Workers' Compensation Claims Manager jobs in Maine

Workers' Compensation Claims Manager manages accountabilities in the administration of first and third party worker's compensation claims. Manages domestic and/or international claim management strategies critical to the organization's success. Being a Workers' Compensation Claims Manager is responsible for reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information. Manages litigated and moderately complex claims and is entrusted with significant settlement authority. Additionally, Workers' Compensation Claims Manager creates and develops relationships with claims adjusters, insurers, outside legal counsel, and other claims related parties. Directs workers' compensation claims policies and procedures within the claim information analysis. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Workers' Compensation Claims 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. Extensive knowledge of department processes. To be a Workers' Compensation Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Care Coordinator I - Workers' Compensation
  • One Call
  • Augusta, ME FULL_TIME
  • Care Coordinator I - Workers' Compensation

    Are you looking for an impactful role where you finish the workday knowing you helped someone? Whether you're joining our care coordination team or playing a supporting role, the work you do every day helps us collectively reach our mission of "getting people the care they need when they need it." We believe that by staying committed to our core values of Think Big, Go Fast, Deliver Awe, and Win Together, we can positively impact the lives of the injured workers we serve and get them back to the things that matter most in life.

    Salary Range: $16.49 - $18.75 Hourly

    This compensation range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At One Call, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $16.49 - $18.75 Hourly

    Benefits Summary:
    In return for your commitment to our company's mission, we offer a vast array of benefits to help support the whole you.
    • Opportunities to work from home
    • Competitive wages with opportunities to earn annual merit increases
    • Paid development hours to use for professional and community development!
    • 18 days of Paid Time plus 8 company holidays, and 2 floating holidays per year
    • $1,000 Colleague Referral Program
    • Enterprise Recognition Program rewarding colleagues for their extraordinary work
    • Exclusive discounts on travel, activities, and merchandise via work discount program
    • Colleague Assistance Program that provides free counseling and financial services
    • Tuition Reimbursement Program including certifications
    • Quantum Health: A healthcare navigation platform to help our colleagues make the best, most cost-effective healthcare decisions
    • Medical, dental, and vision insurance
    • Pre-Tax FSA and HSA health savings accounts
    • 401(k) matching
    • Company paid life insurance
    • Company paid short term and long-term disability
    • Referral program
    • Healthcare concierge
    • The One Call Foundation which aims to help colleagues during unexpected emergencies, from car accidents to natural disasters.
    This position is responsible for supporting the business by coordinating care to workers' compensation clients via the telephone and/or internet (e.g., instant message, email). Will manage inquiries and resolve simple and basic issues, such as, ordering medical supplies, scheduling appointments, managing visits, and/or referral intake process.

    GENERAL DUTIES & RESPONSIBILITIES:

    Care Coordinator I-Foundational Level of Proficiency

    Customer Care: 80%
    • Serves as initial contact for basic inbound/outbound client inquiries while following standard scripts and procedures and working under close supervision.
    • Addresses routine questions and inquiries, escalating more technical issues to the appropriate support team.
    • Regularly demonstrate most of the seven qualities of exceptional care in serving clients (friendliness, empathy, empowerment, accountability, knowledge, resilience, fairness and providing "plus 1" service)
    Collaboration: 10%
    • Provide prompt, accurate and clear information to our clients.
    • Consult with senior peers and/or leadership on items that require clarification and/or escalation and learn through these interactions.
    Administration: 10%
    • Document relevant information into system(s) to ensure records are clear, concise, and accurate.
    • Navigate multiple software systems as appropriate to document and/or obtain information for inquiries.
    • Demonstrates an understanding of HIPPA and other regulatory requirements and apply to daily work interactions.
    • Adheres to established operating procedures and service standards.
    • Meet or exceed KPI's established for your role and area.
    EDUCATIONAL AND EXPERIENCE REQUIREMENTS:
    0-2 years of customer service experience or equivalent combination of education, training, and work experience.

    GENERAL KNOWLEDGE, SKILLS & ABILITIES:
    • Knowledge of the company's products, services, and business operations to enable resolution of inquiries.
    • Excellent customer service skills that build elevated levels of client satisfaction
    • Excellent verbal and written communication skills
    • Computer navigation and operation skills
    • Demonstrates effective people skills and sensitivities when dealing with others.
    • Ability to work both independently and in a team environment.

    PHYSICAL/EMOTIONAL DEMANDS & WORK ENVIRONMENT:
    • If working with federal government contract clients, colleague is required to receive federal government clearance for handling sensitive information. Colleague is also required to receive annual security awareness training.
    • For roles located in office or home settings; this job is primarily sedentary and may involve repetitive motions; the colleague must regularly sit, use hands and fingers, speak, and hear.
    • The colleague is occasionally required to stand, walk, and lift objects (up to 10lbs weight; up to 4 ft. height).
    • Specific vision abilities required by this job include ability to see things from a close distance and ability to adjust focus.
    • The work environment utilizes florescent lighting; noise level is moderate.
    • The emotional demand of the job may cause undue stress from, but not limited to, moderate/heavy workload.
    • Reasonable accommodations will be individually assessed and possibly made to enable individuals with disabilities to perform the essential functions of the position.
    • Please be advised this job description is subject to change at any time.
    PandoLogic. , Location: Augusta, ME - 04338 , PL: 591386858

    About the Company:
    One Call



  • 1 Month Ago

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Administrative Support Assistant-Workers Compensation Claim
  • MaineHealth
  • Portland, ME FULL_TIME
  • Summary Position Summary The Administrative Support Assistant performs a variety of administrative and clerical functions to support an office and/or multiple teams. Incumbents in the role provide adm...
  • 13 Days Ago

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Administrative Support Assistant-Workers Compensation Claim Interested in working for MaineHealth
  • MaineHealth
  • Portland, ME OTHER
  • Summary Position Summary The Administrative Support Assistant performs a variety of administrative and clerical functions to support an office and/or multiple teams. Incumbents in the role provide adm...
  • 13 Days Ago

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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 fo...
  • 25 Days Ago

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Manager, LTD Claims
  • OneAmerica Employment Opportunities
  • South Portland, ME FULL_TIME
  • At OneAmerica, we deliver on promises when customers need us most. We believe the best way to serve our customers is to know that every individual, employee, family and business we work with has uniqu...
  • 1 Month Ago

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Manager, LTD Claims
  • American United Life Ins Co
  • South Portland, ME FULL_TIME
  • At OneAmerica, we deliver on promises when customers need us most. We believe the best way to serve our customers is to know that every individual, employee, family and business we work with has uniqu...
  • 24 Days Ago

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Workers Compensation Manager
  • Muslusky Law
  • Las Vegas, NV
  • Job Description Job Description The ideal candidate should have A minimum of 2 years of experience handling claims in a ...
  • 4/18/2024 12:00:00 AM

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Workers' Compensation Manager
  • Bolthouse Farms
  • Bakersfield, CA
  • THE ROLE: This position will report to the: Director Health & Safety Location: Bakersfield, CA FLSA Status: Exempt Emplo...
  • 4/17/2024 12:00:00 AM

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Workers Compensation Claims Manager
  • Intercare Holdings Insurance Services
  • Rocklin, CA
  • Worker Compensation Claims ManagerJob Details Job Type Full-time Rocklin, CADescription Summary: Reports directly to the...
  • 4/17/2024 12:00:00 AM

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Workers' Compensation Manager
  • Bolthouse Farms
  • Bakersfield, CA
  • THE ROLE: This position will report to the: Director Health & Safety Location Bakersfield, CA FLSA Status: Exempt Employ...
  • 4/17/2024 12:00:00 AM

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WORKERS COMPENSATION MANAGER
  • The Judge Group
  • Green Bay, WI
  • About Us:JBS USA is a leading global provider of diversified, high-quality food products, including a portfolio of well-...
  • 4/17/2024 12:00:00 AM

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**$5,000 Sign On Bonus** WORKERS COMPENSATION MANAGER
  • Hiring Now!
  • Beardstown, IL
  • $5,000 Sign On Bonus * Terms and Condition Apply WORKERS COMPENSATION MANAGERHOURS:Day Shift. Flexible as neededPOSITION...
  • 4/17/2024 12:00:00 AM

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Workers' Compensation Specialist
  • Aerotek
  • Tempe, AZ
  • Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the corporate office in Tempe,...
  • 4/16/2024 12:00:00 AM

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Workers Compensation Claims Manager
  • Intercare Holdings Insurance Services
  • Rocklin, CA
  • Worker Compensation Claims ManagerJob Details Job Type Full-time Rocklin, CADescription Summary: Reports directly to the...
  • 4/14/2024 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 Workers' Compensation Claims Manager jobs
$83,048 to $107,284

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