Claims Examiners, Property and Casualty Insurance
Claim Processor Job In Maine
* Confer with legal counsel on claims requiring litigation. * Report overpayments, underpayments, and other irregularities. * Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation. * Supervise claims adjusters to ensure that adjusters have followed proper methods.
* Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
* Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
* Liability Claims Representative
* Claims Account Specialist
* Workers Compensation Claims Examiner
* Claims Supervisor
* Claims Account Manager
The states with the most job growth for Insurance Claims Examiner are **Utah, Arizona, and Colorado**. Watch out if you plan on working in **Maine, District of Columbia, or Mississippi**. These states have the worst job growth for this type of profession.FREE Unemployment Resources Explore Resources That Are Available NOW! Personalized Offers Access Benefits Today!…
Claims Processor - Hybrid FT
Claim Processor Job 46 miles from South Portland
Share If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. **Claims Processor - Hybrid FT** Hourly Full Time Bens Full-Time Administrative 11 days ago Requisition ID: 2160 Salary Range: $19.00 To $23.00 Hourly **FedPoint**, a leading third-party insurance administrator, is seeking to hire **Claims Processors.** You'll be at the heart of ensuring that submitted invoices are processed accurately and efficiently. Your mission will be to review, adjudicate, and manage claims with precision, while providing exceptional customer service. You'll work closely with our Care Coordination department to manage annual claims payments, ensuring everything is handled with the utmost accuracy and integrity.
**Key Responsibilities:**
🔍 **Claim Analysis & Adjudication (80%):**
* Scrutinize invoices to ensure they are complete and accurate.
* Collaborate with claimants, providers, and internal teams to resolve issues and make decisions based on established policies.
* Enter data meticulously into our claims processing systems.
💬 **Communication & Correspondence (10%):**
* Engage with internal teams and providers to clarify and resolve claim issues.
* Draft clear and professional communications to claimants.
* Assist in addressing customer complaints with empathy and efficiency.
🚨 **Risk Management (10%):**
* Identify and investigate potential fraud or abuse.
* Report and track red flags to ensure compliance and proper adjudication.
**What We're Looking For:**
* High School education required.
* Experience processing claims in a healthcare, disability, dental, or long term care environment required OR insurance operations experience, preferred
* Demonstrated computer proficiency which includes strong keyboard and navigation skills.
* Successful completion of new hire training and demonstrated proficiency required
* Required to uphold the principles of compliance and fraud management as outlined by corporate and departmental policies. Supports and participates in the mandatory training on an annual or more frequent basis, as required.
**📍 Location: Portsmouth, NH - HYBRID 2 days in office**
**🕒 Full-Time Position M-F with core business hours**
Our mission is to grow and modernize insurance and benefits programs for federal agencies, military service organizations, insurers, and other select clients and partners by providing customized administrative services, well-designed and secure platforms, and an exceptional experience for customers.
At FedPoint, we offer a dynamic work environment where innovation and collaboration are encouraged. You'll have the opportunity to make a significant impact while honing your administrative service skills and advancing your career.
In addition to working for a company with great people and an excellent reputation, ***what's in it for you***
* Generous ***401k plan***: 100% match of employee's contribution, up to a maximum of 6% salary, vests immediately.
* Lots of ***paid time off***:3 weeks' vacation, 7 sick days, 3 personal days, and 12 paid holidays!
* ***Competitive benefits*** include health, dental, vision, disability, life, legal, flexible spending account (FSA) and Health Savings Account (HSA) options.
* 6 weeks fully-paid ***parental leave***
* ***Tuition reimbursement*** program to support career goals.
* Corporate ***giving and matching*** gifts program.
* ***Volunteer program***: Paid time off to volunteer and company-organized volunteering opportunities.
* A wide variety of personal, professional, and ***career development programs.***
* Comprehensive ***wellness program*** offering a variety of resources and activities to help support your well-being in the following areas: career, financial, mental, emotional, physical, social and community.
**All offers of employment with FedPoint are conditional upon satisfactory completion of a pre-employment background check.**
**FedPoint is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. If you'd like to view a copy of the company's affirmative action plan, policy statement or have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please call *************.**
Claims Examiner, Bodily Injury
Claim Processor Job 53 miles from South Portland
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work
Most Loved Workplace
Forbes Best-in-State Employer
Claims Examiner, Bodily Injury
**PRIMARY PURPOSE** : To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
+ Responsible for litigation process on litigated claims.
+ Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
+ Reports large claims to excess carrier(s).
+ Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
+ Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.
+ Communicates claim action/processing with insured, client, and agent or broker when appropriate.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position.
**Experience**
Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
**Skills & Knowledge**
+ In-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws
+ Knowledge of medical terminology for claim evaluation and Medicare compliance
+ Knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs.
+ Strong oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Strong organizational skills
+ Strong interpersonal skills
+ Good negotiation skills
+ Ability to work in a team environment
+ Ability to meet or exceed Service Expectations
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical:** Computer keyboarding, travel as required
**Auditory/Visual:** Hearing, vision and talking
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$65,000- $77,000_** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ **_Always accepting applications._**
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Taking care of people is at the heart of everything we do. Caring counts**
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (************************************** BGSfA)
Associate Claim Specialist
Claim Processor Job 2 miles from South Portland
Company: MEMIC - Trusted Workers' Compensation Insurance Provider
At MEMIC, our mission is to make workers' compensation insurance better-through compassionate service, trusted partnerships, and an unwavering focus on workplace safety. Our core values-Be Conscientious, Be an Expert, Be a Partner, Be Curious, and Be Transparent-drive everything we do. For over 30 years, we've been a leader in helping businesses protect their employees and reduce workplace injuries while delivering exceptional claims services.
Job Overview: Associate Claim Specialist
Are you looking to build a career in insurance claims management? Join MEMIC as an Associate Claim Specialist and be part of a team dedicated to providing fair, accurate, and compassionate claims resolution. In this role, you will investigate, evaluate, and manage medical-only and low-complexity lost time claims, ensuring injured workers receive appropriate care and benefits while supporting policyholders and agents.
With on-the-job training and opportunities for growth, this role is an ideal starting point for individuals seeking to develop expertise in workers' compensation claims.
Key Responsibilities
Claims Management: Investigate, evaluate, and resolve medical-only claims and low-complexity lost time claims.
Communication: Serve as a point of contact for insureds, injured workers, agents, brokers, attorneys, and other stakeholders to gather necessary information and provide timely updates.
Benefit Delivery: Administer medical and indemnity benefits in compliance with state workers' compensation statutes and MEMIC's best practices.
Quality Assurance: Maintain organized and high-quality claim files in accordance with company policies and procedures.
Managed Care Coordination: Implement Managed Care strategies, coordinate rehabilitation plans, process medical bills, and monitor case progress.
Legal & Regulatory Compliance: Interact with state and federal boards and commissions to ensure proper reserves and compliance with laws and regulations.
Ongoing Learning: Stay updated on state laws and workers' compensation trends through MEMIC-provided training and external certifications like WCP or Claims Law (AEI).
Qualifications
No prior experience required-MEMIC provides comprehensive on-the-job training.
Strong attention to detail and excellent verbal and written communication skills.
Proficiency in Microsoft Office Suite (Word and Excel).
Self-motivated, flexible, and capable of managing time and priorities effectively.
Ability to collaborate and build relationships with cross-functional teams.
Valid driver's license required.
Must obtain required adjuster licenses within six months of hire (or sooner as directed).
Why Join MEMIC?
At MEMIC, we value our employees and offer an exceptional benefits package to support your well-being and professional development, including:
Health & Wellness: Health, dental, and vision insurance, plus access to fitness centers or reimbursement.
Financial Security: 401(k) retirement plan with up to 5% match, profit sharing, and life insurance.
Paid Time Off: Four weeks of PTO and 11 paid holidays.
Education & Career Growth: Student loan paydown assistance, tuition reimbursement, and professional development opportunities.
Work-Life Balance: Flexible schedules, sit-stand desks, and paid volunteer days.
Join MEMIC Today!
Ready to make an impact in workers' compensation insurance? As an Associate Claim Specialist, you'll play a critical role in ensuring injured workers receive the support they need while helping businesses thrive.
MEMIC is committed to fostering a diverse and inclusive workplace. We are an equal opportunity employer, encouraging applicants of all backgrounds and identities to apply.
Apply today and launch your career with MEMIC, where safety and compassion are at the heart of everything we do.
MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.
MEMIC's Job Applicant Privacy Notice
#IND2022
Claims Specialist
Claim Processor Job In South Portland, ME
Fedcap Families, a member of The Fedcap Group, is looking for a reliable, detail oriented, and adaptable finance professional to join our team as a Claims Specialist! The hired person will partner with finance supervisors, managers, and senior leadership across departments, resolving compliance issues, account discrepancies, and optimizing processes. Serious applicants should be organized, analytical, and proactive: someone able to manage multiple financial operations while maintaining meticulous records. If you are interested in this collaborative opportunity with Fedcap Maine, apply today to be contacted by a member of our recruiting team!
Position Key Highlights:
+ Earn a starting hourly pay rate of $22.18 or higher in this diverse finance role!
+ This role will be primarily based out of our South Portland site.
+ All serious applicants should have a bachelors degree and minimum 2 years of accounting and/or auditing experience.
+ Fedcap Families offers a comprehensive benefits package to all full-time employees, plus on-the-job training, professional development, and REAL advancement opportunities!
Position Summary:
The Claims Specialist is responsible for carrying out financial transactions and other routine operations related to compliance. Working in close collaboration with Finance Supervisor(s), the Claims Specialist assist in any or all facets of Financial Operations including but not limited to: Validations and Compliance, Internal Audits, Reconciliations, Billing, Procurement and Vendor Relations, Accounting and Fund Management Processes.
Essential Functions:
+ Validate Financial Claims for compliance with funding policies, procedures, and regulations.
+ Audit and analyze financial activities and data and assist in resolving complex compliance issues.
+ Analyze and resolve all anomalies for internal customers including all communications.
+ Monitor fund accounts for usage trends and forecasting.
+ Provide excellent communications and customer support for back-office operations to internal and external stakeholders.
+ Collaborate with Finance Manager(s) and other departmental heads on reporting and analysis.
+ Collect, review, log, code and submit all accounts payable invoices approved for payment by the Finance Manager.
+ Research and resolve all issues concerning outstanding accounts payable.
+ Ensure financial and accounting processes to comply with Company and Funder regulations, along with adherence to provincial and federal laws.
+ Maintain accurate documentation for financial operations and transactions.
+ Negotiate rates and services with vendors to ensure optimal use of funds.
+ Maintain vendor relationships through timely invoice entry, review, and payment.
+ Prepare regular invoices for submission to program funder with Supervisor's approval.
+ Aid in managing credit and collection activities.
+ Work with the Finance Manager(s) and other departmental heads on ad hoc reports, tools, and/or basic analysis to address financial trends and performance.
+ Validating Financial Claims for compliance with funding policies, procedures, and regulations.
Qualifications:
Education and Experience
+ Bachelor's degree in business, finance, accounting, or similarly related field.
+ Preferably 2-4 years of accounting and/or auditing experience, or equivalent combination of education and experience.
Position Type/Expected Hours of Work/Travel:
+ This is a full-time position.
+ Hours of work and days are typically, Monday through Friday, 8:00 a.m. to 5:00 p.m.
+ Occasional evening and weekend work may be required as job duties demand.
The Fedcap Group provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. We are an EEO employer committed to diversity, M/F/D/V.
Claims Specialist
Claim Processor Job In Maine
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
This is a remote role.
**ESSENTIAL FUNCTIONS & RESPONSIBILITIES:**
* Receives claims, confirms policy coverage and acknowledgment of the claim
* Determines validity and compensability of the claim
* Establishes reserves and authorizes payments within reserving authority limits
* Manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision
* Communicates claim status with the customer, claimant and client
* Adheres to client and carrier guidelines and participates in claims review as needed
* Assists other claims professionals with more complex or problematic claims as necessary
* Requires regular and consistent attendance
* Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)
* Additional projects and duties as assigned
**KNOWLEDGE & SKILLS:**
* Excellent written and verbal communication skills
* Ability to learn rapidly to develop knowledge and understanding of claims practice
* Ability to identify, analyze and solve problems
* Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
* Strong interpersonal, time management and organizational skills
* Ability to meet or exceed performance competencies
* Ability to work both independently and within a team environment
**EDUCATION & EXPERIENCE:**
* Bachelor's degree or a combination of education and related experience
* Minimum of 1 year of industry experience and claims management preferred
* State Certification as an Experienced Examiner
* Experience in CT and MA required
* Additional New England jurisdictions a plus (ME, RI, NH and VT)
**PAY RANGE:**
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $50,593 - $81,593
A list of our benefit offerings can be found on our CorVel website:
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
**CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.**
#LI-Remote
**Qualifications**
**Skills**
**Behaviors**
**:** **Motivations**
**:** **Education**
**Experience**
**Licenses & Certifications**
Leave and Disability Claims Roles (Hybrid)
Claim Processor Job 2 miles from South Portland
When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:
+ Award-winning culture
+ Inclusion and diversity as a priority
+ Performance Based Incentive Plans
+ Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
+ Generous PTO (including paid time to volunteer!)
+ Up to 9.5% 401(k) employer contribution
+ Mental health support
+ Career advancement opportunities
+ Student loan repayment options
+ Tuition reimbursement
+ Flexible work environments
**_*All the benefits listed above are subject to the terms of their individual Plans_** **.**
And that's just the beginning...
With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!
**General Summary:**
Minimum starting hourly rate is $20.19- $24.04
We are looking for candidates to fill various roles related to managing leave requests and disability claims. When you apply, you'll be considered for positions such as Integrated Paid Leave Specialist, STD Benefits Specialist Trainee, Associate Leave Specialist, Eligibility Specialist and Associate Life Event Specialist. Your placement will depend on your qualifications and role availability. These positions help ensure that our company complies with leave laws and policies while providing top-notch service to our customers. Each of these roles comes with a comprehensive training program, ensuring you gain all the knowledge and expertise needed.
These roles are perfect for those who have strong analytical skills, like to learn, and want to help the working world thrive. Join us to make a meaningful impact and grow your career.
This is a hybrid position on one of our main campuses in Chattanooga, TN or Portland, ME.
**Principal Duties and Responsibilities**
+ Handle leave, short-term disability (STD), or paid leave claims efficiently and accurately.
+ Determine if employees are eligible for different types of leave, such as FMLA, PFML, and corporate-paid plans.
+ Have an advanced understanding of compliance and regulations and use this to make fair decisions about eligibility and benefits.
+ Create necessary communications to comply with federal, state, and company leave policies.
+ Review medical certifications and other documents, consulting with internal teams as needed.
+ Stay updated on changes in leave laws and industry practices.
+ Maintain good relationships with employer contacts, HR administrators, and employees.
+ Answer questions and resolve issues for employees and employers promptly.
+ Work with other departments to ensure smooth operations.
+ Meet standards for accuracy, quality, and service in managing claims and leaves.
+ Provide excellent customer service by processing claims promptly and addressing inquiries quickly.
**Job Specifications**
+ A 4-year degree or relevant experience is preferred.
+ Experience in medical, disability claims, or leave management is a plus.
+ Strong decision-making, analytical, and problem-solving abilities.
+ Ability to use independent judgment and think critically in making decisions.
+ Excellent interpersonal and communication skills (phone, email, and written).
+ Proficiency with Windows and basic computer skills (Word, Excel, Access).
+ Detail-oriented with strong organizational skills.
+ Ability to perform in a fast-paced environment while managing multiple tasks and priorities
+ Ability to make fair decisions quickly and efficiently.
+ Self-motivated and able to work independently and as part of a team.
Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.
The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.
$36,000.00-$62,400.00
Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.
Company:
Unum
Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.
Claim Benefit Specialist
Claim Processor Job 53 miles from South Portland
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
**Shift, Schedule, and Salary:**
+ 21 weeks for training - Training hours- 8am-4:30pm
+ Shift hours must be available from 8am-4:30pm.
+ Salary $18 per hour in training / graduate in good standing will move to $18.50.
Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity to enhance and improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims. You will be a key link in providing our customers with prompt, efficient, high quality claim service.
+ Determine and understand the coverage provided under a member's health plan
+ Efficiently use multiple systems and screens to obtain and record claim information
+ Review claims information to determine the nature of a member's illness or injury
+ Identify claim cost management opportunities and refer claims for follow up
+ Make claim payment decisions
+ Process claims accurately to enhance customer satisfaction and retention
+ Process claims within quality and production standards
+ Assist team members in support of achieving team, office, regional, and national goals
**Required qualifications**
Experience in a quality and production environment.
Attention to detail.
Ability to use multiple computer applications at one time.
Claim processing experience.
**Desired qualifications**
We are looking for a detail oriented individual who enjoys working in a team environment and can create value for our customers by exceeding high quality metrics. The ideal candidate will have exceptional analytical skills, accurate and fast keyboarding skills, advanced computer navigation and knowledge and experience in a Windows environment, effective verbal and written communication skills, the ability to adapt quickly and willingly to change, and a positive, willing attitude. Prior medical claim processing experience is a plus. Successful candidates should be comfortable with quality goals, production goals, and service expectations and will be monitored for accuracy, efficiency, and customer satisfaction. Comprehensive training will be provided to assist in the achievement of these objectives. Attendance during the 21 week training period is required. After completion of the training period, overtime may be required based on business needs.
**Education**
Associate's degree preferred; High School diploma required
**Pay Range**
The typical pay range for this role is:
$17.00 - $31.30
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health (******************************************
We anticipate the application window for this opening will close on: 01/17/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Vault Processor
Claim Processor Job 32 miles from South Portland
Posted Date: Dec 19, 2024 Employment Type: Full Time About Brink's: The Brink's Company (NYSE:BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, mints, jewelers, and other commercial operations.
Our network of operations in 52 countries serves customers in more than 100countries.
Brink's has been a trusted partner in securing commerce for more than 165 years.
Together, every Brink's Team Member is committed to providing the highest levels of service and support to our customers.
We take pride in our work, and we share a passion about our future.
Learn why so many people have made the choice to join our team - and stay here.
We believe that our team should be reflective of the customers we serve every day around the world.
We believe in building partnerships that secure commerce and doing that requires fostering an inclusive culture that values people with diverse backgrounds, ideas, and perspectives.
We build a sense of belonging, so all employees feel respected, safe, and valued, and we provide equal opportunity to participate and grow.
Job Description Who We Are: Brink's U.
S.
, a division of Brink's, Incorporated, is the premier provider of armored car transportation, currency and coin processing, ATM servicing and other value added services to financial institutions, retailers and other commercial and government entities.
The company has a proud history of providing growth and advancement opportunities for its employees.
We have a challenging opportunity for a Vault Personnel.
Who You Are: You are interested in being the backbone of modern finance by connecting banks and businesses around the world with modern solutions that keep them moving forward.
Our Vault Personnel are vital to the success of our branch locations, processing and verifying inbound and outbound liability while ensuring accurate reporting and the security of both our liability and personnel.
The Vault Personnel Role: In branch locations around the world, we're doing the critical cash accounting work that keeps modern commerce moving.
Our work is essential, so our team members are essential.
We verify bank deposits, prepare cash shipments and connect money from one place to the next.
We do it because it makes us proud - #BrinksProud.
Brink's vault security jobs are exceptional opportunities for highly motivated individuals with strong customer service, data entry, and bookkeeping/record keeping abilities.
Additional responsibilities include: Guard and maintain the safety and security of our employees, vault, and liability at all times Prepare outbound orders and replenishments for the next day's routes Monitor performance of processes and machines to ensure efficiency Complete data entry for all transactions of liability Generate and maintain all records and reports daily Other duties as directed Guard liability and assets The Qualifications You Must Have: Minimum of 21 years of age Able to lift at least 50 pounds Data Entry skills Flexibility to work in a fast pace ever changing environment A valid firearms permit OR ability to pass applicable firearms licensing requirements Ability to obtain a guard card or any other required licenses Ability to work collaboratively in our branch locations Ability to satisfactorily complete and maintain all required internal training applicable to the position.
Ability to work 2nd shift The Additional Qualifications We Prefer: Experience in at least one of the following: cash handling, inventory control, deposit processing, vault balancing, account reconciliation, ATM processing, cashier/teller experience Military background Some Perks For You: A strong, team-oriented culture The strength and stability of our 160+ year history Robust internal growth potential Some uniform and protective equipment provided Insurance: including health, dental, and life after 30 days (full time only) Weekly pay 401K with company match (full time only) Paid Time Off (full time only) A Career Worth Building: At Brink's, we value our team members and offer our Vault Personnel a fast-paced work environment.
We invest in growth and opportunity by providing world-class training.
We also believe in cross-training our team members in order to ensure diverse skillsets and to promote the internal growth of our team members.
What's Next? Upon completion of the application process (including the pre-hire questionnaire), you will receive an email confirming that we have received your application.
We will review all candidates and will reach out to you directly should this role match your credentials.
Thank you again for your interest in a career at Brink's U.
S.
For more information about future career opportunities, join our talent network, like our Facebook page or follow us on Twitter.
You deserve the best! Discover what it's like to be #BrinksProud - complete the application to be considered for a Brink's Team near you! Brink's is an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, marital status, protected veteran status, sexual orientation, gender identity, genetic information or history or any other characteristic protected by law.
Brink's is also committed to providing a drug free workplace.
What's Next? Thank you for considering applying for a job at Brink's.
To be considered for this position, you must complete the entire application process, which includes answering all prescreening questions and providing your eSignature.
Upon completion of the application process, you will receive an email confirming that we have received your application.
We will review all candidates and notify you of your status should we deem you fit for a job.
Thank you again for your interest in a career at Brink's.
For more information about future career opportunities, join our talent network, like our Facebook page or Follow us on X.
Brink's is an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, marital status, protected veteran status, sexual orientation, gender identity, genetic information, or history or any other characteristic protected by law.
Brink's is also committed to providing a drug-free workplace.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state, or local protected class.
Claim Representative II - Casualty
Claim Processor Job In Maine
Not just another job, but an opportunity to work for one of the best insurance companies in the country and reap the rewards that go along with that level of success. We are a 195 year old company that works hard not to act our age; as a result, we have been recognized as one of the; Best Places to Work in Vermont;. An open and collaborative environment, coupled with exceptional compensation and benefits help to make us one of the most attractive employment opportunities in the country.
We are seeking a casualty/general liability claims professional to join our team of adjusters to resolve third party liability claims. The ideal candidate has excellent customer service skills, verbal and written communication, is organized, detail oriented, and is well versed in negotiations and legal discussions. An adjuster's license is preferred, but we are willing to train the right candidate.
If you have qualifications that you feel would allow you to contribute to the continued success of Vermont Mutual, we'd love to hear from you.
**How to Apply:**
Submit cover letter, salary requirements and resume, in strict confidence.
Claims Investigator - Part Time
Claim Processor Job 53 miles from South Portland
Claims Investigator (Part-Time)
Augusta, ME area
Immediate need for a PT Claims Investigator within the largest worldwide investigative solutions company. Join CoventBridge Group as it continues its expansion into all areas of investigations, allowing continual growth for its employees.
Responsibilities/ Requirements
Responsibilities:
Duties and responsibilities include essential functions of positions assigned to this classification. Depending on assignment, the employee may perform a combination of some or all the following duties:
Ability to conduct multiple types of complex claims investigations
Daily submission of updates regarding work performed on each case
Ability to manage time
Maintain a sufficient level of client billable hours
Write and record detailed statements
Conduct scene investigations
Submit professional and client ready investigative reports
Conduct background/activity checks and courthouse research
Due to driving, constant state of alertness in a safe manner is an essential function of this position
Requirements:
Must be licensed as a Private Investigator in Maine and eligible to be licensed in surrounding states
1 year or more of full time report writing experience on field investigations cases
Field investigations experience - face to face statements
Ability and willingness to travel within a multi-state coverage area (as necessary)
Experienced in investigation of product/auto/general liability claims, Workers Compensation, disability claims, life insurance and contestable death claims
Flexibility to work varied/irregular hours and days including nights, weekends
Reliable and fuel efficient vehicle with minimum of auto liability insurance
Possess or is willing to purchase: digital recording device and laptop computer with Windows Operating System with access to Microsoft Word and other necessary equipment for position
Educational/Experience Qualifications:
Associate or Bachelor's Degree in Criminal Justice or related field
Experience as a Private Investigator or detective
Military or Law Enforcement background
Comprehensive knowledge of insurance law and underwriting
Self-starter who holds themselves accountable for results and performance
Strong attention to detail with commitment to accuracy and quality
Ability to adapt and work under stressful and sensitive situations
Can type 50 words or more a minute
Benefits
CoventBridge offers the most premiere compensation package in the industry.
Flexibility to self-schedule
Ability to work from home-based office
Competitive pay
Monthly vehicle allowance
Company fuel card
Company cell phone
Company matching 401(k)
Travel and report writing compensation
Company paid investigator licensing fees
Paid ongoing career advancement training
Timely expense reimbursement with very minimal out-of-pocket expenses
About Us:
CoventBridge Group is the global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients' needs and delivers worldwide coverage via its 1000 employees and affiliates worldwide.
CoventBridge is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintains a drug-free workplace.
CoventBridge is committed to the full inclusion of all qualified individuals. As part of this commitment, CoventBridge will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; ************; *******************************.
Claims Investigator - Part Time
Claim Processor Job 53 miles from South Portland
Claims Investigator (Part-Time)
Augusta, ME area
Immediate need for a PT Claims Investigator within the largest worldwide investigative solutions company. Join CoventBridge Group as it continues its expansion into all areas of investigations, allowing continual growth for its employees.
Responsibilities/ Requirements
Responsibilities:
Duties and responsibilities include essential functions of positions assigned to this classification. Depending on assignment, the employee may perform a combination of some or all the following duties:
Ability to conduct multiple types of complex claims investigations
Daily submission of updates regarding work performed on each case
Ability to manage time
Maintain a sufficient level of client billable hours
Write and record detailed statements
Conduct scene investigations
Submit professional and client ready investigative reports
Conduct background/activity checks and courthouse research
Due to driving, constant state of alertness in a safe manner is an essential function of this position
Requirements:
Must be licensed as a Private Investigator in Maine and eligible to be licensed in surrounding states
1 year or more of full time report writing experience on field investigations cases
Field investigations experience - face to face statements
Ability and willingness to travel within a multi-state coverage area (as necessary)
Experienced in investigation of product/auto/general liability claims, Workers Compensation, disability claims, life insurance and contestable death claims
Flexibility to work varied/irregular hours and days including nights, weekends
Reliable and fuel efficient vehicle with minimum of auto liability insurance
Possess or is willing to purchase: digital recording device and laptop computer with Windows Operating System with access to Microsoft Word and other necessary equipment for position
Educational/Experience Qualifications:
Associate or Bachelor's Degree in Criminal Justice or related field
Experience as a Private Investigator or detective
Military or Law Enforcement background
Comprehensive knowledge of insurance law and underwriting
Self-starter who holds themselves accountable for results and performance
Strong attention to detail with commitment to accuracy and quality
Ability to adapt and work under stressful and sensitive situations
Can type 50 words or more a minute
Benefits
CoventBridge offers the most premiere compensation package in the industry.
Flexibility to self-schedule
Ability to work from home-based office
Competitive pay
Monthly vehicle allowance
Company fuel card
Company cell phone
Company matching 401(k)
Travel and report writing compensation
Company paid investigator licensing fees
Paid ongoing career advancement training
Timely expense reimbursement with very minimal out-of-pocket expenses
About Us:
CoventBridge Group is the global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients' needs and delivers worldwide coverage via its 1000 employees and affiliates worldwide.
CoventBridge is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintains a drug-free workplace.
CoventBridge is committed to the full inclusion of all qualified individuals. As part of this commitment, CoventBridge will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; ************; *******************************.
NDT Processor 2nd Shift (Onsite) FAA LG 84
Claim Processor Job 37 miles from South Portland
Thu,
08/08/2024
-
23:06
Anonymous
Company:
Pratt
Whitney
Category:
Maintenance
Job
Type:
Permanent
City:
North
Berwick
State:
Maine
Country:
United
States
First
2:12:06
PM
job\_url:
Accounting Processor
Claim Processor Job 259 miles from South Portland
ABOUT US The Absolut Group (TAG) holds global responsibility for the production, packaging development, innovation and strategic marketing of an extensive range of premium spirits brands. They include the iconic Absolut Vodka, Beefeater, the world's most awarded gin, Malibu, the leading flavoured rum and Kahlua, the number one coffee liqueur, along with a selection of agave spirits, including Altos tequila and craft gins such as Monkey 47. Headquartered in Stockholm, Sweden, The Absolut Group is part of Pernod Ricard, a worldwide leader in the spirits and wine industry.
We strive to redefine the global spirit market and the world we live in by inspiring people of all backgrounds to come together to mix ideas and drinks, respectfully and responsibly. And we have a true long-term commitment to sustainability - doing the right thing for consumers, society, the environment and our people.
We are always on the lookout for talented individuals to join our team and help us shake things up. We believe that work should be more than a paycheck, so whether you are just starting your career or looking to take it to the next level, we offer a dynamic and supportive work environment that will help you grow. Come join us and let's raise a glass to a fulfilling career and a bright future at The Absolut Group!
ABOUT THE ROLE
We offer a broad role with focus on both operative accounting as well as being part of change projects and development of new processes. As a Accounting Processor, you will be responsible for accounts payables and supplier invoices - ensuring that accounts payables are complied with financial policies and procedures, providing support to suppliers, external and internal teams, enhancing processes, and training internal stakeholders. For you who want to develop, there are great opportunities to take on other tasks in accounting.
We are looking for a person with a financial background with a positive and motivated mindset. You proactively identify potential problems and propose solutions. You can manage stressful situations and uncertainty in a professional way.
In this role you will:
* Manage Accounts Payable
* Reconcile Accounts Payable accounts
* Resolve invoice differences, report to Internal Control E.g. Supplier Spend Analysis
* Support and responsible to deliver reports on time to Controlling for analysis and cash forecasts
* Be part of month-end closing
* Contact with internal and external stakeholders, for example auditors
* Responsible for travel and expense process and system owner (TB)
* Participate in and manage different projects within accounting
* Update documentation and routines
* Identify and implement improvements within your field
ABOUT YOU
We are looking for an Accounting Processor with relevant financial background. You are professional, and service minded. You have strong Excel skills with an analytical mindset. You like to work independently but are also an appreciated team member.
You are flexible and proactive, looking for continuous improvements in both processes and ways of working.
You have good communication skills to be able to work in an international/cross-cultural environment and across departments. Corporate language is English; therefore, it is a requirement that you speak and write fluently in English.
* B Sc/M Sc or equivalent relevant Education / Experience
* 3+ years of experience from qualified work within accounting
* Experience from change projects is a plus, e.g. system implementation
OUR OFFER
At The Absolut Group, we are the thinking and doing of all our brilliant people. Be audacious and to go after your dreams right from the start - and you will thrive in a passionate and progressive environment where we collaborate across borders. Be committed to a sustainable supply chain, a safe, inclusive workplace, and a responsible consumer culture, and we can achieve real change together.
With our spirit of belonging, we create a culture of what we call convivialité. It's the magic of human connections that makes things happen. You are welcome to The Absolut Group for who you are. We believe that an inclusive workplace with diversity of experiences and perspectives creates a vibrant work environment and mirrors our global consumers.
Read more about us at Careers | The Absolut Group (theabsolutcompany.com)
APPLICATION
If this role resonates with you, don't hesitate to apply. We look forward to hearing from you!
For more information about the position or the process please contact Mathilde Brenac, Talent Acquisition Specialist (*************************************). We will be reviewing applications on an ongoing basis, so please send your application as soon as possible.
Job Posting End Date:
2025-01-16
Target Hire Date:
2025-01-30
Target End Date:
2025-01-31
Associate Claim Specialist
Claim Processor Job 2 miles from South Portland
Company: MEMIC - Trusted Workers' Compensation Insurance Provider
At MEMIC, our mission is to make workers' compensation insurance better-through compassionate service, trusted partnerships, and an unwavering focus on workplace safety. Our core values-Be Conscientious, Be an Expert, Be a Partner, Be Curious, and Be Transparent-drive everything we do. For over 30 years, we've been a leader in helping businesses protect their employees and reduce workplace injuries while delivering exceptional claims services.
Job Overview: Associate Claim Specialist
Are you looking to build a career in insurance claims management? Join MEMIC as an Associate Claim Specialist and be part of a team dedicated to providing fair, accurate, and compassionate claims resolution. In this role, you will investigate, evaluate, and manage medical-only and low-complexity lost time claims, ensuring injured workers receive appropriate care and benefits while supporting policyholders and agents.
With on-the-job training and opportunities for growth, this role is an ideal starting point for individuals seeking to develop expertise in workers' compensation claims.
Key Responsibilities
Claims Management: Investigate, evaluate, and resolve medical-only claims and low-complexity lost time claims.
Communication: Serve as a point of contact for insureds, injured workers, agents, brokers, attorneys, and other stakeholders to gather necessary information and provide timely updates.
Benefit Delivery: Administer medical and indemnity benefits in compliance with state workers' compensation statutes and MEMIC's best practices.
Quality Assurance: Maintain organized and high-quality claim files in accordance with company policies and procedures.
Managed Care Coordination: Implement Managed Care strategies, coordinate rehabilitation plans, process medical bills, and monitor case progress.
Legal & Regulatory Compliance: Interact with state and federal boards and commissions to ensure proper reserves and compliance with laws and regulations.
Ongoing Learning: Stay updated on state laws and workers' compensation trends through MEMIC-provided training and external certifications like WCP or Claims Law (AEI).
Qualifications
No prior experience required-MEMIC provides comprehensive on-the-job training.
Strong attention to detail and excellent verbal and written communication skills.
Proficiency in Microsoft Office Suite (Word and Excel).
Self-motivated, flexible, and capable of managing time and priorities effectively.
Ability to collaborate and build relationships with cross-functional teams.
Valid driver's license required.
Must obtain required adjuster licenses within six months of hire (or sooner as directed).
Why Join MEMIC?
At MEMIC, we value our employees and offer an exceptional benefits package to support your well-being and professional development, including:
Health & Wellness: Health, dental, and vision insurance, plus access to fitness centers or reimbursement.
Financial Security: 401(k) retirement plan with up to 5% match, profit sharing, and life insurance.
Paid Time Off: Four weeks of PTO and 11 paid holidays.
Education & Career Growth: Student loan paydown assistance, tuition reimbursement, and professional development opportunities.
Work-Life Balance: Flexible schedules, sit-stand desks, and paid volunteer days.
Join MEMIC Today!
Ready to make an impact in workers' compensation insurance? As an Associate Claim Specialist, you'll play a critical role in ensuring injured workers receive the support they need while helping businesses thrive.
MEMIC is committed to fostering a diverse and inclusive workplace. We are an equal opportunity employer, encouraging applicants of all backgrounds and identities to apply.
Apply today and launch your career with MEMIC, where safety and compassion are at the heart of everything we do.
MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.
MEMIC's Job Applicant Privacy Notice
#IND2022
Claims Specialist
Claim Processor Job In South Portland, ME
Fedcap Families, a member of The Fedcap Group, is looking for a reliable, detail oriented, and adaptable finance professional to join our team as a Claims Specialist! The hired person will partner with finance supervisors, managers, and senior leadership across departments, resolving compliance issues, account discrepancies, and optimizing processes. Serious applicants should be organized, analytical, and proactive: someone able to manage multiple financial operations while maintaining meticulous records. If you are interested in this collaborative opportunity with Fedcap Maine, apply today to be contacted by a member of our recruiting team!
Position Key Highlights:
Earn a starting hourly pay rate of $22.18 or higher in this diverse finance role!
This role will be primarily based out of our South Portland site.
All serious applicants should have a bachelors degree and minimum 2 years of accounting and/or auditing experience.
Fedcap Families offers a comprehensive benefits package to all full-time employees, plus on-the-job training, professional development, and REAL advancement opportunities!
Position Summary:
The Claims Specialist is responsible for carrying out financial transactions and other routine operations related to compliance. Working in close collaboration with Finance Supervisor(s), the Claims Specialist assist in any or all facets of Financial Operations including but not limited to: Validations and Compliance, Internal Audits, Reconciliations, Billing, Procurement and Vendor Relations, Accounting and Fund Management Processes.
Essential Functions:
Validate Financial Claims for compliance with funding policies, procedures, and regulations.
Audit and analyze financial activities and data and assist in resolving complex compliance issues.
Analyze and resolve all anomalies for internal customers including all communications.
Monitor fund accounts for usage trends and forecasting.
Provide excellent communications and customer support for back-office operations to internal and external stakeholders.
Collaborate with Finance Manager(s) and other departmental heads on reporting and analysis.
Collect, review, log, code and submit all accounts payable invoices approved for payment by the Finance Manager.
Research and resolve all issues concerning outstanding accounts payable.
Ensure financial and accounting processes to comply with Company and Funder regulations, along with adherence to provincial and federal laws.
Maintain accurate documentation for financial operations and transactions.
Negotiate rates and services with vendors to ensure optimal use of funds.
Maintain vendor relationships through timely invoice entry, review, and payment.
Prepare regular invoices for submission to program funder with Supervisor's approval.
Aid in managing credit and collection activities.
Work with the Finance Manager(s) and other departmental heads on ad hoc reports, tools, and/or basic analysis to address financial trends and performance.
Validating Financial Claims for compliance with funding policies, procedures, and regulations.
Qualifications:
Education and Experience
Bachelor's degree in business, finance, accounting, or similarly related field.
Preferably 2-4 years of accounting and/or auditing experience, or equivalent combination of education and experience.
Position Type/Expected Hours of Work/Travel:
This is a full-time position.
Hours of work and days are typically, Monday through Friday, 8:00 a.m. to 5:00 p.m.
Occasional evening and weekend work may be required as job duties demand.
The Fedcap Group
provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. We are an EEO employer committed to diversity, M/F/D/V.
Claims Specialist
Claim Processor Job In Maine
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
This is a remote role.
**ESSENTIAL FUNCTIONS & RESPONSIBILITIES:**
* Receives claims, confirms policy coverage and acknowledgment of the claim
* Determines validity and compensability of the claim
* Establishes reserves and authorizes payments within reserving authority limits
* Manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision
* Communicates claim status with the customer, claimant and client
* Adheres to client and carrier guidelines and participates in claims review as needed
* Assists other claims professionals with more complex or problematic claims as necessary
* Requires regular and consistent attendance
* Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)
* Additional projects and duties as assigned
**KNOWLEDGE & SKILLS:**
* Excellent written and verbal communication skills
* Ability to learn rapidly to develop knowledge and understanding of claims practice
* Ability to identify, analyze and solve problems
* Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
* Strong interpersonal, time management and organizational skills
* Ability to meet or exceed performance competencies
* Ability to work both independently and within a team environment
**EDUCATION & EXPERIENCE:**
* Bachelor's degree or a combination of education and related experience
* Minimum of 1 year of industry experience and claims management preferred
* State Certification as an Experienced Examiner
* Experience in CT and MA required
* Additional New England jurisdictions a plus (ME, RI, NH and VT)
**PAY RANGE:**
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $50,593 - $81,593
A list of our benefit offerings can be found on our CorVel website:
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
**CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.**
#LI-Remote
**Qualifications**
**Skills**
**Behaviors**
**:** **Motivations**
**:** **Education**
**Experience**
**Licenses & Certifications**
Claims Specialist, Professional Liability
Claim Processor Job 53 miles from South Portland
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work
Most Loved Workplace
Forbes Best-in-State Employer
Claims Specialist, Professional Liability
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
+ Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
+ Negotiates claim settlement up to designated authority level.
+ Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
+ Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
+ Performs coverage analysis and opinion as part of the claim process including all necessary correspondence.
+ Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
+ Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
+ Represents company in depositions, mediations, and trial monitoring as needed.
+ Communicates claim activity and processing with the client; maintains professional client relationships.
+ Ensures claim files are properly documented and claims coding is correct.
+ Refers cases as appropriate to supervisor and management.
+ Delegates work and mentors others.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Masters or Juris Doctorate degree from an accredited college or university preferred. Licenses as required. Designations and/or licensing including but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management (CPHRM) preferred.
**Experience**
Ten (10) years of complex claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business
+ Extensive knowledge and comprehension of insurance coverage
+ Claims expertise in medical malpractice, errors and omissions, directors and officers, life sciences, and/or cyber liability
+ Excellent oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Excellent negotiation skills
+ Good interpersonal skills
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical** **:** Computer keyboarding, travel as required
**Auditory/Visual** **:** Hearing, vision and talking
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$115,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Taking care of people is at the heart of everything we do. Caring counts**
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (************************************** BGSfA)
Claim Representative II - Subrogation
Claim Processor Job In Maine
Not just another job, but an opportunity to work for one of the best insurance companies in the country and reap the rewards that go along with that level of success. we are a 195 year old company that works hard not to act our age; as a result, we have been recognized as one of the Best Places to Work in Vermont. An open and collaborative environment, coupled with exceptional compensation and benefits help to make us one of the most attractive employment opportunities in the country.
We are seeking a claims professional to join our team of adjusters in our Subrogation unit. The ideal candidate is highly skilled in all coverage's written with an emphasis on investigations, losses and exposures, and be capable of seeing moderately complex recover efforts through final resolution using a wide variety of settlement techniques. Subrogation experience is not mandatory but is helpful as this position directly manages and oversees the outside Subrogation counsel, vendors and support personnel and assures that they adhere to and comply with all claim file handing guidelines. Preference will be given to candidates residing within the Northeast.
If you have qualifications that you feel would allow you to contribute to the continued success of Vermont Mutual, we'd love to hear from you.
**How to Apply:**
Submit cover letter, salary requirements and resume, in strict confidence.
Leave and Disability Claims Roles
Claim Processor Job In Maine
**Leave and Disability Claims Roles (Hybrid)** This job is available in 2 locations Category Claims Job Posting End Date: April 13When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:
* Award-winning culture
* Inclusion and diversity as a priority
* Performance Based Incentive Plans
* Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
* Generous PTO (including paid time to volunteer!)
* Up to 9.5% 401(k) employer contribution
* Mental health support
* Career advancement opportunities
* Student loan repayment options
* Tuition reimbursement
* Flexible work environments
****All the benefits listed above are subject to the terms of their individual Plans*.**
And that's just the beginning…
With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!
**General Summary:**
Minimum starting hourly rate is $20.19- $24.04
We are looking for candidates to fill various roles related to managing leave requests and disability claims. When you apply, you'll be considered for positions such as Integrated Paid Leave Specialist, STD Benefits Specialist Trainee, Associate Leave Specialist, Eligibility Specialist and Associate Life Event Specialist. Your placement will depend on your qualifications and role availability. These positions help ensure that our company complies with leave laws and policies while providing top-notch service to our customers. Each of these roles comes with a comprehensive training program, ensuring you gain all the knowledge and expertise needed.
These roles are perfect for those who have strong analytical skills, like to learn, and want to help the working world thrive. Join us to make a meaningful impact and grow your career.
This is a hybrid position on one of our main campuses in Chattanooga, TN or Portland, ME.**Principal Duties and Responsibilities**
* Handle leave, short-term disability (STD), or paid leave claims efficiently and accurately.
* Determine if employees are eligible for different types of leave, such as FMLA, PFML, and corporate-paid plans.
* Have an advanced understanding of compliance and regulations and use this to make fair decisions about eligibility and benefits.
* Create necessary communications to comply with federal, state, and company leave policies.
* Review medical certifications and other documents, consulting with internal teams as needed.
* Stay updated on changes in leave laws and industry practices.
* Maintain good relationships with employer contacts, HR administrators, and employees.
* Answer questions and resolve issues for employees and employers promptly.
* Work with other departments to ensure smooth operations.
* Meet standards for accuracy, quality, and service in managing claims and leaves.
* Provide excellent customer service by processing claims promptly and addressing inquiries quickly.
**Job Specifications**
* A 4-year degree or relevant experience is preferred.
* Experience in medical, disability claims, or leave management is a plus.
* Strong decision-making, analytical, and problem-solving abilities.
* Ability to use independent judgment and think critically in making decisions.
* Excellent interpersonal and communication skills (phone, email, and written).
* Proficiency with Windows and basic computer skills (Word, Excel, Access).
* Detail-oriented with strong organizational skills.
* Ability to perform in a fast-paced environment while managing multiple tasks and priorities
* Ability to make fair decisions quickly and efficiently.
* Self-motivated and able to work independently and as part of a team.
Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.
The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.
$36,000.00-$62,400.00Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.
Company:
Unum ****
Our purpose is to help the working world thrive throughout life's moments. Guided by our , our team helps protect people when they're injured or ill and need it most. **Live Your Best You**
We want our employees to thrive while helping our customers do the same. We support and enable our employees at work and in life, including benefits and resources to enhance total health and wellbeing. Benefits that Matter Learn more about careers at Unum and the benefits that come with them, including time off, flexible work arrangements, mentoring and world-class development to launch your career.