- Sedgwick (Augusta, ME)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex ... claims specific to the product liability / life sciences...provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry… 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
- Carrington (Augusta, ME)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Lincoln Financial (Augusta, ME)
- …Role at a Glance** We are excited to bring on a Social Security Specialist to join our Financial Services Organization supporting Group Protection. In this role you ... used in conjunction with disability insurance policies. You will monitor claimants' SS claims until a final decision is received. **What you'll be doing** + Supports… more
- Lincoln Financial (Augusta, ME)
- …this opportunity. **Requisition #:** 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product subject matter expert to ... multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You will analyze… more
- CVS Health (Augusta, ME)
- …handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Northern Light Health (Portland, ME)
- …ongoing education of hospital and medical personnel related to risk prevention and claims management. The Risk Management Specialist will participate in patient ... 8:00 AM to 4:30 PM Summary: The Risk Management Specialist works under the general supervision of the Director...development and ongoing review of hospital-wide clinical risk and claims management. The incumbent will assist the Director in… more
- Sedgwick (Augusta, ME)
- …Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist - Bilingual French, Hindi, Bengali or more **We are looking for ... United States. **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement,… more
- Travelers Insurance Company (Augusta, ME)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value.… more
- Travelers Insurance Company (Augusta, ME)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... Practices. Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage … more
- Entergy (Brunswick, ME)
- **Job Title:** Capital Projects Procurement Specialist **Work Place Flexibility:** Onsite **Legal Entity:** Entergy Services, LLC This position may be filled in New ... Jackson, MS; The Woodlands, TX This position may be filled as a Procurement Specialist Senior or Senior Staff based on the qualifications and experience of the… more
- Sedgwick (Portland, ME)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr. (Repair Solutions) **PRIMARY PURPOSE:** To review all estimates and ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...next round, a recruiter will be in touch. \#claimsexaminer # claims _As required by law, Sedgwick provides a reasonable… more
- MaineGeneral Health (Augusta, ME)
- Job Summary: MaineGeneral Health is seeking a qualified RN Clinical Appeals Specialist to support our Revenue Cycle team by reviewing denied insurance claims and ... of exceptional patient care Job Description: Position: RN Clinical Appeals Specialist Location: Alfond Center for Health, AugustaSchedule: Full-time (40 hours/week)… more
- CDM Smith (Auburn, ME)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Sweetser (Saco, ME)
- Billing Specialist - Saco Job Code:12771 Location:Saco 04072 Department:Other FT/PT Status:Full Time Summary: Are you detail-oriented, numbers-savvy, and passionate ... keeping financial operations running smoothly? We're looking for a **Billing Specialist ** to join our fast-paced, collaborative, and quality-focused team! This… more
- UNUM (Portland, ME)
- …information needs related to pre and post-disability financial calculations on disability claims . This position works closely with a more seasoned resource(s) to ... simple part time return to work calculations of disability claims . + Understands policy provisions and application of provisions...work earnings calculations. + Reviews offset coding in the claims payment system for known offsets and adjusts as… more
- State of Maine, Bureau of Human Resources (Portland, ME)
- Eligibility Specialist - LTC Portland , Maine , United States | Community & Social Services | Full-time Apply by: June 10, 2025 Apply with Linkedin Apply Department ... hour.Position Number: 02022-7482Location:Portland Core Responsibilities: The position of Eligibility Specialist determines initial and continued eligibility for public assistance… more
- Elmet Technologies LLC (Lewiston, ME)
- Payroll Specialist Location: Lewiston, Maine Benefits: Medical, Dental, Vision, Critical Illness, STD/LTD Insurance. Vacation Holiday and Floating Holidays. Salary: ... 55K - 70K Depending on experience. JOB SUMMARY The Payroll Specialist is responsible for calculating and processing accurately and timely payroll, maintaining… more
- Entergy (Wiscasset, ME)
- …with a focus on rotating and reciprocating generation and/or renewables. The specialist will support the identification, development, and execution of projects by ... the demonstrated technical, professional, inter-personal and leadership skills. The specialist operates autonomously but may require minimal supervision or… more
- Walgreens (Gray, 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