- Sedgwick (Augusta, ME)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ; to… more
- Sedgwick (Augusta, ME)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… more
- Fedcap (South Portland, ME)
- …detail oriented, and adaptable finance professional to join our team as a Claims Specialist ! The hired person will partner with finance supervisors, managers, ... training, professional development, and REAL advancement opportunities! Position Summary: The Claims Specialist is responsible for carrying out financial… more
- Lincoln Financial Group (Augusta, ME)
- …for this opportunity. **Requisition #:** 74082 **The Role at a Glance** As an **LTD Claims Specialist ** , you will manage a workload of Long-Term Disability ... claims independently in accordance with established procedures and guidelines....and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when applicable +… more
- Carrington (Augusta, ME)
- **Come join our amazing team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all ... FHA home retention claims timely and accurately according to investor/insurer guidelines. Perform...**What you'll do:** + Prepare and file all HUD claims timely and accurately according to investor/insurer/CMS guidelines and… more
- UNUM (Portland, ME)
- …candidates to fill various roles related to managing leave requests and disability claims . When you apply, you'll be considered for positions such as Integrated Paid ... Leave Specialist , STD Benefits ...+ Handle leave, short-term disability (STD), or paid leave claims efficiently and accurately. + Determine if employees are… more
- UNUM (Portland, ME)
- …an assigned caseload, while exercising discretion and independent judgment. The Benefit Specialist Trainee should provide timely claims decisions and strong ... is on-site at our Portland, Maine home office location** As a Benefit Specialist Trainee, you are primarily responsible for learning and developing the essential… more
- MaineGeneral Health (Waterville, ME)
- …revenue cycle operations. Job Description: The Role:As an Accounts Receivable Resolution Specialist , you'll prepare and submit claims , resolve denials and ... to make an impact in healthcare? Join our team as an Accounts Receivable Resolution Specialist and help ensure timely and accurate reimbursement while supporting our… more
- Army National Guard Units (Augusta, ME)
- …5 EXCEPTED SERVICE POSITION. This National Guard position is for a CONTRACT SPECIALIST , Position Description Number T0047000 and is part of the ME USPFO, National ... including complex contract administration problems, eg, disputes, labor violations, and claims , and identifies alternative courses of action which may depart from… more
- Sedgwick (Augusta, ME)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Service Center Specialist - Background in Auto Insurance Required **PRIMARY PURPOSE** : To assist ... customer service representatives in expediting the application by providing claims general information; to track trends; to investigate client feedback both… more
- Martin's Point Health Care (Portland, ME)
- …appeals management process. Job Description Key Outcomes: + For Medicare Focused Specialist : + Researches, processes and resolves Part C reconsiderations with 100% ... for Part C appeals Medicare Managed Care Manuals + For USFHP Focused Specialist : + Researches, processes and resolves all appeals in accordance with Tricare and… more
- CVS Health (Augusta, ME)
- …/ graduate in good standing will move to $18.50. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the ... by providing accurate and timely resolution in processing medical claims . You will be a key link in providing...screens to obtain and record claim information + Review claims information to determine the nature of a member's… more
- Martin's Point Health Care (Portland, ME)
- … claims processing and health plan benefits necessary for the Appeals Specialist to exercise decision-making authority to reprocess claims in accordance and ... Independently and with judgement, conducts multi-faceted, complex investigations through claims review, provider credentialing, authorization processing, timeliness evaluations, and… more
- Walgreens (Kittery, ME)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Travelers Insurance Company (Augusta, ME)
- …and providing expertise in adjusting large, complex Boiler and Machinery first party claims both in the United States and on occasion, internationally. In addition, ... for improvement. + Manages losses assigned to independent adjusters, quota share claims , and litigated files. + Produces professional, quality Large Loss reports… more
- Community Health and Counseling Services (Bangor, ME)
- Insurance Verification and Utilization Review Specialist - Health Services Job Type(s):Full-Time Location(s):Bangor, Maine Education:Associates Degree - Business or ... throughout patient's care. Coordination of payor changes as well as claims denial management. Medical Terminology and computer coursework or equivalent required.… more
- IQVIA (ME)
- …team generates client data through savings program transactions captured by our proprietary claims engine. From our position atop this wealth of information, we seek ... motivated individuals to join our team. **Job Overview:** The Software QA Specialist will support the data processing function for the maintenance of the… more
- Product Connections (Scarborough, ME)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **Qualifications** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Dairy Farmers of America (Portland, ME)
- …and submit necessary information for motor vehicle and property damage incident claims . Assist the transportation management team by managing online hiring platforms ... and screening applicants for employment. Coordinate with vendor installation and service to delivery equipment. **Duties and Responsibilities:** + Provide administrative support functions relating to safety, compliance, productivity and transportation… more
- ProTrain (Portland, ME)
- …+ Live Online instructor + Describe the role of the Certified Medical Billing Specialist + Describe the origin of medical language. + Analyze the component parts of ... the responsibilities assigned to insurance billing and coding specialists and electronic claims processors. + Describe the health care delivery system. + Explain the… more