Claims Investigator-1

4 weeks ago

Baltimore, United States City of Baltimore, MD Full time

THIS IS A NON-CIVIL SERVICE POSITION

CITY OF BALTIMORE, MAYOR'S OFFICE OF

SMALL & MINORITY BUSINESS ADVOCACY AND DEVELOPMENT

CLAIMS INVESTIGATOR

OPENING DATE: May 9, 2024

CLOSING DATE: May 30, 2024

Overview

The Mayor’s Office of Small & Minority Business Advocacy & Development is seeking an individual to join as a Claims Investigator. SMBA&D oversees compliance with Baltimore City Code Article 5, Subtitle 28 governing Minority Business Enterprises (MBE), Women’s Business Enterprises (WBE); and Small Local Business Enterprises (SLBE). SMBA&D currently certifies businesses as MBE, WBE, or M/WBE. The Minority & Women’s Business Program requirements are applicable to all City contracts. SMBA&D reviews all contracts greater than $50,000 and private development projects receiving a benefit from the City in excess of $50,000 to determine if MBE/WBE participation goals may be set on the contract.

Essential Duties & Responsibilities
- Communicate with the Bureau of Procurement and Agency partners;
- Communicate with prime contractors and subcontractors;
- Investigate MBE/WBE applicants for certification/renewal of certification to determine if they meet Code requirements for the program;
- Visit business offices and work sites to ascertain the nature and structure of the business operations;
- Determining applicants’ controlling interest in the business;
- Secures statements and affidavits regarding the business;
- Conduct interviews to assess business knowledge, ethnicity and citizenship, technical and professional proficiency, corporate relationships with business owners, family, and marriage partners relevant to eligibility
- Draft memorandums regarding investigative findings and recommendations;
- Review and analyze invoices and payroll for the project to determine utilization of MBE/WBE on the project;
- Conduct audits to determine utilization and payment status prior to partial or full release of retainage;
- Provides testimony before the SMBA&D Certification Appeals Boards at hearings.

Required Knowledge, Skills & Responsibilities
- Ability to maintain a high workload;
- Ability to articulately present, justify, and defend your investigative findings and recommendations;
- Ability to maintain your schedule and honor deadlines;
- Knowledge of the principles and techniques of investigations;
- Knowledge of basic business, construction, development, and service industry terms;
- Knowledge of practices and procedures applicable to investigating and analyzing business workings and relationships;
- Skill to interview people engaged in diverse businesses;
- Ability to compose detailed statistical and narrative reports;
- Ability to investigate situations and extract and organize facts;
- Ability to evaluate data, compare data to existing standards and draw conclusions;
- Ability to express ideas, both orally and in writing;
- Ability to independently work and follow investigation protocols;
- Ability to deal professionally and effectively with government officials and personnel, representatives of private organizations, developers, community groups, and others.

Education, License, & Experience Requirements
- A Bachelor's degree from an accredited college or university,
- Three years of field or office experience investigating general liability claims, worker’s compensation claims, automobile liability claims, or investigating, verifying, and analyzing claims or eligibility criteria.
- A valid Maryland Class C Non-Commercial Driver’s License or an equivalent driver’s license eligible to obtain a Baltimore City Driver’s Permit.
- Baltimore City Government is an Equal Opportunity Employer_

  • Siu Investigator

    1 week ago

    Baltimore, United States Allied Universal® Full time

    SIU Investigator **Overview**: Allied Universal® Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workplace, you will be part of a team that fuels a culture...

  • Surveillance Investigator

    6 hours ago

    Baltimore, United States Veracity Research Company Full time

    VRC Investigations is currently expanding our Surveillance Investigations division. Veracity Research Company Investigations (VRC), is one of the nation’s leading and most experienced investigation companies. For 29 years, we have continued to commit ourselves to the utmost degree of integrity and professionalism specializing in all aspects of insurance...

  • Private Investigator

    1 month ago

    Baltimore, United States Lemieux & Associates LLC Full time

    Job DescriptionJob DescriptionCome grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU/Claims Investigators in the Baltimore, MD or surrounding area. This is a part-time position to start with the ability to turn into a full-time position for the right individual. The owners are entrepreneurial,...

  • Private Investigator

    2 days ago

    Baltimore, United States Lemieux & Associates LLC Full time

    Job DescriptionJob DescriptionCome grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU/Claims Investigators in the Baltimore, MD or surrounding area. This is a part-time position to start with the ability to turn into a full-time position for the right individual. The owners are entrepreneurial,...

  • Sr Claims Supervisor

    1 month ago

    Baltimore, United States Professional Search Group Full time

    This position requires 100% on-site work in Baltimore, MD. Do not apply if you are not willing to work on-site. This is an excellent opportunity if you are not just looking for a job, but you are looking to build a life and a career. Our client believes in their people and realizes that their success is a direct result of creating a learning atmosphere,...

  • Medical Claims Adjuster

    4 weeks ago

    Baltimore, United States Umfpi Full time

    ** Medical Claims Adjuster - MMCIP** **Job Category****:** Risk Management **Requisition Number****:** MEDIC005973 Showing 1 location **Job Details** **Description** Working collaboratively within the Property/Casualty department investigating and managing non-indemnity Workers Compensation claims; and, processing medical bill payments for indemnity and...

  • Medical Claims Adjuster

    12 hours ago

    Baltimore, United States Umfpi Full time

    ** Medical Claims Adjuster - MMCIP** **Job Category****:** Risk Management **Requisition Number****:** MEDIC005973 Showing 1 location **Job Details** **Description** Working collaboratively within the Property/Casualty department investigating and managing non-indemnity Workers Compensation claims; and, processing medical bill payments for indemnity and...

  • Sr. Claims Supervisor

    1 month ago

    Baltimore, United States Professional Search Group, Inc. Full time

    Job DescriptionJob DescriptionThis position requires 100% on-site work in Baltimore, MD. Do not apply if you are not willing to work on-site. This is an excellent opportunity if you are not just looking for a job, but you are looking to build a life and a career. Our client believes in their people and realizes that their success is a direct result of...

  • Sr. Claims Supervisor

    2 days ago

    Baltimore, United States Professional Search Group, Inc. Full time

    Job DescriptionJob DescriptionThis position requires 100% on-site work in Baltimore, MD. Do not apply if you are not willing to work on-site. This is an excellent opportunity if you are not just looking for a job, but you are looking to build a life and a career. Our client believes in their people and realizes that their success is a direct result of...

  • Senior Fraud Investigator

    1 week ago

    Baltimore, United States Allied Universal Full time

    ACCELERATE YOUR CAREER WITH THE GLOBAL LEADER IN INVESTIGATIVE SOLUTIONS!If you are looking for growth in your career, look no further! Allied Universal is hiring, and we offer competitive hourly rates, excellent benefits, career growth, and advancement opportunities. Apply now and find your perfect job today!Allied Universal® is hiring a Private...

  • Senior Fraud Investigator

    1 day ago

    Baltimore, United States Allied Universal Full time

    ACCELERATE YOUR CAREER WITH THE GLOBAL LEADER IN INVESTIGATIVE SOLUTIONS!If you are looking for growth in your career, look no further! Allied Universal is hiring, and we offer competitive hourly rates, excellent benefits, career growth, and advancement opportunities. Apply now and find your perfect job today!Allied Universal® is hiring a Private...

  • Casualty Auto Claims Adjuster

    2 weeks ago

    Baltimore, United States Maryland Automobile Insurance Fund Full time

    Job DetailsLevel Experienced Job Location Headquarters - Baltimore, MD Remote Type Hybrid Position Type Full Time Education Level 4 Year Degree or Related Work Experience Travel Percentage None Job Shift Day Job Category Insurance DescriptionCasualty Auto Claims AdjusterMaryland Auto Insurance is a Property & Casualty Insurance carrier and independent agency...

  • Casualty Auto Claims Adjuster

    2 days ago

    Baltimore, United States Maryland Automobile Insurance Fund Full time

    Job DetailsLevel Experienced Job Location Headquarters - Baltimore, MD Remote Type Hybrid Position Type Full Time Education Level 4 Year Degree or Related Work Experience Travel Percentage None Job Shift Day Job Category Insurance DescriptionCasualty Auto Claims AdjusterMaryland Auto Insurance is a Property & Casualty Insurance carrier and independent agency...

  • Claims Specialist

    2 weeks ago

    Baltimore, United States Accession Risk Management Group Full time

    This opportunity will support the Oxford Risk Management Group, a Risk Strategies Company, They are a national leader in delivering comprehensive enterprise risk solutions to the most successful businesses, financial institutions, professional athletes and entertainment personalities in the country. Independent advisors from a wide array of disciplines...

  • Auto PIP Claims Examiner

    4 weeks ago

    Baltimore, United States KING'S INSURANCE STAFFING LLC Full time

    Our client is seeking to add an Auto PIP Claims Adjuster to their Maryland office. This person would be responsible for directly handling moderate to complex PIP claims from inception to close. This will include first-party Personal Injury Protection (PIP), Medical Pay, collision, loss-of-use, and 3rd party property damage exposures. Responsibilities of...

  • licensing & regulation investigator ii

    2 weeks ago

    Baltimore, Maryland, United States State of Maryland - LABOR - Occupational and Professional Licensing 1 Full time

    IntroductionThe Maryland Department of Labor is accepting applications from qualified candidates for the position of Licensing and Regulation Investigator II.�A Licensing & Regulation Investigator II is the full performance level of work conducting investigations to ensure compliance with State laws and regulations which govern the licensing and practices...

  • Workers' Compensation Claims Adjuster

    2 weeks ago

    Baltimore, United States Johns Hopkins Health System Full time

    Under general supervision, processes employee workers' compensation claims and benefits, including preparation of legal forms for the Workers Compensation Commission. Computes workers compensation benefits due employee as well as approving payments for employees' medical bills and issuance of checks for claims. Works with attorney and supervisor to negotiate...

  • Casualty Claims Specialist

    1 week ago

    Baltimore, United States American National Family of Companies Full time

    **Casualty Claims Specialist**: **What You’ll Do** - Investigate, evaluate, and settle casualty claims in accordance with company policies and procedures. - Conduct detailed assessments of claims to determine liability, damages, and appropriate settlements. - Communicate with claimants, policyholders, legal professionals, and medical providers to gather...

  • REMOTE: Field Claims Specialist

    2 weeks ago

    Baltimore, United States American National Full time

    Field Claims Specialist American National is seeking an experienced full-time team member to manage field property claims locally (Personal lines primarily, with exposure and/or willingness to learn commercial and agriculture lines of business) with preferred residence in the following location: Baltimore, MD territory.  What Will You Do?   •...

  • Workers' Compensation Claims Adjuster

    3 weeks ago

    Baltimore, United States Johns Hopkins Medicine Full time

    Under general supervision, processes employee workers' compensation claims and benefits, including preparation of legal forms for the Workers Compensation Commission. Computes workers compensation benefits due employee as well as approving payments for employees' medical bills and issuance of checks for claims. Works with attorney and supervisor to negotiate...