bethesda, Maryland Type: Contract Compensation: $80,000 - $95,000 annually Contractor Work Model: Onsite Security Clearance: US Citizenship required Responsibilities Manage and coor...
Date Posted: 04/20/2026 Recommended
-
Excavator Operator
Baltimore, Maryland
Job Title: Excavator Operator Location: Baltimore, Maryland Type: Direct Hire Compensation: $35 - $40 per hour Contractor Work Model: Onsite – onsite Hours: 40.0 Responsibilities Operate track excavators and related heavy equipment on utility construct...
Date Posted: 05/17/2026 Recommended
-
Cybersecurity Systems Engineer
Bethesda, Maryland
Job Title: Cybersecurity Systems Engineer (2 openings) Location: Navy Yard – Offsite / Remote Job Type: Direct Hire / Salaried Clearance Requirement: Active DoD Secret Clearance Required Environment: DoD / Navy ERP / SAP Enterprise Environment Position...
Date Posted: 05/26/2026 Recommended
-
Outside Sales Representative - Capitol Heights, MD
Capitol Heights, Maryland
Job Title: Outside Sales Representative - Capitol Heights, MD Location: Capitol Heights, MD Type: Direct Hire Contractor Work Model: Hybrid – onsite and remote Overview Our client, a global leader in the fintech and payments space, is seeking a dynamic...
Date Posted: 04/10/2026 Recommended
-
Mechanical Installer
Hagerstown, Maryland
Job Title: Mechanical Installer Location: Hagerstown, Maryland Type: Contract To Hire Compensation: $21 hourly Contractor Work Model: Onsite Main Accountabilities Core purpose: Under general supervision, the Mechanical Installer will be responsible for...
Date Posted: 03/16/2026 Recommended
-
Sr Human Centered Design Strategist
Baltimore, Maryland
Sr. Human-Centered Design (HCD) Strategist Location: Baltimore, MD (Hybrid) Type: Contract-to-hire Overview We’re seeking a Senior Human-Centered Design (HCD) Strategist to help improve complex, high-impact public benefits experiences—especially across...
Date Posted: 04/30/2026 Recommended
-
Senior Financial Manager
Washington, Maryland
Job Title: Senior Financial Manager Location: Pentagon Type: Direct Hire Security Clearance: TS/SCI (SAP eligible) Responsibilities Lead and manage financial operations for large-scale technology programs exceeding $100M, including oversight of stakeho...
Date Posted: 05/04/2026 Recommended
-
Warehouse Associate
Hagerstown, Maryland
Job Title: Warehouse Associate Location: Hagerstown, Maryland Type: Contract Compensation: $19 - $20 hourly Contractor Work Model: Onsite Core purpose: Main Tasks & Responsibilities: • Maintain warehouse areas and workspaces tidy and free of hazards, b...
Date Posted: 04/15/2026 Recommended
-
Project Coordinator
Gaithersburg, Maryland
Job Title: Project Coordinator Location: Gaithersburg, Maryland Type: Direct Hire Responsibilities Communicate with clients to clarify scope, timelines, and expectations Coordinate project start dates and confirm key contacts Prepare meeting documentat...
Date Posted: 04/22/2026 Recommended
-
HVAC System Engineer
Westminster, Maryland
Job Title: HVAC System Engineer Location: Westminster, Maryland Type: Direct Hire Compensation: $75,000 - 113,000 Annually Contractor Work Model: Remote Potential Overview The Systems Engineer is responsible for the execution of the design and developm...
Date Posted: 05/08/2026 Recommended
-
Rail Vehicle Electrical Technician
Hagerstown, Maryland
Job Title: Rail Vehicle Electrical Technician Location: Hagerstown, Maryland Type: Contract To Hire Compensation: $20 - $21 hourly Contractor Work Model: Onsite Hours: 7:00am - 3:30pm Rail Vehicle Electrical Technician performs skilled, installation, a...
Date Posted: 04/22/2026 Recommended
-
Data Analyst
San Francisco, California
Job Title: Data Analyst Location: San Francisco, CA Type: Contract-to-Hire Compensation: $25-$28/hour Contractor Work Model: Onsite Hours: Monday through Friday (8AM to 5PM) DATA ANALYST SUMMARY: Responsible for analyzing data and other information for...
Date Posted: 06/04/2026 Recommended
-
EDI Integration Engineer II
Seaford, DE
Job Title: EDI Integration Engineer II Location: Seaford, DE Type: Direct Hire Job Summary: System One is seeking an EDI Integration Engineer II for a permanent opportunity in Logistics and supply chain. This role is responsible for participating with ...
Date Posted: 05/01/2026 Recommended
-
Administrative Assistant
Tulsa, Oklahoma
Job Title: Administrative Assistant Location: Tulsa, Oklahoma Type: Contract Compensation: $18.00 Contractor Work Model: Onsite – onsite Responsibilities Maintain accurate entry and management of the customer database, including data entry and updates ...
Date Posted: 06/01/2026 Recommended
-
Senior Oil & Gas Accountant
Tulsa, Oklahoma
Job Title: Senior Oil & Gas Accountant Location: Tulsa, Oklahoma Type: Direct Hire Compensation: $90000 - $120000 Contractor Work Model: Hybrid Senior Oil & Gas Accountant We are seeking an experienced Oil & Gas Accountant to support general ledger acc...
Date Posted: 06/04/2026 Recommended
-
Data Scientist
Washington, DC
Job Title: Data Scientist/Engineer Location: Washington, DC Type: 12-month Contract Contractor Work Model: Hybrid – onsite 1-2 days per month Responsibilities Develop algorithms, scripts, and predictive analytics using AWS Sagemaker, AWS Bedrock, AWS A...
Date Posted: 05/11/2026 Recommended
-
Regulatory Affairs Senior Associate
Warren, New Jersey
Job Title: Regulatory Affairs Senior Associate Location: Warren, NJ Type: 6-month Contract Compensation: $49.15 hourly Contractor Work Model: Hybrid – onsite and remote Hours: 8am-5PM, 40 hours per week Overview The purpose of this role is to execute O...
Date Posted: 06/04/2026 Recommended
-
Java Software Engineer III - 3 slots
Dunn Loring , Virginia
Job Title: Java Software Engineer III - 3 slots Contractor Work Model: Remote – offsite Overview If interested reach out directly to kimberly.spicer@systemone.com Responsibilities Ensure compatibility between equipment and software, analyze operational...
Date Posted: 05/14/2026 Recommended