- 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
- 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
- Martin's Point Health Care (Portland, ME)
- …a "Great Place to Work" since 2015. Position Summary Job Description The Billing Specialist processes, appeals and follows up on claims to all payers, including ... government, commercial, worker's compensation and liability payers. The Specialist must gain a familiarity with many payer policies and procedures, including rules… 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
- CVS Health (Augusta, ME)
- …day. **Position Summary** In this position, the senior Claim Benefit Specialist (OPS) reviews, researches and adjudicates complex, sensitive, and/or specialized ... processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works to research and… more
- Entergy (Wiscasset, 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
- State of Maine, Bureau of Human Resources (Augusta, ME)
- MaineCare Reimbursement Specialist Augusta , Maine , United States | Accounting, Business & Finance | Full-time | Partially remote Apply by: May 21, 2025 Apply with ... with management approval. Core Responsibilities: As an Estate Recovery Unit Reimbursement Specialist , you will manage a portfolio of cases, determine the amount of… 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