- Unum Group (Portland, ME)
- …upon department needs. **Principal Duties and Responsibilities** + Analyze content of claim file and obtain the necessary financial and benefit information (that may ... communicates, handles overpayment calculations and manages a caseload of claims with limited complexity, demonstrating a solid technical ability necessary… more
- Sedgwick (Augusta, ME)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you ... claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim… more
- Otsuka America Pharmaceutical Inc. (Augusta, ME)
- **Job Summary** The Associate Director, Global Product Quality - Biologics is responsible for directing quality oversight of clinical and commercial products at CMOs ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Highmark Health (Augusta, ME)
- …solve complex problems representative of a broad range of service and claim scenarios. + Other duties as assigned. Including, but not limited to additional ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the … more
- Highmark Health (Augusta, ME)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician… more
- Towne Park (Portland, ME)
- …are not eligible for benefits outlined above. **SUMMARY** The Guest Service Associate is responsible for providing exceptional hospitality services to guests in an ... attentive, friendly and efficient manner. The Guest Service Associate is responsible for parking and retrieving guest vehicles in a prompt yet safe manner and… more
- Sysco (Westbrook, ME)
- …core Human Resource (HR) processes (eg coordinate and conduct new associate orientation, unemployment claims processes, onboarding and exit interviews, ... perform each essential duty listed below. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may… more
- Point32Health (ME)
- …works collaboratively with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation ... regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint request… more
- Acosta Group (Bangor, ME)
- **DESCRIPTION** **Overview** The Associate is responsible for completing in-store food and non-food demonstrations. Acquires and maintains knowledge of products ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations… more
- Thrive Communities (ME)
- …appropriate Home Office departments immediately. Ensures that all workers' compensation claims are reported and proper paperwork is completed. + Become familiar ... us a better company. Our hope is that each associate feels welcomed, respected, and appreciated for their unique...and results will be reviewed by a designated HR representative . For questions about what will be reviewed on… more