Claims Processing Manager jobs in Portland, ME

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...
  • 1 Day Ago

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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...
  • 2 Days Ago

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Roof Technician
  • Hancock Claims Consultants Technicians
  • Portland, ME CONTRACTOR
  • CLIMB to New Heights…And live the American Dream. Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers...
  • Just Posted

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Roof Technician
  • Hancock Claims Consultants Technicians
  • Augusta, ME CONTRACTOR
  • CLIMB to New Heights…And live the American Dream. Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers...
  • Just Posted

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0 Claims Processing Manager jobs found in Portland, ME area

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Director of Operations
  • Smith & Wilkinson
  • South Portland, ME
  • We’re looking for an Operations, Administration and Technology leader to manage the nuts and bolts of our business. This...
  • 4/25/2024 12:00:00 AM

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Operations Manager
  • Floor & Decor
  • Portland, ME
  • PURPOSE This position is responsible for all aspects of store operations, which include providing an exceptional shoppin...
  • 4/25/2024 12:00:00 AM

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Emerging Store Manager
  • Walgreens
  • Portland, ME
  • Supervises customer service associates and designated hitters. Responsible for managing front end of the store and makin...
  • 4/24/2024 12:00:00 AM

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Apprentice General Manager
  • Chipotle
  • Portland, ME
  • Apprentice General Manager (24013918) Description CULTIVATING A BETTER WORLD Food served fast doesn't have to be a typic...
  • 4/24/2024 12:00:00 AM

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Manager Trainee - Operations (Travel Program; Relocation Required)
  • Biolife Plasma Services
  • Portland, ME
  • By clicking the Apply button, I understand that my employment application process with Takeda will commence and that the...
  • 4/23/2024 12:00:00 AM

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Senior Manager, Technical Program Management - Enterprise Data
  • Capital One
  • Portland, ME
  • Center 3 (19075), United States of America, McLean, Virginia Senior Manager, Technical Program Management - Enterprise D...
  • 4/22/2024 12:00:00 AM

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Director, Technical Program Management - Enterprise Data
  • Capital One
  • Portland, ME
  • Center 3 (19075), United States of America, McLean, Virginia Director, Technical Program Management - Enterprise Data Ab...
  • 4/22/2024 12:00:00 AM

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General Manager
  • HMSHOST
  • Portland, ME
  • With a career at HMSHost, you really benefit! We offer: Health, dental and vision insurance Generous paid time off (vaca...
  • 4/22/2024 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 Claims Processing Manager jobs
$93,937 to $121,325
Portland, Maine area prices
were up 1.6% from a year ago

Claims Processing Manager in Austin, TX
These claims management platforms are often not well integrated with peripheral systems, which also results in more human involvement and an increased cost per transaction.
January 26, 2020
Claims Processing Manager in Topeka, KS
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
Claims Processing Manager in Youngstown, OH
A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
December 11, 2019