Top 27 Claims analyst Jobs in Maine

Medical Claim Analyst
CVS Health —Maine
- $18.50 - $38.82 an hour
- Full-time
- Remote
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
7d
Claims Analyst - REMOTE
Ryder System —Augusta, ME
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Workers Compensation Analyst II Claims Adjuster
Ahold Delhaize USA —Scarborough, ME
- $63,440 - $109,320 a year
- Hybrid work
- 5 years
- Mid-level
- Office
2d
Healthcare Encounter Senior Analyst
CVS Health —Maine
- $46,988 - $122,400 a year
- Full-time
- Remote
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
Plan Testing Analyst
CVS Health —Maine
- $21.10 - $49.08 an hour
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
7d
Business Analyst, Regulatory Reporting Solutions (Remote)
CVS Health —Maine
- $43,888 - $102,081 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Data entry
- Health insurance
- Dental insurance
Network Management Analyst
CVS Health —Augusta, ME
- $43,888 - $102,081 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Research
- Health insurance
- Dental insurance
Configuration Management Senior Analyst
CVS Health —Maine
- $46,988 - $122,400 a year
- Full-time
- Remote
- Microsoft Outlook
- Word processing
- Mid-level
- Health insurance
- Dental insurance
6d
Medicaid Rebate Analyst Services Specialist
Conduent State Healthcare, LLC —Maine
- $30 an hour
- Email
- Remote
- Customer service
- Research
- Mid-level
- Paid training
- Paid holidays
Health Data Analyst
Onpoint Health Data —Portland, ME
- $65,000 - $75,000 a year
- Hybrid work
- Mid-level
- Office
- SQL
Senior Analyst - Business Analytics
CVS Health —Maine
- $46,988 - $122,400 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
8d
Management & Program Analyst (Facilities)
U.S. Customs and Border Protection —Portland, ME
- $120,548 - $156,715 a year
- Online Application
- Psychiatry
- Research
- Office
- Paid holidays
- Health insurance
2d
Pharmacy Benefits Management (PBM) Underwriting, Senior Analyst
CVS Health —Maine
- $46,988 - $122,400 a year
- Full-time
- Remote
- Mid-level
- Finance
- Master's degree
- Health insurance
- Dental insurance
Sr. Construction Schedule Analyst
BB&E —Kittery, ME
- $180,000 - $200,000 a year
- Full-time
- Construction site
- 11+ years
- Presentation skills
- Paid holidays
- Disability insurance
Quick Apply
Epic Analyst – Revenue Cycle & Access
MaineGeneral Health —Augusta, ME
- $64,501 - $173,264 a year
- Multiple hires
- Mid-level
- Finance
- Analysis skills
- 403(b) matching
- Disability insurance
Quick Apply
Insurance Product Analyst/Senior Product Specialist - Specialty Human Services
Great American Insurance Company —Maine
- $90,000 - $150,000 a year
- Full-time
- Hybrid work
- Office
- Analysis skills
- Bachelor's degree
- Commuter assistance
- Employee stock purchase plan
Quick Apply

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Business Analyst, Regulatory Reporting Solutions (Remote)
CVS Health —Maine
The Business Analyst provides foundational support for execution of PBM, Medicaid, and Licensure regulatory and state reporting requirements.
$43,888 - $102,081 a year
Claims Analyst - REMOTE
Ryder System —Augusta, ME
Interacts with Law Department on significant cases, and updates field operations personnel on claim status. Investigates and adjusts claims, as well as directs…
$90,000 - $100,000 a year

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ENGIE —Columbus, OH
Build and maintains relationships with construction contractors, qualified equipment vendors, suppliers, and design/engineering firms.
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Claims Analyst - REMOTE
Ryder System —Columbus, OH
Interacts with Law Department on significant cases, and updates field operations personnel on claim status. Investigates and adjusts claims, as well as directs…
$90,000 - $100,000 a year

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claims analyst jobs near maine

Medical Claim Analyst

CVS Health -
Maine

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Job Details

Full-time
$18.50 - $38.82 an hour
7 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
CCR is responsible for post - service claim review to determine if specific
services can be reimbursed to providers and members.

The analyst role is integral to the CCR team.
They start the CCR process with the claim submission to CCR with a complete

review of the claim and claim history. They compile all system information,
claim history, plan information, and any additional research into template as
required by the workflow and any legal and regulatory requirements for a
clinician review.

They also collaborate with Medical Directors as required.
Review provider and member claims to determine if they meet CCR review requirements.
Follow applicable workflows, templates, and legal and compliance

requirements to provide a complete picture of what is requiring review to the CCR clinicians and medical directors.

Organizes and prioritizes work to help meet regulatory and CCR claim turnaround times. Determines coverage, verifies eligibility, benefits, identifies discrepancies and applies all Medical Claim Management policies and procedures to assist in ensuring claims are handled per policy and legal requirements.
Works with all appropriate internal and external departments and personnel to accurately review specified claims and/or clarify any issues found in the course of the review.
Required to work in multiple systems including EWM, ASD, ATV, MedCompass and HRP.
Other systems dependent on specific reviews criteria.
Maintains and utilizes all resource materials and systems to effectively manage job responsibilities

Adheres to company policies to protect member
confidentiality.

Required Qualifications
2+ years experience and demonstrated ability to handle multiple assignments competently, accurately and efficiently.

Preferred Qualifications
Knowledge of utilization management rules and regulations and claim processing guidelines.
Claims Processing/ customer service experience preferred

Education Verifiable High School Diploma or GED.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/25/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

claims analyst jobs in maine

Medical Claim Analyst

Claims Analyst - REMOTE

Workers Compensation Analyst II Claims Adjuster

Healthcare Encounter Senior Analyst

Plan Testing Analyst

Business Analyst, Regulatory Reporting Solutions (Remote)

Network Management Analyst

Configuration Management Senior Analyst

Medicaid Rebate Analyst Services Specialist

Health Data Analyst

Senior Analyst - Business Analytics

Management & Program Analyst (Facilities)

Pharmacy Benefits Management (PBM) Underwriting, Senior Analyst

Sr. Construction Schedule Analyst

Epic Analyst – Revenue Cycle & Access

Insurance Product Analyst/Senior Product Specialist - Specialty Human Services

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