• Claims Review Representative

    Humana (Augusta, ME)
    **Become a part of our caring community and help us put health first** The Claims Review Representative 3 makes appropriate claim decision based on ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3...and state and federal legislation. The Claims Review Representative 3 performs advanced… more
    Humana (07/10/25)
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  • Dental Network Service Representative

    Highmark Health (Augusta, ME)
    …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
    Highmark Health (06/27/25)
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