Claims Processing Manager jobs in Maine

Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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ME - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Portland, ME FULL_TIME
  • 1099 Property Claims Adjuster

    Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA.

    Copper Claims Services excels in providing custom claims solutions for Property and Casualty, Transportation and High Net Worth, with an emphasis on Specialized Programs.

    We are currently looking for licensed adjusters (or individuals who will obtain their license upon onboarding) to assist with daily claims handling for the Maine area. In this role, you will manage, investigate and resolve homeowner and commercial property losses of moderate to severe complexity with minimal supervision to include completing field investigations, evaluating and analyzing coverage, completing property damage estimates, reporting findings to various clients, and handling files to the conclusion of the claim.

    In this role, you will:

    • Handle claims during local catastrophes
    • Complete field investigations including inspections, interviews, preparing diagrams, taking photographs, and various other tasks
    • Analyze insurance coverage issues on specific claims and make appropriate recommendations to our clients
    • Prepare detailed estimates in Xactimate based on our client’s specifications and parameters
    • Prepare clear, concise, and timely narrative reports for our clients
    • Create ITV reports
    • Evaluate co-insurance calculations and penalties if applicable
    • Maintain continuous and professional communication with our clients to ensure their needs are being met.
    • Analyze and evaluate damages including reserves, property estimates, business personal property inventories, business interruption, and business income losses
    • Investigate, analyze, adjust and negotiate settlements with insured’s in compliance with our client’s direction
    • Coordinate and oversee vendors such as emergency service contractors, origin and cause investigators, general contractors, engineers, etc.

    Qualifications:

    • 5 years of field Property adjusting experience
    • Ability to climb ladders/Access roofs
    • Thorough knowledge and understanding of roofing, HVAC, and various other mechanical specialties
    • Knowledge of Commercial Lines insurance policies
    • Proficient in Xactimate including Sketch
    • Previous experience with Xactanalysis preferred
    • Proficient in Microsoft Office (Word, Excel, and Outlook)
    • Effective negotiation skills
    • Ability to effectively and independently manage workload
    • Proven ability to provide exceptional customer service
    • Strong written and verbal communication skills
    • Exceptional organization and time management skills

    Job Type: Full-time

    Pay: $30.00 - $35.00 per hour

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Ability to Relocate:

    • Portland, ME: Relocate before starting work (Required)

    Work Location: On the road

  • 1 Month Ago

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Manager - Sterile Processing Department
  • MaineHealth
  • Portland, ME FULL_TIME
  • Summary $10,000 SIGN ON BONUS! **current Maine Health Employees Not Eligible** Relocation for Approved Offers! Position Summary The SPD Manager has direct oversight of the SPD department. Responsibili...
  • Just Posted

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MANAGER STERILE PROCESSING
  • Covenant Health
  • Lewiston, ME FULL_TIME
  • Purpose of Position or Position Summary: Under the direction of the Director of Perioperative Services, assumes responsibility for the Department of Sterile Processing. Assures the department achieves...
  • 1 Month Ago

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Sales Representative
  • Premium Processing
  • Gorham, ME PART_TIME
  • Premium Processing seeks an experienced Cannabis Sales Representative who is dedicated to establishing and maintaining exceptional customer relationships. As a Sales Representative, you will be respon...
  • 1 Day Ago

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Breakfast Server
  • Residential Community Manager
  • Portland, ME PART_TIME
  • Calling all Restaurant Rockstars! The Hilton Garden Inn Portland Airport is now hiring for a Breakfast Server Part Time. Must be detail oriented, able to work on own and in a team, and must have good ...
  • 9 Days Ago

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Medical Technician
  • U.S. Military Entrance Processing Command
  • Portland, ME FULL_TIME
  • About the Position: This is a Public Notice for the Direct Hire Authority (DHA) for Certain Personnel of DoD Workforce. This position is located at: United States Military Entrance Processing Command,...
  • 21 Days Ago

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Processing Manager
  • Rehrig Pacific Company
  • Buckeye, AZ
  • ***Hiring for Spring 2024 - May hire sooner to conduct training in our Los Angeles facility.***Here at Rehrig Pacific, w...
  • 4/24/2024 12:00:00 AM

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Processing Manager
  • Diageo Espana Sa
  • Plainfield, IL
  • Plainfield, Illinois, United States of America Our performance ambition is to be one of the best performing, most truste...
  • 4/24/2024 12:00:00 AM

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Processing Manager
  • Diageo
  • Plainfield, IL
  • Job Description : Title: Processing Manager Our performance ambition is to be one of the best performing, most trusted a...
  • 4/24/2024 12:00:00 AM

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Merchant Processing Manager
  • Aimbridge Hospitality
  • Plano, TX
  • Job Summary The Treasury Operations Manager – Merchant Processing is part of a team responsible for the completion of me...
  • 4/24/2024 12:00:00 AM

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Processing Manager
  • Unavailable
  • Saint Louis, MO
  • PENNYMAC Pennymac (NYSE: PFSI) is a specialty financial services firm with a comprehensive mortgage platform and integra...
  • 4/23/2024 12:00:00 AM

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Processing Manager
  • Chobani
  • New Berlin, NY
  • Summary We are seeking a dynamic and experienced Manufacturing leader to oversee and manage our dairy processing facilit...
  • 4/21/2024 12:00:00 AM

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Process Manager
  • Thermo Fisher Scientific
  • Grand Island, NY
  • Job Description As part of the Thermo Fisher Scientific team, you'll discover meaningful work that makes a positive impa...
  • 4/21/2024 12:00:00 AM

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Management Trainee - Processing
  • Mountaire
  • Lumber Bridge, NC
  • Primary Purpose To gain experience and knowledge in all aspects of vertical integration with special emphasis on Operati...
  • 3/11/2024 12:00:00 AM

To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West). Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$92,417 to $119,363

Claims Processing Manager in Topeka, KS
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Claims Processing Manager in Pittsburgh, PA
Depending on the employer’s needs, insurance claims and processing clerks may also be responsible for interviewing clients to obtain the information required on new insurance policy applications.
January 27, 2020
Claims Processing Manager in Medford, OR
Claims Manager Plus ingests a hospital’s daily claims file and runs it through a sophisticated rules engine to modify claims based on the hospital’s defined configurations, as well as parse out claims not meeting criteria for payment.
December 11, 2019