Appeal Resolution Specialist jobs in Portland, ME

Appeal Resolution Specialist logs, tracks, and processes appeals and grievances. Sets up and maintains case files for each grievance and collects the information required by organizational policies and applicable regulations. Being an Appeal Resolution Specialist conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require an associate degree or equivalent. Additionally, Appeal Resolution Specialist typically reports to a supervisor. The Appeal Resolution Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be an Appeal Resolution Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Resolution Specialist - Legal
  • Basham & Scott, LLC
  • Brunswick, ME FULL_TIME
  • Job description

    Brunswick, Maine law firm is seeking a full-time Resolution Specialist. Basham & Scott is a steadily expanding law firm focusing on vehicle damage claims for rental car companies, subrogation claims for insurance carriers, and personal injury. The law firm was established in 2005 and its partners have been handling rental car claims for a combined 39 years. We are committed to providing career-oriented, professionally rewarding experiences. Our employees are viewed as our most valued assets. We are committed to our core values of integrity, service, quality, and teamwork and believe in nurturing an organizational culture that is built upon identifying and keeping top talent. We have recently been selected as one of the 2021, 2022 and 2023 Best Places to Work in Maine!

    Position Summary:

    The Resolution Specialist is responsible for handling high volume and challenging phone calls in pursuit of the recovery of claims for The Firm’s clients. Responsibilities also include preparation of accompanying documents and organizing and managing a busy assignment calendar. This position requires patience, thick skin and a high level of integrity.
    Key Outcomes:

    • Organize, prioritize workload onto a daily calendar to ensure the business needs of the assigned attorney and support team are distributed effectively.
    • Respond to calls in a manner that:
    • Demonstrates compassion for the person’s situation
    • Reassures the party that a solution can be attained
    • Commits to maintaining privacy of information
    • Illustrates “grace under pressure” despite potential party’s hostility
    • Acquire complete information to ensure facts of loss, insurance, and payment information are recorded accurately.
    • Process payments in accordance with Accounting Department standards to maintain client personal information privacy and security.
    • Disposition alleged identity theft by conducting the necessary research to confirm, including obtaining necessary reports and affidavits.
    • Conduct cursory research to locate individuals using available sources.
    • Flag pertinent, discovered information and forward to appropriate personnel (e.g., Intake or Attorney)
    • Maintain current with State-to-State breach of contract, negligence and statute of limitations standards.
    • Serve as backup to receptionist, gather pertinent information and direct inbound calls to appropriate personnel.

    Education/Experience:

    • Minimum 2 years Customer Service Experience

    Skills/Knowledge/Competencies (Behaviors):

    • Proficient typist with intermediate to exceptional skills in Microsoft Office Word, Excel and Outlook
    • Aptitude and ability to quickly assess a situation and respond in a confident, compassionate manner
    • Ability to prioritize, organize and disposition a large volume of incoming calls
    • Willing to support others and work collaboratively across the organization
    • Ability to interface with multiple levels, including attorneys and peers
    • Demonstrated ability to communicate with tact and respect while handling difficult conversations with a variety of individuals
    • Resilient and able to recover from difficult conversations quickly
    • Readily adaptable to new/different/challenging assignments to meet business needs
    • Proven problem solving/critical thinking
    • Ability to communicate technical information in a clear and succinct manner
    • Ability to work independently for long stretches of time
    • Physical Requirements:
    • Prolonged periods sitting at a desk and working on a computer

    Job Type: Full-time

    Job Type: Full-time

    Pay: $17.00 - $20.00 per hour

    Benefits:

    • 401(k)
    • Dental insurance
    • Flexible schedule
    • Health insurance
    • Paid time off
    • Parental leave
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Supplemental pay types:

    • Bonus opportunities

    Education:

    • High school or equivalent (Preferred)

    Experience:

    • Customer Service: 2 years (Required)

    Work Location: In person

  • 22 Days Ago

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Customer Resolution Specialist
  • Harcros Chemicals Inc.
  • Westbrook, ME FULL_TIME
  • SUMMARY This position is responsible for being the first line of contact for Harcros as well as the first line of escalation for service and quality issues. This may include email, mail, telephone, we...
  • 23 Days Ago

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Seasonal Plant Merchandiser
  • ICS Plant Specialist
  • Topsham, ME PART_TIME
  • Year Round Permanent Plant Merchandiser-This role is for ICS's services & not Home Depot.We do service Home Depot locations but they will not be your employer.Part Time -SeasonalICS merchandiser’s Tas...
  • 24 Days Ago

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Specialist
  • Elevance Health
  • South Portland, ME FULL_TIME
  • Job Description eCOB Specialist I Location : Remote, within 50 miles of an Elevance Health pulse point. Hours : Monday - Friday, 8 am - 4 : 30 pm The eCOB Specialist I is responsible for researching a...
  • 9 Days Ago

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Marketing Specialist/Proposal Specialist
  • Stantec
  • Portland, ME FULL_TIME
  • Marketing Specialist/Proposal Specialist - ( 230002LG ) Description Grow with the best. Join a smart, creative, and inspired team that accomplishes operational excellence. Bringing together individual...
  • 15 Days Ago

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Accounting Specialist
  • ProsperityME
  • Portland, ME FULL_TIME
  • Accountant Job Description The accountant is responsible for the daily accounting and compliance operations of ProsperityME including production of periodic financial reports, payroll support, billing...
  • 9 Days Ago

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0 Appeal Resolution Specialist jobs found in Portland, ME area

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Billing Specialist
  • Martin's Point Health Care
  • Portland, ME
  • Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to t...
  • 4/19/2024 12:00:00 AM

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Inside Sales Specialist
  • ADLINK Technology
  • Long Island, ME
  • About Us: Founded in 1995, ADLINK isone of the world’s leading edge computing companies and atechnology-leading platform...
  • 4/19/2024 12:00:00 AM

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Production Specialist
  • JobsRUs.com
  • Scarborough, ME
  • JobsRUs.com is seeking to hire a Production Specialist for our client in Scarborough, ME! Benefits Available! Weekly Pay...
  • 4/18/2024 12:00:00 AM

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Membership Specialist
  • MHC Equity Lifestyle Properties
  • Wells, ME
  • With a culture of recognition and reputation for excellence, ELS is the ideal organization in which to develop a long an...
  • 4/18/2024 12:00:00 AM

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Delivery Specialist
  • O'Reilly Auto Parts
  • Gorham, ME
  • The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional custom...
  • 4/18/2024 12:00:00 AM

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Production Specialist
  • JobsRUs.com
  • Westbrook, ME
  • JobsRUs.com is seeking to hire a Production Specialist for our client in Westbrook Maine! Benefits Available! Weekly Pay...
  • 4/17/2024 12:00:00 AM

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Production Specialist
  • JobRialto
  • Westbrook, ME
  • Must haves: Mechanical aptitude Ability to perform tasks from written or verbal instructions Basic math skills (fraction...
  • 4/17/2024 12:00:00 AM

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Administrative Specialist
  • SWCA Environmental Consultants
  • Scarborough, ME
  • About the opportunity SWCA Environmental Consultants is seeking an Administrative Specialist for our Portland, Maine off...
  • 4/15/2024 12:00:00 AM

Portland is a city in the U.S. state of Maine, with a population of 67,067 as of 2017. The Greater Portland metropolitan area is home to over half a million people, more than one-third of Maine's total population, making it the most populous metro in northern New England (an area comprising the states of Maine, New Hampshire, and Vermont). Portland is Maine's economic center, with an economy that relies on the service sector and tourism. The Old Port district is known for its 19th-century architecture and nightlife. Marine industry still plays an important role in the city's economy, with an a...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$47,145 to $58,405
Portland, Maine area prices
were up 1.6% from a year ago

Appeal Resolution Specialist in Colorado Springs, CO
As a Appeals Resolution Specialist, you will work directly with our Shared Service Centerproviding follow up to denied claims.
February 22, 2020
Appeal Resolution Specialist in Fort Smith, AR
Overcome objections that prevent payment of the claim and gain commitment forpayment through concise and effective appeal argument.
February 01, 2020
Appeal Resolution Specialist in Middlesex, NJ
Coordinate the overall process of complaint resolution, responding to all verbal and written complaints from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, pharmacy and vision decisions.
January 25, 2020