Workers' Compensation Claims Manager jobs in Portland, ME

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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0 Workers' Compensation Claims Manager jobs found in Portland, ME area

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Senior Manager, Software Engineering (Go / Python)
  • Capital One
  • Portland, ME
  • NYC 299 Park Avenue (22957), United States of America, New York, New York Senior Manager, Software Engineering (Go / Pyt...
  • 4/18/2024 12:00:00 AM

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RN Case Manager Home Health Full Time
  • CenterWell Home Health
  • Portland, ME
  • Become a part of our caring community and help us put health first As a Home Health RN Case Manager, you will: Provide a...
  • 4/17/2024 12:00:00 AM

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Field Gutter Installer
  • Leaf Home
  • Portland, ME
  • At Leaf Home, people are at the heart of everything we do, and we’ve crafted a team of the very best to ensure we make a...
  • 4/17/2024 12:00:00 AM

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Physician-Inpatient Consultative Hematologist-Oncologist
  • Maine Health
  • Portland, ME
  • Full Time 22 Bramhall Street Physician/Physician Practices Day Shift The MaineHealth Cancer Care Network (MHCCN) is seek...
  • 4/15/2024 12:00:00 AM

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Manager, Trainee- Quality (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...
  • 4/15/2024 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...
  • 4/15/2024 12:00:00 AM

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Install Tech - Gutter
  • Leaf Home
  • Portland, ME
  • At Leaf Home, people are at the heart of everything we do, and we’ve crafted a team of the very best to ensure we make a...
  • 4/15/2024 12:00:00 AM

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Field Install Trainer
  • Leaf Home
  • Portland, ME
  • At Leaf Home, we are powered by people on a single mission to make homeownership easy. We’ve crafted a team of the very ...
  • 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 Workers' Compensation Claims Manager jobs
$84,414 to $109,048
Portland, Maine area prices
were up 1.6% from a year ago

Workers' Compensation Claims Manager in Rockford, IL
The title of Nurse Case Manager is the most frequently used name for the role, but like workers’ comp adjusters are sometimes referred to as claim examiners, there are other names for the NCM. In some insurance companies the role is referred to as the “workers compensation case manager” or “injury management facilitator” or “field case manager” (FCM) if most of the work is done away from the office, or “telephonic case manager” (TCM) if the work is done in the office by using the telephone.
December 07, 2019
Workers' Compensation Claims Manager in Mcallen, TX
The Division contracts with a third-party administrator for the processing of state employees’ workers’ compensation claims through a managed-care framework that includes a provider network and pharmacy management. The Division’s staff monitors the work done by the administrator and acts as a liaison between state employees, the third party administrator, and medical providers.
February 08, 2020
Workers' Compensation Claims Manager in Salt Lake City, UT
Some employers will have workers fill out an incident report, while others will be satisfied with just a simple written or emailed notification.
January 27, 2020