- Trustmark (Augusta, ME)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Care (LTC), Disability and Critical Care. Key Accountabilities + Identifies claims that need additional reviews, initiates and implements the appropriate reviews.… more
- Guardian Life (Augusta, ME)
- …by providing comprehensive medical reviews and analysis of long-term disability claims . The RN Clinical Consultant identifies restrictions, limitations and ... and prioritize the customer experience. **Candidate Responsibilities** The RN Clinical Consultant reviews long-term disability claims to determine the impact… more
- Exl Service (York Beach, ME)
- Overview Commercial Insurance Risk Control Consultant - Independent Contractor Overview EXL Risk Control is a leading provider of risk assessments and loss ... Loss Control + Commercial Lines Property/Casualty Underwriting + Commercial Lines Property/Casualty Claims Adjuster + Commercial insurance inspections + Fire and… more
- Sedgwick (Augusta, ME)
- …and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management ... limited to Bachelor of Science in Nursing, Legal Nurse Consultant , Associate in Claims (AIC), Chartered Property...applicable to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical… more
- Zurich NA (Augusta, ME)
- Crop Product Development Consultant 116424 This **Crop Product Development Consultant ** has been created to support the RCIS Growth Strategy. This role is ... also responsible for research, development of products and related coverages for Crop insurance products. The role can work from any Zurich office or remote,… more
- CVS Health (Augusta, ME)
- …to make health care more personal, convenient and affordable. The Senior Analytic Consultant position is a 100% remote, work from home position. The candidate can ... flexibility for meetings which will occur during 8am-5pm EST. The Senior Analytic Consultant is responsible for the analyzing issues related to appeals and related… more
- UNUM (Portland, ME)
- …considered for non-campus adjacent candidates. As the Vocational Rehabilitation Consultant , you are responsible for reviewing, analyzing, and interpreting vocational ... and medical information. In this role, you will work collaboratively with claims professionals and other resources in multiple settings to assess vocational… more
- Sedgwick (Augusta, ME)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Litigation Consultant **PRIMARY PURPOSE** : To address and handle high end cases with ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- Elevance Health (South Portland, ME)
- **Provider Contract/Cost of Care Consultant ** **We are offering a $5,000 sign-on bonus for this position.** **Location:** This position will work a hybrid I model ... our Pulse Point locations. The **Provider Contract/Cost of Care Consultant ** will provide analytical support to the Cost of...will make an impact:** * Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- UNUM (Portland, ME)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards… more
- Lincoln Financial Group (Augusta, ME)
- …Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for reviewing, ... analyzing, and interpreting medical information available for disability claims . In this role you will act as a...and solutions across four core businesses - annuities, life insurance , group protection and retirement plan services. As of… more
- UNUM (Portland, ME)
- …others, and join Team Unum today! **General Summary:** The clinical consultant is responsible for reviewing, analyzing and interpreting medical information. Works ... collaboratively with claims professionals, on-site physicians and other resources in multiple settings to assess medical information and determine appropriate next… more
- Evolent (Augusta, ME)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data sources to ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… 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, ... marketing and communication activities with a variety of groups including, primary insurance carriers and in some cases, their large customers. **What Will You… more
- MaineGeneral Health (Waterville, ME)
- …including writing custom reports + Serves as an internal resource and consultant regarding the functioning and administration of revenue cycle + Provides, support ... working with types of data used by health systems; claims , electronic health records, billing, and coding Scheduled Weekly...2% in the 401(a) retirement income plan. + Three insurance plans are available to protect your family from… more