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Sr. Claims Specialist Jobs in Maine

Currently, there are no Sr. Claims Specialist jobs available in Maine which match this search. You may wish to explore similar job titles on the Insurance jobs in Maine page or view related jobs below.
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Maintains oversight of the local service center responsible for claim handling and/or member or provider inquiries. Executes multi-site strategic and operational plan in support of business segment customer service objectives and initiatives. Oversees the following functions for assigned multi-product line service center location. Risk and claim management, customer services; effectively manages c...
Job Summary: Determines the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPT coding, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification of billing data for accuracy and completeness, following regulatory requirements, in order to resolve edits or exceptions detected during system pr...
Claims Integrity Specialist Department: Patient Financial Services Schedule: Full-time Shift: Day shift Hours: M-F, 40 Hrs Job Details: · Certified Professional Coder, Licensed Nurse, or other Medical Certification required · Cerner knowledge preferred · Clinical experience preferred · Prior Claims Integrity experience preferred · Organization- proactively prioritizes needsandeffectively...
PRINCIPAL OBJECTIVES: To contribute to the overall success of Custom Disability Solutions objectives by providing timely and accurate support to our client companies and the RSL Direct department. To manage appropriate adjudication of short-term disability claims in accordance with policy provisions. To initiate and facilitate case management and other ancillary services to assure optimum outcome...
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We have a need for an experienced Benefits Specialist. Job Duties: · Candidate will administer the benefits plans for employees and provide HRIS maintenance and support. · ​ Position will assist employees with enrollment, providing information for eligibility and claims, and input employees data into HRIS.​ · Maintain employee eligibility with all insurance providers. · Verify invoice accurac...
This Opportunity is available to be filled at the Sun Life Center for Healthy Work in Portland, Maine, or in the Sun Life Offices in Wellesley, MA, Portsmouth, NH and Windsor, CT In the Vocational Consultant role, you will identify appropriate disability files for the purpose of providing vocational services to an individual with a disability. These services include, but are not limited to, retur...
Sr. Decision Support Analyst Department: Decision Support Schedule: Full-time Shift: Day shift Hours: 40hrs, 8am-5:00pm, Occasional Weekends/Holidays Job Details: Minimum 5 years experience preferred POSITION SUMMARY The Senior Decision Support Analyst will acquire, manage, manipulate, and analyze data and report results to support Population Health and Payment Innovation initiatives, prim...
Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm)Primary Responsibilities: The Claims Rep Senior will work in a call center environment w...
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwi...
The incumbent candidate will report to the Vice President & Global Chief Commercial Counsel, this is a key commercial counsel position within the Legal Team’s growing Commercial Group. The Commercial Group partners with all lines of business globally, providing strategic, business-minded legal solutions for customer, supplier and distributor relationships, advertising, marketing programs and other...
Description: Position Description:Don't wait to apply ? we have training classes starting soon that are designed to set you up for success! You want more challenge. You want more opportunity. Even more, you want the chance to make an impact the lives of others. We want more people like you. When you join us as a Customer Service Advocate for UnitedHealthcare, you'll have the opportunity to make a...
General Summary: This position is responsible for identifying all applicable products / system combinations for a new claimant requiring knowledge of multiple systems and search criteria. The position is also accountable for insuring accurate indexing and image quality. This position is responsible for the identification of claim responses received for existing claimants. Principal Duties and R...
An outstanding, full-time opening has become available for a Sr. Programmer to join a a great company on a full time, permanent basis. This is a terrific opportunity offering a lucrative base salary plus an exceptional benefits package including medical, dental, 401K with company matching, retirement plan, vision, life and disability insurance and other outstanding perks. Full relocation assistanc...
Description ThisOpportunityis available to be filledattheSun Life Center for Healthy Work in Portland, Maine,or in the Sun Life Offices in Wellesley, MA, Portsmouth, NH and Windsor, CT In the Vocational Consultant role, you will identify appropriate disability files for the purpose of providing vocational services to an individual with a disability. These services include, but are not limited to...
Job Summary The Sr. PC3 Field Operations Representative maintains working relationships with internal departments and external customers. This position interacts with and provides support to Field Operations Management, who will be working directly with VA Medical Centers and facilities, to ensure delivery of quality services in a consistent and uniform manner across assigned market(s). This posi...
Bangor OB/GYN is seeking a full time coder and biller to join its busy practice. Candidates must have previous experience with ICD-9 AND ICD-10 coding, CPT procedure and E/M coding as well as HCPCS coding. Experience in surgical and physician's office coding is preferred, current CPC certification or its equivalent required. Job Duties: Analyze health records to identify relevant diagnosis and pro...
Like all the vehicles on the road, the Army National Guard can't run without fuel. And it's the Petroleum Supply Specialist who makes sure we keep moving. As an Army National Guard Petroleum Supply Specialist you will ensure the proper handling, storage, and shipment of petroleum-based products, such as oil, fuel, and compressed gas. These are skills you will learn that could lead to a rewarding c...
Like any globe-spanning organization, the Army National Guard needs to keep the right personnel in the right positions and make sure that their records are accurately maintained. Human Resources (HR) Specialists are vital to this process. As an HR Specialist, you will primarily help Soldiers develop their Army careers and provide personnel support and assistance to all divisions of the Army. Resp...
Communication is the heartbeat of any Army National Guard unit. By joining the Army National Guard as a Signal Support Systems Specialist, you will keep the information flowing by making sure all communications equipment is in top working order. And while you maintain signal support devices and terminals in the Army National Guard, you will be building skills that will help you in your civilian ca...
Talascend is currently seeking a Record Center Specialist for a contract opportunity located in Scarborough, Maine. Are you looking to work for the leading provider of records management, data management solutions, and information destruction? Then we have the career opportunity for you! More than 94% of the Fortune 1000 companies, which vary in different industries and sizes, relies on our clien...