- Sedgwick (Augusta, ME)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Supervisor **PRIMARY PURPOSE:** To supervise the operation of multiple ... combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of claims … more
- Central Maine Medical Center (Lewiston, ME)
- …our community and for each other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is an on-site, full time 40-hour, ... benefits eligible position. The rate of pay is $20.00 per hour. The Claims Processing Billing Representative's responsibility is to process claims in the most… more
- Sedgwick (Augusta, ME)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** **:** To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Augusta, ME)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY PURPOSE** ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Sedgwick (Augusta, ME)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze complex or ... technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Carrington (Augusta, ME)
- …eliminate non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but not limited to, claim ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Travelers Insurance Company (Augusta, ME)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… 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
- Intermountain Health (Augusta, ME)
- …as needed on aging reports, reports all payor issues and/or denial trends to Lead/ Supervisor and may appeal and/or rebill underpaid claims and assist with ... **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintains… more
- Utilities Service, LLC (Brunswick, ME)
- …the crew after receiving/interpreting orders from a General Foreperson/Line Clearance Supervisor . + Conducts field training/retraining, instructing crew on new or ... be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims... claims , etc., and to settle minor damage claims . + Maintains accurate records, timesheets, and reports related… more
- Staffing Solutions Organization (Augusta, ME)
- …Duties:** + Manage medical Prior Authorizations (PA) as assigned by the PA supervisor , utilizing PA software tools; + Review and authorize provider requests for the ... assurance reviews of decided PAs; + Collaborate with other OMS units to resolve claims issues that involve PAs; + Respond to questions and concerns from interested… more