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Sr. Claims Specialist Jobs in Maine

Currently, there are no Sr. Claims Specialist jobs available in Maine which match this search. You may wish to explore similar job titles on the Insurance jobs in Maine page or view related jobs below.
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Maintains oversight of the local service center responsible for claim handling and/or member or provider inquiries. Executes multi-site strategic and operational plan in support of business segment customer service objectives and initiatives. Oversees the following functions for assigned multi-product line service center location. Risk and claim management, customer services; effectively manages c...
Claims Integrity Specialist Department: Patient Financial Services Schedule: Full-time Shift: Day shift Hours: M-F, 40 Hrs Job Details: Job Summary:Determines the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPT coding, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification of bil...
Description Sun Life has multiple opportunities available at the Sun Life Center for Healthy Work in Scarborough, Maine! We offer a comprehensive training program and exciting career path. Come join a fantastic team in a fast paced and exciting work environment. Short Term Disability Claims Associates are responsible for the professional management of both routine and complex claims for Group Sh...
Job Summary: Determines the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPT coding, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification of billing data for accuracy and completeness, following regulatory requirements, in order to resolve edits or exceptions detected during system pr...
Claims Integrity Specialist Department: Patient Financial Services Schedule: Full-time Shift: Day shift Hours: M-F, 40 Hrs Job Details: Job Summary:Determines the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPT coding, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification of bil...
Job Description Claims Adjuster - Bodily Injury - S. Portland, Maine Claims Adjuster –Bodily Injury Our bodily injury Claims Adjusters are an essential part of our team by managing the injury portion of a claim. You’ll provide the support our customers’ need, while ensuring claims are resolved swiftly. Developing relationships with our customers, you’ll analyze and determine the extent of Progr...
Claims Adjuster - Bodily Injury - S. Portland, Maine Job Number :138057 Claims Adjuster –Bodily Injury Our bodily injury Claims Adjusters are an essential part of our team by managing the injury portion of a claim. You’ll provide the support our customers’ need, while ensuring claims are resolved swiftly. Developing relationships with our customers, you’ll analyze and determine the extent of P...
Sr. Communications Specialist Requisition #: 39402 Account: EMHS Department: Office of System Communications Schedule: Regular Full-time Shift: Day Hours: 8-4:30 Hours per Week: 40 Job Details: Job Summary: As a member of the System Communications team, the Senior Writer/ Copy Editor serves as writer/editor for publications, newsletters, collateral, media relations and other written assi...
Sr. Aquatics Sales Specialist Primary Location:United States-Maine-SOUTH PORTLAND-220 Maine Mall Road (0296) Work Locations: 220 Maine Mall Road (0296) Schedule: Full-time Job: Store Associate Description: Our vision at Petco is Healthier Pets. Happier People. Better World. We’re making things better for pets, people and the planet through our Think Adoption First philosophy, the Petco Found...
Description: Position Description: Energize your career with one of Healthcare’s fastest growing companies. You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Heal...
Description: Position Description: Energize your career with one of Healthcare’s fastest growing companies. You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcar...
McKean Defense is an employee owned Naval Life Cycle Management, Engineering, Enterprise Transformation and Program Management business headquartered in Philadelphia, PA. McKean's engineers, developers, technical staff, programmers, analysts, and program managers identify and deploy new shipboard technologies, integrate information technology across shipboard platforms, and develop strategies to s...
Claims Follow-Up Representative A reputable provider of specialized business services is now looking to add a Claims Follow-Up Representative to its team! In this role, you will carry out a variety of tasks related to claims follow-up with both insurance companies and patients. This is a great multi-faceted position in which your communication & problem solving skills will serve you well! Your d...
Description: Position Description:You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work.(sm) Positio...
Job Description: Our Client, a Fortune 500 Financial Services Company, is looking for several individuals who are looking for an entry-level opportunity to gain experience in a corporate environment. This is an excellent opportunity to work in a large corporate organization to learn their corporate culture and service lines through an extensive 4 week paid training program. On a daily basis, thi...
Description ThisOpportunityis available to be filledattheSun Life Center for Healthy Work in Portland, Maine,or in the Sun Life Offices in Wellesley, MA, Portsmouth, NH and Windsor, CT In the Vocational Consultant role, you will identify appropriate disability files for the purpose of providing vocational services to an individual with a disability. These services include, but are not limited to...
Job Description: Working in a team environment, provides assistance to the Information Security Officer and IT Security Team in day-to-day security and audit compliance operations. Additionally, this position will be involved with planning, documenting, implementing and auditing information security processes and procedures. This will involve using automated and manual processes to secure operati...
Manufacturing Specialist - First Shift A well-known, world-wide company in Westbrook is now hiring! If you are looking for a full-time manufacturing position this could be just what you need. On-the-job training will be provided in this position, so if you believe you have what it takes to be successful we encourage all to apply! Your duties may include but are not limited to: -Some light machi...
A Bangor area manufacturer of quality leather specialty items is seeking an experienced Digital Marketing Specialist/Graphic Designer to join their growing team. This role will be responsible for keeping the website up to date with current products and promotions, creating and managing the company’s social media campaigns and strategically working to grow the on-line portion of this growing busin...
Summary Event Specialist Part Time Sales at BJ’s Wholesale Club The fun and exciting world of event sales is calling for you! Will you answer? Our part time Event Specialist jobs at BJ’s Wholesale Club locations give you the chance to represent the best brands on the market today! You can be the brand ambassador who excels in captivating an audience during in-store events, with an emphasis on br...