Claims Jobs in Augusta, ME
A Claims Professional in the insurance industry is responsible for handling insurance claims filed by policyholders. Their role includes investigating the claim, determining the policyholder's coverage, negotiating settlements, and authorizing payments. They are often the main point of contact for clients during the claims process and will work closely with underwriters, brokers, and other insurance professionals. They may also provide recommendations for policy adjustments or present evidence in legal cases.
Claims Professionals should have excellent customer service skills, as well as strong analytical and problem-solving abilities. They should be familiar with insurance laws and regulations, and have a solid understanding of the specific types of insurance they work with. Some positions may require professional certifications such as the Chartered Property Casualty Underwriter (CPCU) or Associate in Claims (AIC). Prior to becoming a Claims Professional, a person might serve in roles such as Insurance Underwriter, Insurance Sales Agent, or Claims Adjuster Trainee.
Team Leaders & the Pharmacy Claims (Support Services) Manager Assist pharmacies with claims adjudication Complete incoming tasks as assigned by the Pharmacy Claims Team Leaders and the Pharmacy Claims...
The **Claims Processor** is responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures....
Remote Work; and to identify subrogation of claims and negotiate settlements....
National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Executive General Adjuster - Northeast Region **PRIMARY PURPOSE** : To investigate claims...
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews...
You may be just the right candidate for this or other roles.** **Sedgwick is the worlds leading risk and claims administration partner, which helps clients thrive by navigating the unexpected....
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims, and other records to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property...
** + High School Degree or GED required. + 5 years bodily injury litigation claim handling experience or 10 years litigation experience required. + In order to perform the essential job functions of...
cost for our clients. + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents Company in depositions...
Claims Adjuster I Workers Compensation I CA experience required I Hybrid
- Augusta, ME
- 22 days ago
- Augusta, ME
- 22 days ago
company standards and industry best practices; and to identify subrogation of claims and negotiate settlements....
ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements....
at Sedgwick in Augusta, Maine, United States Job Description By joining Sedgwick, youll be part of something truly meaningful. Its what our 33,000 colleagues do every day for people around the...
and make decisions consistent with claims standards and local laws Evaluate and handle claim payments and resolution of claims without payments Review and determine validity of any supplement requests...
Demographic Data for Augusta, ME
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Claims Online Courses and Training Opportunities
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Salary for Claims Jobs in Augusta, ME
Required or preferred licenses and certifications for Claims positions.
Highest Education Level
Claimss in Augusta, ME offer the following education backgroundQualifications / Skill Sets
The following top skills are often required or desired to land a Claims position
- Take-offs
- Restoration
- Claims Handling
- Residential Construction
- Property Claims
- Claims Adjusting
- Bodily Injury
- Subrogation
- General Liability
- Personal Lines
- Property and Casualty Insurance
- Commercial Claims
- Property Damage
- Auto Claims
- Special Investigative Unit
- Total Loss
- Claims Management
- Professional Liability
- Coverage Analysis
- Xactimate
- Symbility
- CCC One
- Audatex
- Property Insurance
- Litigation Management
- Claims Processing
- Underwriting
- Medical Claims
- Litigation
- Insurance Claims
- Claims
- Financial Services
- Workers' Compensation
- Mediation
- Legal Research & Writing
- File Management
- Resolution
- Estimating
- Reimbursement
- Military Background
- High School Diploma
- Negotiation
- Investigation
- Written Communication
- Presentation
- Interpersonal Skills
- Flexibility
- Collaboration
- Reporting
- Documentation
- Filing
- Policy Development
- Microsoft Office
- Problem Solving
- Microsoft Excel
- Time Management
- Staff Supervision
- Organization
- Customer Service
- Scheduling
- Computer Skills
- Leadership
- Communication Skills
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