Top 13 Customer service claims Jobs in Augusta, Me

Healthcare Customer Service Representative
Staffing Solutions Organization LLC —Augusta, ME
- $18 an hour
- Full-time
- Administrative experience
- US work authorization
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Matthew Maloney - State Farm Agent —Augusta, ME
- Part-time
- Office
- Communication skills
- Entry level
- Paid time off
- Parental leave
Quick Apply
Dispatcher
Fabian Oil Inc. —Oakland, ME
- $19 - $25 an hour
- Full-time
- Microsoft Outlook
- Computer literacy
- Basic math
- Paid holidays
- Health insurance
Quick Apply
Customer Relations Representative - State Farm Agent Team Member
Matthew Maloney - State Farm Agent —Augusta, ME
- Full-time
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Pharmacy Customer Service Associate
Walgreens —Winthrop, ME
- $16.10 - $18.00 an hour
- Weekends as needed
- Computer literacy
- Basic math
- Maintenance
- Continuing education credits
- Health insurance
7d
French Bilingual, Partner Support Coordinator
Trupanion —Lewiston, ME
- $23 an hour
- Full-time
- Hybrid work
- Writing skills
- English
- Research
- Free parking
- Paid holidays

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Auto Body Collision Estimator (MUST HAVE 2 YEARS EXPERIENCE)
Hilltop Collision Center —Jay, ME
Answer phone calls and interact with customers. Estimators will meet and greet customers, help with making insurance claims and prepare estimates/photos for…
$50,000 - $65,000 a year
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Property Field Adjuster - Portland, ME
DMA / David Morse & Associates —Maine
(If not certified, DMA will pay for your certification once hired.). 2+ years of property adjuster field experience using Xactimate 28 or X1 & Sketch.
Up to $70,000 a year
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Dental Front Desk Receptionist
Heritage Dental Hilliard —Hilliard, OH
Collaborate with front desk and clinical staff to streamline office operations and enhance patient satisfaction. Dental receptionist: 3 years (Required).
From $30 an hour
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Dental Front Office and/or Insurance Coordinator
Pure Dental —Gahanna, OH
Must have experience in DENTAL insurance claims, billing, credit card processing, scheduling, verifying insurance, estimating and reviewing treatment plans with…
$20 - $30 an hour
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Healthcare Customer Service Representative

Staffing Solutions Organization LLC -
Augusta, ME

Quick Apply

Job Details

Full-time
$18 an hour

Benefits

Paid holidays
Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
401(k) matching
Prescription drug insurance

Qualifications

Customer communication
Correspondence management
Serving clients
Content management systems
Administrative experience
Technical Proficiency
Office experience
Content publishing

Full Job Description

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

Healthcare Customer Service Representative – Pharmacy Benefits
Location: Augusta, ME
This position allows for 3 days of telework per week with management approval.
Pay Range: $18.00 per hour

Position Overview:
The Healthcare Customer Service Representative – Pharmacy Benefits supports MaineCare members, pharmacies, and healthcare providers by providing customer service, education, and technical assistance related to prescription coverage, Medicare Part D, and MaineCare pharmacy benefits. This role requires strong communication skills, attention to detail, and the ability to apply policies and procedures accurately.

Key Responsibilities:
Customer & Member Support

Respond to inbound calls from MaineCare members, pharmacists, technicians, and other stakeholders.
Educate members on Medicare Part D plans, Medicare Savings Programs, and MaineCare pharmacy benefits.
Assist members with enrollment, coverage questions, and benefit explanations.
Resolve issues related to copays, deductibles, premiums, medication access, and prescription fills.
Support members who are out of medication or unable to fill prescriptions.

Claims & Coverage Support

Review insurance coverage for pharmacies, providers, hospitals, and members.
Support claims processing activities including evaluation, pricing, and service requests.
Apply rules, regulations, policies, and documentation requirements to individual cases.

Administrative & Technical Support

Create, edit, and manage correspondence, reports, and informational materials.
Develop and maintain computerized forms, graphics, charts, tables, and web content.
Examine documents, identify errors or irregularities, and take corrective action as authorized.
Perform routine administrative duties including scheduling, coordinating meetings, and responding to inquiries.
Track and monitor contracts, licenses, fees, and reports; reconcile funds as required.

Training & Leadership (as assigned)

Coordinate and present training, workshops, and orientation sessions.
Develop standard work procedures within established guidelines.
Provide work direction and support to team members as needed.
Confer with supervisors on performance matters when applicable.

Compliance

Comply with all State policies, information security standards, and confidentiality requirements.

Minimum Qualifications:

Training, education, or experience in office or administrative support demonstrating:
Proficiency with modern office practices and software
Ability to make independent decisions within established procedures
Knowledge or ability to learn:
Medicare, MaineCare, or healthcare program operations
Graphics, publications, and electronic content management
Information distribution via the internet and web pages
Demonstrated ability to:
Prepare business correspondence and standard reports
Interpret and apply laws, rules, policies, and procedures
Detect errors, analyze information, and resolve problems
Present information clearly to individuals and groups
Exercise sound judgment and attention to detail
Strong customer service, communication, and organizational skills

Benefits (Through SSO)

SSO offers a competitive benefits package, including:

Medical, dental, and vision insurance
401(k) with discretionary employer match
Paid time off and paid holidays
Flexible spending accounts (FSA)
Additional employee perks

Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.

Applicants must be authorized to work in the U.S. This position is not eligible for work authorization sponsorship (including H-1B sponsorship) by SSO and under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD extension application.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an E-Verify participant.

Quick Apply

Refine Your Search

customer service claims jobs in augusta, me

Healthcare Customer Service Representative

Customer Service Representative - State Farm Agent Team Member

Dispatcher

Customer Relations Representative - State Farm Agent Team Member

Pharmacy Customer Service Associate

French Bilingual, Partner Support Coordinator

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